Recession Coverage Using Modified Coronally Advanced Tunnel(MCAT)
NCT Number: NCT06504329
Acronym: MCAT
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Gingival Recession
Interventions: PROCEDURE: MCAT + subepithelial connective tissue graft|PROCEDURE: MCAT + enamel matrix derivate|PROCEDURE: MCAT + subepithelial connective tissue graft + enamel matrix derivative
Sponsor: Necmettin Erbakan University
Sex: ALL
Age: ADULT
Enrollment: 60
Study Design: Allocation: RANDOMIZED|Intervention Model: SEQUENTIAL|Masking: NONE|Primary Purpose: TREATMENT
Start Date: 2024-05-24
Completion Date: 2024-11-24
Locations: Necmettin Erbakan University, Faculty of Dentistry, Konya, Turkey

Summary:
In our study, patients with Miller Class I and II gingival recession will be divided into three groups to undergo the modified coronally advanced tunnel (MCAT) technique using connective tissue grafts, enamel matrix derivatives, or a combination of connective tissue grafts and enamel matrix derivatives. The short- and long-term success of these groups will be evaluated. There are limited studies on the MCAT technique in the literature, and our objectives and anticipated outcomes upon completion of the project are as follows:

1. Evaluation of the success of the MCAT technique in root coverage.
2. Evaluation of the aesthetic outcomes of the MCAT technique.
3. Evaluation of the impact of the MCAT technique on postoperative patient comfort and morbidity.
4. Assessment of the effect of enamel matrix derivative (Emdogain) application on treatment outcomes.
5. Assessment of the effect of connective tissue graft on treatment outcomes.
6. Investigation of the additional benefits of combining connective tissue grafts with enamel matrix derivatives.
7. Evaluation of the long-term outcomes of gingival recession treatment.

By focusing on these goals, the investigators aim to provide comprehensive insights into the efficacy and benefits of the MCAT technique and its variations in treating gingival recession.

Primary Outcome Measures: Measurement of Preoperative Periodontal Parameters and Taking Initial Photographs, To determine the baseline condition, pre-surgical measurement of periodontal parameters (amount of keratinized tissue, papilla height, papilla width, probing pocket depth, amount of recession) will be recorded in millimeters using a periodontal probe.Plaque Index (PI) (Silness and Löe 1964) and Gingival Index (GI) (Löe and Silness 1963) will be scored on a scale of 0-3. Additionally, intraoral photographs of the patients will be taken prior to the operation. This is necessary to document the pre-treatment condition and evaluate changes post-treatment., Preoperatively, before the start of treatment.
Secondary Outcome Measures: Measurement of Periodontal Parameters and Taking Photographs at 1, 3, and 6 Months Post-Operation, Postoperative measurement of periodontal parameters will be recorded using a periodontal probe in millimeters at 1, 3, and 6 months. The parameters include the amount of keratinized tissue, papilla height, papilla width, probing pocket depth and the amount of recession.Plaque Index (PI) (Silness and Löe 1964) and Gingival Index (GI) (Löe and Silness 1963) will be scored on a scale of 0-3. Additionally, intraoral photographs of the patients will be taken. This is necessary to evaluate changes following treatment., 1, 3, and 6 months post-operation.