Predetermination for Gingival Recession

NCT02479633 | Completed

• 1 other identifier: CukurovaU5
• Study Type: interventional
• Target: 122
• Locations: 0 countries
• Sites: N/A

Brief Summary

Background: The aim of present clinical study was to evaluate the predictive values of baseline inter-dental papilla height (IPH), avascular exposed root surface area (AERSA) and inter-dental clinical attachment loss (CAL) measurements on complete root coverage (CRC) of single gingival recession (GR) defects treated with coronally advanced flap and connective tissue graft technique (CAF+CTG). Material and Methods: The study group included 65 females and 57 males, aged between 20 and 42 years. A total of 122 recession defects without CAL and with an amount of CAL equal or smaller to the buccal CAL , located at upper and lower incisors and canines were treated with CAF+CTG. IPH, AERSA and CAL parameters were analyzed for possible correlation with CRC after 6 months.

Conditions

Gingival Recessions

Keywords

prognostic factors

Outcome Measures

Primary Outcomes (1)

• values of baseline interdental papill height

  in mm

  1 year

Secondary Outcomes (2)

• avascular exposed root surface area

  1 year

• interdental clinical attachment level

  1 year

Study Arms (2)

gingival recession type 1

OTHER

recession defects without CAL intervention:Coronally advanced flap with connective tissue graft

Other: Coronally advanced flap with connective tissue graft

gingival recession type 2

OTHER

gingival recession with an amount of CAL equal or smaller to the buccal CAL. Intervention: Coronally advanced flap with connective tissue graft

Other: Coronally advanced flap with connective tissue graft

Interventions

Coronally advanced flap with connective tissue graft OTHER

Two oblique, divergent releasing incisions extending beyond the mucogingival junction were performed. An intra-sulcular incision was performed at the buccal aspect of the involved tooth. Subsequently, a partial-thickness flap was raised beyond the MGJ. The papilla adjacent to the involved tooth were then de-epithelialized. The CTG was harvested using a single incision approach from the palate. The graft was positioned on the instrumented root surface immediately apical of the CEJ and then stabilized using a sling compressive crossing suture. The flap was coronally displaced 1-2 mm above the CEJ. A sling suture was placed to stabilize the flap in a coronal position, followed by interrupted sutures on the releasing incisions with an apico-coronal direction.

Also known as: CAF+CTG

gingival recession type 1; gingival recession type 2

Eligibility Criteria

• Age: 20 Years - 42 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Presence of isolated RT1 and RT2 class gingival recessions with an AERSA ˃9mm2 on upper and lower incisors,
• Presence of identifiable cemento-enamel junction (CEJ); presence of a step ≤1mm at the CEJ level and/or the presence of a root abrasion, but with an identifiable CEJ,
• Full-mouth plaque score and Full-mouth bleeding score of \<15%,
• No occlusal interferences;

You may not qualify if:

• Patients with a history of periodontitis or abscess formation,
• Mucogingival or periodontal surgery at the experimental site in the last 1 year,
• Presence of systemic disease or taking medication known to interfere with periodontal tissue health,
• Smokers, pregnant patients.

Sponsors & Collaborators

• Cukurova University: lead

MeSH Terms

Conditions

Gingival Recession

Condition Hierarchy (Ancestors)

Gingival Diseases; Periodontal Diseases; Mouth Diseases; Stomatognathic Diseases; Periodontal Atrophy

Study Officials

• Onur Ozcelik, Prof. Dr

  Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: June 17, 2015
• First Posted: June 24, 2015
• Study Start: January 1, 2013
• Primary Completion: January 1, 2014
• Study Completion: June 1, 2014
• Last Updated: June 24, 2015

Record last verified: 2015-06