NCT03200392

Brief Summary

A clinical and radiographic evaluation of using Erbium, Chromium, Scandium, Gallium and Garnet (Er,Cr:YSGG) laser in recipient site bio-modification and de-epithelialized connective tissue graft harvesting compared to conventional scalpel surgical technique in the treatment of class I and II Miller gingival recession.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
24

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Feb 2015

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2015

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2017

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2017

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

June 20, 2017

Completed
7 days until next milestone

First Posted

Study publicly available on registry

June 27, 2017

Completed
Last Updated

July 22, 2020

Status Verified

July 1, 2017

Enrollment Period

1.9 years

First QC Date

June 20, 2017

Last Update Submit

July 20, 2020

Conditions

Keywords

Er,Cr:YSGG laserconnective tissue graftroot coveragemucogingival surgerygingival recession

Outcome Measures

Primary Outcomes (1)

  • Change in Recession depth

    measured from the gingival margin to the cemento-enamel junction at the mid-buccal aspect of the tooth using William's graduated periodontal probe to the nearest mm

    baseline-3-6-9 months

Secondary Outcomes (7)

  • Pain assessment at the donor site

    7 days

  • number of analgesic pills consumed per day

    7 days

  • Recession width

    baseline-3-6-9 months

  • Gingival thickness

    baseline and at 9 months

  • Height of keratinized tissue width

    baseline and at 9 months

  • +2 more secondary outcomes

Study Arms (3)

L-DGG/LRB

EXPERIMENTAL

laser root surface conditioning \& laser DGG harvesting

Device: laser root surface conditioning & laser DGG harvesting

B-DGG/LRB

EXPERIMENTAL

laser root surface conditioning \& blade DGG harvesting

Device: laser root surface conditioning & blade DGG harvesting

B-DGG

ACTIVE COMPARATOR

blade DGG harvesting

Procedure: blade DGG harvesting

Interventions

laser root surface bio-modification (single application) and placement of harvested de-epithelialized gingival graft (DGG) followed by coronal repositioned flap for gingival recession Miller's I, II defect coverage

Also known as: erbium, chromium:YSGG laser
L-DGG/LRB

laser root surface bio-modification (single application) and scalpel blade harvesting of de-epithelialized palatal graft (Zucchelli et al. 2010) and coronal repositioned flap for gingival recession Miller's I, II defect coverage

Also known as: erbium, chromium:YSGG laser
B-DGG/LRB

De-epithelialized palatal graft harvested using scalpel blade (Zucchelli et al. 2010) and coronal repositioned flap for gingival recession defect coverage

B-DGG

Eligibility Criteria

Age21 Years - 58 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Single class I, II Miller gingival recession defects (≥ 2mm in depth), presence of identifiable buccal cemento-enamel junction (CEJ) and presence of a step ≤ 1 mm at CEJ.
  • Controlled periodontal disease
  • Full-mouth plaque score of \<10%; full-mouth gingival score of \<15%
  • Patients available for 9 months follow-up period.

You may not qualify if:

  • Smokers.
  • Pregnant and lactating females.
  • Taking medications known to interfere with periodontal tissue health or healing.
  • Previous periodontal surgery on the involved sites.
  • Non-vital teeth.
  • Molar teeth.
  • Recession defects associated with caries or restoration.
  • Occlusal interferences.
  • Taking anti-inflammatory drugs or antibiotics in the past 6 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Misr International university

Cairo, 11218, Egypt

Location

Related Publications (1)

  • Ozcelik O, Seydaoglu G, Haytac CM. Diode laser for harvesting de-epithelialized palatal graft in the treatment of gingival recession defects: a randomized clinical trial. J Clin Periodontol. 2016 Jan;43(1):63-71. doi: 10.1111/jcpe.12487. Epub 2016 Jan 21.

    PMID: 26660000BACKGROUND

MeSH Terms

Conditions

Gingival Recession

Condition Hierarchy (Ancestors)

Gingival DiseasesPeriodontal DiseasesMouth DiseasesStomatognathic DiseasesPeriodontal Atrophy

Study Officials

  • Ahmed Y Gamal, pHD

    Professor Department of Periodontology Ain Shams University

    STUDY CHAIR
  • Tarek M Eltayeb, MSc

    Doctor student Department of Periodontology Misr International University (MIU)

    PRINCIPAL INVESTIGATOR
  • Shahinaz G Elashiry, pHD

    Associate Professor Department of Periodontology MIU

    STUDY DIRECTOR
  • Ramy M Ghali, pHD

    Professor Department of Prosthodontics Ain Shams University

    STUDY DIRECTOR
  • Fatma H Eldemerdash, pHD

    Lecturer Department of Periodontology Ain Shams University

    STUDY DIRECTOR
  • Islam S Shaker, MSc

    Doctor student Department of Oral Radiology MIU

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Masking of investigator and participants was not applicable due to surgical procedure and use of laser either for root surface bio-modification or during connective tissue harvesting. The blinded outcome assessor performed the clinical measurements at each selected defect site during the study period. She was not involved in any other part of the study protocol.
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
laser certified from Aachen University (Germany) and Assistant Lecturer of Periodontology, Oral Medicine and Oral Diagnosis

Study Record Dates

First Submitted

June 20, 2017

First Posted

June 27, 2017

Study Start

February 1, 2015

Primary Completion

January 1, 2017

Study Completion

February 1, 2017

Last Updated

July 22, 2020

Record last verified: 2017-07

Data Sharing

IPD Sharing
Will not share

Locations