Microsurgical vs Macro Surgical Approach for Grade II Gingival Recessions Employing Laterally Repositioned Flap

NCT03654339 | Completed

• 1 other identifier: kranthirecession
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This study was conducted to assess the evaluation of micro and Macro surgical approach in the treatment of grade II gingival recessions using the laterally repositioned flap

Conditions

Gingival Recession, Localized

Outcome Measures

Primary Outcomes (1)

• vertical depth of recession

  The height of gingival recession: From cementoenamel junction to the free gingival margin.

  Change in level of gingival margin from baseline to 6 months.

Secondary Outcomes (1)

• horizontal width of recession

  Change in horizontal dimension of gingival margin from baseline to 6 months.

Study Arms (1)

experimental group

EXPERIMENTAL

Group A-15 patients were allocated to the microsurgical group for root coverage. following scaling and root planning, the laterally repositioned flap was done using the microsurgical approach Group B-15 Patients were allocated to the conventional group for root coverage following scaling and root planning, the laterally repositioned flap was done using the macrosurgical approach

Procedure: root coverage

Interventions

root coverage PROCEDURE

Group A: After administration of local anaesthesia using ophthalmic microsurgical knives a V-shaped incision was made in the gingival recession area. the gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then secured with 6-0 absorbable sling suture without tension. the surgical procedure was done with seilar microscope 40X magnification. Group B: After administration of local anaesthesia using 15 no blade a V-shaped incision was made in the gingival recession area . gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then carefully secured with 4-0 absorbable sling suture

experimental group

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age 20-50 yrs
• ClassII gingival recession
• Vital teeth that were free from caries or inadequate restorations
• Sufficient width of attached gingiva

You may not qualify if:

• Any systemic diseases and smokers
• ClassI,III\&IV gingival recession
• Abnormal frenal attachments
• Interdental bone loss with tooth mobility

Sponsors & Collaborators

• Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre: lead

Study Sites (1)

Panineeya Mahavidyalaya Institute of Dental Sciences

Hyderabad, Telangana, 500060, India

Location

Related Publications (1)

• Nizam N, Bengisu O, Sonmez S. Micro- and macrosurgical techniques in the coverage of gingival recession using connective tissue graft: 2 years follow-up. J Esthet Restor Dent. 2015 Mar-Apr;27(2):71-83. doi: 10.1111/jerd.12124. Epub 2014 Nov 13.

  PMID: 25393983 RESULT

MeSH Terms

Conditions

Gingival Recession

Condition Hierarchy (Ancestors)

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

Study Officials

• veerendranath reddy, MDS

  panineeya mahavidyalaya institute of dental sciences

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PG Student

Model Details: The patients will be equally divided into two test groups. Group A and Group B after phase I therapy. the group A patients will be treated with laterally repositioned flap to obtain root coverage using microsurgical approach. The group B patients will be treated with laterally repositioned flap to obtain root coverage using macrosurgical approach

Study Record Dates

• First Submitted: August 20, 2018
• First Posted: August 31, 2018
• Study Start: August 24, 2017
• Primary Completion: March 31, 2018
• Study Completion: August 16, 2018
• Last Updated: September 4, 2018

Record last verified: 2018-08

Locations

IN (1)