MINST Versus Conventional Subgingival Instrumentation In RT1 Gingival Recession

NCT06044727 | Completed DMC

• 1 other identifier: Anjali Periodontics 2022
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Gingival recession is a common condition and its extent and prevalence increase with age. Majority of patients probably present with localized and shallow gingival recession that need a specific treatment because they are susceptible to further apical displacement of gingival margin. So if gingival recession is detected early, removal of causative factors and non surgical treatments initiated then it can prevent more advanced mucogingival defects. Studies have shown that non surgical periodontal therapy including proper oral hygiene instructions, periodic scaling and root planning obtained successful root coverage in shallow gingival recession. Minimal invasive non surgical periodontal therapy (MINST)uses the delicate instruments and magnifying loupes performing periodontal debridement with more effective calculus and biofilm removal and less soft tissue trauma , maintain the tissue architecture, benefit the healing phase, improve the clinical results and increase visibility. There is no study to evaluate efficacy of MINST versus conventional subgingival instrumentation in the restorative capacity of marginal gingival in RT1 gingival recession , so the present study will be conducted to compare and evaluate the efficacy of minimal invasive non surgical periodontal therapy (MINST) and conventional subgingival instrumentation in the restorative capacity of marginal gingiva involving RT1 gingival recession.

Conditions

Gingival Recession

Outcome Measures

Primary Outcomes (3)

• Recession Depth

  recorded in mm with a periodontal probe from the cementoenamel junction to the crest of the gingival margin at mid labial region.

  6 months

• Recession Width

  recorded in mm with a periodontal probe from the mesial to distal gingival margin at the level of cementoenamel junction.

  6 months

• Root Coverage %

  Will be calculated according to the formula Root Coverage percentage =Recession depth(preop -postop)\*100/Recession depth preoperative

  6 months

Study Arms (2)

Test group

EXPERIMENTAL

After phase 1 therapy, management of RT1 cases will be done with Minimally invasive non surgical periodontal therapy.

Procedure: Minimally invasive non surgical periodontal therapy

Control Group

ACTIVE COMPARATOR

After phase 1 therapy, management of RT1 cases will be done with Conventional subgingival instrumentation.

Procedure: Conventional subgingival instrumentation

Interventions

Minimally invasive non surgical periodontal therapy PROCEDURE

using Magnifying loupes

Test group

Conventional subgingival instrumentation PROCEDURE

Conventional subgingival instrumentation

Control Group

Eligibility Criteria

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

You may qualify if:

• Gingival Recession Type 1(RT1) by Cairo et al 2011in esthetic zone including maxillary and mandibular anteriors and premolars, otherwise systemically healthy
• Gingival Recession ≤3mm associated with plaque induced inflammation and identifiable CEJ
• Age 20 years to 50 years
• Providing a written and verbal informed consent.

You may not qualify if:

• Patient with systemic disease that can influence the outcome of therapy.
• Pregnant females or on oral contraceptive pills or hormone replacement therapy.
• Smokers and patients undergoing orthodontic therapy
• Physically and mentally impaired patients.
• Non vital, mal-positioned tooth
• Presence of cervical abrasions or restorations in the area
• Previous history of periodontal surgery on the involved sites.

Sponsors & Collaborators

• Postgraduate Institute of Dental Sciences Rohtak: lead

Study Sites (1)

Post Graduate Institute of Dental Sciences

Rohtak, Haryana, 124001, India

Location

MeSH Terms

Conditions

Gingival Recession

Condition Hierarchy (Ancestors)

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

Study Officials

• Anjali Yadav, BDS

  Postgraduate Institute of Dental Sciences Rohtak

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 8, 2023
• First Posted: September 21, 2023
• Study Start: September 25, 2023
• Primary Completion: March 31, 2025
• Study Completion: March 31, 2025
• Last Updated: September 5, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

IN (1)