Clinical Evaluation of the Modified Laterally Stretched Technique (RT2) Gingival Recession vs Tunneling With CT Grafting

NCT06044870 | Active Not Recruiting

• 1 other identifier: 21021992
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).

Conditions

Gingival Recession

Outcome Measures

Primary Outcomes (1)

• Recession depth reduction.

  Measured as the difference between the recession gingival depth at different follow up intervals and the baseline.

  1 year

Secondary Outcomes (7)

• Mean root coverage

  1 year

• Recession depth

  1 year

• Recession width

  1 year

• Soft tissue thickness

  1 year

• Keratinized tissue width

  1 year

Study Arms (2)

Modified laterally stretched technique with a connective tissue graft.

EXPERIMENTAL

After the administration of local anesthesia, root planing of the exposed root surfaces will be performed by means of hand instruments. A partial thickness envelope is performed with tunneling instruments involving one or two teeth adjacent to the tooth, in case of a very thin biotype a complete thickness envelope could be done. Two horizontal incisions are done at the base of the papillae of the deepest recession site, allowing to place the graft in a more coronal position and improving access and visibility.

Procedure: Modified laterally stretched technique with a connective tissue graft.

Tunneling technique with connective tissue graft.

ACTIVE COMPARATOR

Immediately before surgery, contact point composite stops were placed to prevent the collapse of the suspended sutures in the inter-proximal spaces.• The entire gingival papillary complex will be moved coronally using a suspended suture anchored in the lingual gingiva (Aroca et al., 2010, 2013; Azzi et al, 2002, zuhr et al.,2009).

Procedure: Modified laterally stretched technique with a connective tissue graft.

Interventions

Modified laterally stretched technique with a connective tissue graft. PROCEDURE

Modified laterally stretched technique with a connective tissue graft.

Modified laterally stretched technique with a connective tissue graft.; Tunneling technique with connective tissue graft.

Eligibility Criteria

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

You may not qualify if:

• Pregnant or lactating females.
• deep recession sites more than 5 mm
• Tobacco smoking.
• Uncontrolled medical conditions.
• Uncooperative patients or unable to complete the study.
• Patients treated with any medication known to cause gingival hyperplasia.
• No occlusal interferences.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Cairo University

Cairo, Egypt

Location

MeSH Terms

Conditions

Gingival Recession

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer

Study Record Dates

• First Submitted: September 12, 2023
• First Posted: September 21, 2023
• Study Start: September 1, 2023
• Primary Completion: October 1, 2025
• Study Completion: November 1, 2025
• Last Updated: October 2, 2025

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)