Periosteal Pedicle Flap Versus Subepithelial Connective Tissue Graft in Management of Gingival Recession

NCT06529640 | Not Yet Recruiting

• 1 other identifier: periosteal pedicle flap
• Study Type: interventional
• Target: 10
• Locations: 0 countries
• Sites: N/A

Brief Summary

Gingival recession is defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ).Various surgical procedures including repositioned flaps as well as autogenous and other type grafts have been used in the treatment of gingival recession.The present gold standard technique is the bilaminar technique using the subepithelial connective tissue graft (SCTG) which provides for long-term stability but also increases tissue morbidity.Hence, a suitable alternative technique - the periosteal pedicle flap (PPF) - has been practiced, which is less invasive, does not require a second surgical site, and provides a graft of adequate dimensions.

Conditions

Gingival Recession

Outcome Measures

Primary Outcomes (1)

• the percentage of root coverage (%RC)

  to measure the coverage percentage of root recession by UNC periodontal probe Preoperative recession depth - Postoperative recession depth /Preoperative recession depth x 100

  at base line, 1 month and 3 months after treatment

Secondary Outcomes (4)

• recession depth

  at base line, 1 month and 3 months after treatment

• recession width

  at base line, 1 month and 3 months after treatment

• clinical attachment gain

  at base line, 1 month and 3 months after treatment

• keratinized tissue gain

  at base line, 1 month and 3 months after treatment

Study Arms (2)

Subepothelial connective tissue graft (SCTG) group

ACTIVE COMPARATOR

Subepithelial connective tissue graft from palate then coronally positioning flap to cover root recession

Procedure: SCTG followed by coronally postionting flap

Periosteal pedicle flap (PPF) group

ACTIVE COMPARATOR

periosteal flap elevation and repositioning to the root then coronally positioning flap to cover root recession

Procedure: periosteal flap followed by coronally postionting flap

Interventions

SCTG followed by coronally postionting flap PROCEDURE

The SCTG will be harvested from the palate followed by coronally postionting flap

Subepothelial connective tissue graft (SCTG) group

periosteal flap followed by coronally postionting flap PROCEDURE

he periosteal pedicle graft obtained is then turned over the exposed root surface then followed by coronally postionting flap

Periosteal pedicle flap (PPF) group

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with one or more Miller's Class 1 and Class II buccal recessions demonstrating ≤20% of plaque and bleeding scores, respectively, after Phase I therapy.
• age from 18 th 60 years.

You may not qualify if:

• Smokers
• patients with malposed or crowded teeth
• pregnant and lactating women
• patients using medications that could affect the periodontal status

Sponsors & Collaborators

• Assiut University: lead

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: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer, Oral medicine, Periodontology and Oral diagnosis, Faculty of dentistry

Study Record Dates

• First Submitted: July 26, 2024
• First Posted: July 31, 2024
• Study Start: August 1, 2024
• Primary Completion: November 1, 2024
• Study Completion: November 1, 2024
• Last Updated: July 31, 2024

Record last verified: 2024-07