Platelet Rich Fibrin in the Treatment of Multiple Gingival Recessions

NCT ID: NCT02018120

Last Updated: 2013-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2013-08-31

Brief Summary

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The aim of this randomized controlled clinical study is to evaluate and compare the effectiveness of platelet rich fibrin (PRF) and connective tissue grafts in the treatment of multiple gingival recessions.

Detailed Description

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The aim of this randomized controlled clinical study is to evaluate and compare the effectiveness of platelet rich fibrin (PRF) and connective tissue grafts in the treatment of multiple gingival recessions.

Primary outcome variables were percentage of complete root coverage and mean root coverage percentages at 6 months follow up. The secondary outcome variables include keratinized tissue and gingival thickness gain.

Sample size has been estimated as 13 in each treatment arm. All recessions are treated with modified coronally advanced flap. On test sites PRF membrane and on control sites connective tissue grafts will be placed under modified coronally advanced flaps. Random allocation of the treatment sites to test and control groups were performed using a computer software designed for randomization.

Clinical parameters such as gingival index, plaque index, keratinized tissue width, gingival recession depth and width were measured at 1, 3 and 6 months. Probing pocket depth, clinical attachment level, gingival thickness and gingival recession area were measure at baseline and 6 months. All gingival recession-related parameters such as recession height, recession width and recession area and keratinized tissue width along with mean root coverage and complete root coverage were assessed on standardized clinical photographs using an image analysis software.

Clinical photographs were obtained at baseline and 1, 3 and 6 months after surgical intervention. 4 mm length wire was placed on gingiva to check reproducibility and to obtain standardized pictures.

Gingival tissue thickness were measured with an #15 endodontic reamer attached to rubber stopper inserted perpendicularly into the gingival tissue 2 mm below the gingival margin; thickness of the reamer will be measured with a digital caliper.

Mean root coverage percentage was calculated as percentage of covered root surface area at 6 months.

Follow up of subjects was 6 months.

Conditions

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Gingival Recession

Keywords

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multiple gingival recession platelet rich fibrin connective tissue graft microsurgery periodontal diseases gingival recession

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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connective tissue graft

connective tissue graft harvested from palatum of subjects and placed under modified coronally advanced flap

Group Type ACTIVE_COMPARATOR

connective tissue graft

Intervention Type PROCEDURE

Platelet rich fibrin

Autogenous platelet rich fibrin was obtained from subjects own blood samples after centrifugation. Platelet rich fibrin membranes were placed under modified coronally advanced flaps.

Group Type EXPERIMENTAL

platelet rich fibrin

Intervention Type PROCEDURE

Interventions

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connective tissue graft

Intervention Type PROCEDURE

platelet rich fibrin

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Two or more adjacent teeth with at least 2 mm Miller Class I gingival recessions at non-molar teeth
* Identifiable CEJ on all teeth
* Age ≥ 18
* Presence of tooth vitality and absence of restorations and superficial caries in the treatment area
* No past surgical treatment history of affected area.
* Gingival thickness ≥ 0,8 mm for recession areas.
* Sufficient palatal donor tissue for connective tissue harvesting.

Exclusion Criteria

* Smoking
* Pregnancy or lactation
* Systematic diseases that may affect outcomes of periodontal therapy
* Self-reported antibiotic medication within three months
* Occlusal trauma in treatment site
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ege University

OTHER

Sponsor Role lead

Responsible Party

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Asude Merve Polat

PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gül Atilla, Professor

Role: STUDY_DIRECTOR

Ege University School of Dentistry

Locations

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Ege University School of Dentistry Department of Periodontology

Izmir, Bornova, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2012-Dis-004

Identifier Type: -

Identifier Source: org_study_id