Pinhole Surgical Technique With And Without Use Of Buttons For Treatment Of Multiple Gingival Recessions: RCT
NCT ID: NCT02632968
Last Updated: 2015-12-17
Study Results
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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UNKNOWN
PHASE4
80 participants
INTERVENTIONAL
2013-11-30
2016-03-31
Brief Summary
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Detailed Description
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METHOD The aim of this split-mouth randomized controlled clinical trial was to clinically compare and evaluate the effectiveness and predictability of Pinhole surgical technique alone and its modification with orthodontic buttons and sutures in 80 sites for the treatment of multiple gingival recessions and to assess the influence of these surgical procedures on the gingival and periodontal health, in the maxillary arch for six months post surgically. Gingival recession depth (GRD), Gingival margin location post-surgery, Gingival recession width (GRW), Root coverage esthetic score (RES), Complete root coverage (CRC), Probing depth (PD), Clinical attachment level (CAL), Keratinized tissue width (KTW), Plaque index (PI), Gingival index (GI), Gingival bleeding index (GBI) will be measured at baseline, 6 weeks, 3 months and 6 months after treatment.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Pinhole surgery with orthodontic buttons
Pinhole surgery with orthodontic buttons The selected participants were assigned in test and control. In the test group orthodontic buttons were cemented on the bid-buccal region of the crown with dual cure GIC. After administration of LA, 2 to 3 pinhole incisions were made and a full thickness muco-periosteal tunnel was raised and collagen membrane was tucked in through the pinhole incisions. The sling sutures 5-0 mersilk were placed to hold the tunnel in an advanced location using orthodontic buttons as anchoring units. Inter-dental sutures with 6-0 mersilk were also placed for stabilization of the advanced gingival tissue.
Pinhole surgery with and without buttons
Pinhole surgery without buttons
Pinhole surgery without orthodontic buttons The selected participants were assigned in test and control. In the control group, after administration of LA, 2 to 3 pinhole incisions were made and a full thickness muco-periosteal tunnel was raised and collagen membrane was tucked in through the pinhole incisions till the recession defects were covered. No sutures or orthodontic buttons were used in the control site.
Pinhole surgery with and without buttons
Interventions
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Pinhole surgery with and without buttons
Eligibility Criteria
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Inclusion Criteria
* Patients with thick gingival biotypes \>0.8mm.
* Presence of adequate keratinized tissue apical to recession \> 1mm.
* Age group 25-55 years.
* Patients with history of compliance to oral hygiene instructions and a full mouth plaque score of \<10%.
* Patients willing to participate in the study.
* American Society of Anaesthesiologists Physical Status I or II.
* No contra-indications for periodontal surgery.
* Non-Smokers.
* Patients with esthetic concerns.
Exclusion Criteria
* No occlusal interferences.
* Teeth with evidence of pulpal pathology.
* Patients who have undergone any previous periodontal surgical procedures at the involved sites.
* Pregnant and lactating women.
* Patients on medications known to interfere with periodontal tissue health or healing.
25 Years
55 Years
ALL
Yes
Sponsors
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Krishnadevaraya College of Dental Sciences & Hospital
OTHER
Responsible Party
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Principal Investigators
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Dr. Joann P George, MDS
Role: STUDY_DIRECTOR
Krishnadevaraya College of Dental Sciences and Hospital, Krishnadevarayanagara, Hunsamaranahalli, International Airport Road, Bangalore 562157
Locations
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Krishnadevaraya College of Dental Sciences and Hospital
Bangalore, Karnataka, India
Countries
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Central Contacts
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Facility Contacts
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Joann P George, MDS
Role: primary
Divya Khanna, MDS (BDS)
Role: backup
Other Identifiers
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02_D012_44452
Identifier Type: -
Identifier Source: org_study_id