Evaluation of Root Coverage by Connective Graft and Different Root Conditioning Methods

NCT ID: NCT03095378

Last Updated: 2017-03-29

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

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-03-10

Study Completion Date

2017-03-10

Brief Summary

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The aim of this study was to evaluate the effect of two root-conditioning agents used in conjunction with subepithelial connective graft technique on root coverage outcomes. One is citric acid plus tetracycline and the other is antimicrobial photodynamic therapy.

Detailed Description

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Citric acid plus tetracycline has properties of root surface decontamination, surface demineralization and exposure of collagen fibers.

Antimicrobial photodynamic therapy has been widely used in Periodontics to obtain reduction of periodontopathogenic bacteria with absence of systemic side effects and minimal bacterial resistance. Also, it has properties of root demineralization and exposure of collagen fibers. These properties may enhance root coverage in procedures of subepithelial connective graft.

Conditions

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Gingival Recession

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Interventions in different patients
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
The outcome assessor did not have access to patient's records

Study Groups

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Control

Root treatment with scaling and root planing.

Group Type ACTIVE_COMPARATOR

Control

Intervention Type PROCEDURE

Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with scaling and root planing

Citric acid plus tetracycline

Root treatment with 50% citric acid plus 10% tetracycline, pH1, passive application for 90s.

Group Type EXPERIMENTAL

citric acid plus tetracycline

Intervention Type PROCEDURE

Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with citric acid plus tetracycline

Antimicrobial photodynamic therapy

Antimicrobial photodynamic therapy with toluidine blue O (100ug/ml - 60s pre-irradiation - pH4) and red laser (660nm, 30 milliwatts, 45 joules per square centimeter, sweeping mode, 90s)

Group Type EXPERIMENTAL

antimicrobial photodynamic therapy

Intervention Type PROCEDURE

Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with antimicrobial photodynamic therapy

Interventions

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Control

Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with scaling and root planing

Intervention Type PROCEDURE

citric acid plus tetracycline

Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with citric acid plus tetracycline

Intervention Type PROCEDURE

antimicrobial photodynamic therapy

Periodontal plastic surgery aiming root coverage by palatal connective tissue graft. Root treatment with antimicrobial photodynamic therapy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Gingival recession - Miller's class I or II (2 to 5 mm of height) at least in one tooth
* Indication of root coverage by dentin hypersensitivity or esthetic

Exclusion Criteria

* Smokers
* Pregnancy
* Systemic medication use that could impair wound healing or surgery procedure
* Systemic diseases as diabetes, uncontrolled hypertension, coagulation diseases, kidney diseases.
Minimum Eligible Age

20 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo

OTHER

Sponsor Role lead

Responsible Party

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Carla Andreotti Damante

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Bauru School of Dentistry

Bauru, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Damante CA, Ducati P, Ferreira R, Salmeron S, Zangrando MSR, de Rezende MLR, Sant'Ana ACP, Greghi SLA, Magalhaes AC. In vitro evaluation of adhesion/proliferation of human gingival fibroblasts on demineralized root surfaces by toluidine blue O in antimicrobial photodynamic therapy. Photodiagnosis Photodyn Ther. 2016 Mar;13:303-307. doi: 10.1016/j.pdpdt.2015.08.009. Epub 2015 Sep 7.

Reference Type BACKGROUND
PMID: 26358636 (View on PubMed)

Karam PS, Sant'Ana AC, de Rezende ML, Greghi SL, Damante CA, Zangrando MS. Root surface modifiers and subepithelial connective tissue graft for treatment of gingival recessions: a systematic review. J Periodontal Res. 2016 Apr;51(2):175-85. doi: 10.1111/jre.12296. Epub 2015 Jun 11.

Reference Type BACKGROUND
PMID: 26095265 (View on PubMed)

Other Identifiers

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BauruSchoolDentistryPDT

Identifier Type: -

Identifier Source: org_study_id

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