Evaluation of De-epithelized Connective Tissue Grafts and Modified Combined Approach for Connective Tissue Grafts

NCT ID: NCT05717985

Last Updated: 2024-12-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-22

Study Completion Date

2025-09-30

Brief Summary

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This study aims to compare the de-epithelized gingival graft (control group) and modified combined approach for connective tissue graft (test group) in patients undergoing palatal graft harvesting for mucogingival surgery in the oral cavity

Detailed Description

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Harvesting a palatal mucosal tissue graft as an autologous donor for oral soft tissue augmentation is widely practiced. Tissue harvest in patients with anatomically thin phenotypes can cause significant morbidity and compromised healing process. The modified combined approach (MCA) for connective tissue grafts has the potential for faster healing and fewer postoperative complications, compared to the recommended harvesting technique of de-epithelized gingival graft (DGG). However, the modified combined approach for connective tissue grafts have yet to be extensively investigated.

This examiner-masked, randomized study aims to compare post-operative morbidity and treatment outcomes in patients undergoing modified combined approach for connective tissue graft (test group) compared to the de-epithelized gingival graft (control group) harvesting techniques in tissue augmentation.

Participants will be randomized into two groups receiving one of either modified combined approach for connective tissue graft or de-epithelized gingival graft. Collection of the study parameters will utilize both examiner-assessed, and patient reported outcomes.

The study will report on the optimum palatal mucosal graft harvesting technique in an Asian population. The findings of this study will be utilized to formulate clinical recommendations for soft tissues augmentation in this population.

Conditions

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Gingival Recession

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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de-epithelized gingival graft

A type of mucogingival surgery where a gingival graft is harvested from the palate, prepared chairside and placed on a recipient site to augment it. Dressing material and sutures is placed at the donor site.

Group Type ACTIVE_COMPARATOR

de-epithelized gingival graft

Intervention Type PROCEDURE

Only dressing material will be placed at the donor site after graft harvesting

modified combined approach

A type of mucogingival surgery where a gingival graft is harvested from the palate, prepared chairside and placed on a recipient site to augment it. A part of the prepared tissues namely the epithelial layer is replaced at the donor site and sutured.

Group Type EXPERIMENTAL

modified combined approach

Intervention Type PROCEDURE

A thin layer of epithelium will be excised from the harvested graft. This epithelium will be replaced at the donor site and sutured.

Interventions

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modified combined approach

A thin layer of epithelium will be excised from the harvested graft. This epithelium will be replaced at the donor site and sutured.

Intervention Type PROCEDURE

de-epithelized gingival graft

Only dressing material will be placed at the donor site after graft harvesting

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* systemically healthy subjects;
* able to give informed consent;
* age ≥ 18 years;
* requiring palatal tissue harvesting for soft tissue augmentation in the oral cavity

Exclusion Criteria

* subjects with periodontal diseases;
* subjects with poor oral hygiene of \>30% plaque index;
* pregnant or lactating females;
* subjects taking medication with any known effect on the periodontal soft tissues;
* subjects with pathology in the oral cavity causing any degree of pain;
* subjects wearing removable or fixed prothesis that is in contact with the donor site an
* those with allergies to painkillers including ibuprofen and paracetamol.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National University of Malaysia

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nik Madihah Nik Azis, DClinDent

Role: STUDY_DIRECTOR

Faculty of Dentistry, University Kebangsaan Malaysia

Locations

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Faculty of Dentistry

Kuala Lumpur, , Malaysia

Site Status RECRUITING

Countries

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Malaysia

Central Contacts

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Nik Madihah Nik Azis, DClinDent

Role: CONTACT

603-9289 7741

Facility Contacts

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Nik Madihah Nik Azis, DClinDent

Role: primary

603-9289 7741

Other Identifiers

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GGPM-2022-024

Identifier Type: -

Identifier Source: org_study_id