Clinical Evaluation of the Modified Laterally Stretched Technique (RT2) Gingival Recession vs Tunneling With CT Grafting

NCT ID: NCT06044870

Last Updated: 2025-10-02

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2025-11-30

Brief Summary

Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).

Conditions

Gingival Recession

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Modified laterally stretched technique with a connective tissue graft.

After the administration of local anesthesia, root planing of the exposed root surfaces will be performed by means of hand instruments.

A partial thickness envelope is performed with tunneling instruments involving one or two teeth adjacent to the tooth, in case of a very thin biotype a complete thickness envelope could be done.

Two horizontal incisions are done at the base of the papillae of the deepest recession site, allowing to place the graft in a more coronal position and improving access and visibility.

Group Type: EXPERIMENTAL

Modified laterally stretched technique with a connective tissue graft.

Intervention Type: PROCEDURE

Modified laterally stretched technique with a connective tissue graft.

Tunneling technique with connective tissue graft.

Immediately before surgery, contact point composite stops were placed to prevent the collapse of the suspended sutures in the inter-proximal spaces.• The entire gingival papillary complex will be moved coronally using a suspended suture anchored in the lingual gingiva (Aroca et al., 2010, 2013; Azzi et al, 2002, zuhr et al.,2009).

Group Type: ACTIVE_COMPARATOR

Modified laterally stretched technique with a connective tissue graft.

Intervention Type: PROCEDURE

Modified laterally stretched technique with a connective tissue graft.

Interventions

Modified laterally stretched technique with a connective tissue graft.

Modified laterally stretched technique with a connective tissue graft.

Intervention Type: PROCEDURE

Eligibility Criteria

Exclusion Criteria

• Pregnant or lactating females.
• deep recession sites more than 5 mm
• Tobacco smoking.
• Uncontrolled medical conditions.
• Uncooperative patients or unable to complete the study.
• Patients treated with any medication known to cause gingival hyperplasia.
• No occlusal interferences.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Maha fawzy el sayed ali abd allah

assistant lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Cairo University

Cairo, , Egypt

Countries

Egypt

Other Identifiers

21021992

Identifier Type: -

Identifier Source: org_study_id