Periosteal Pedicle Flap Versus Subepithelial Connective Tissue Graft in Management of Gingival Recession

NCT ID: NCT06529640

Last Updated: 2024-07-31

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-01
• Study Completion Date: 2024-11-01

Brief Summary

Gingival recession is defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ).Various surgical procedures including repositioned flaps as well as autogenous and other type grafts have been used in the treatment of gingival recession.The present gold standard technique is the bilaminar technique using the subepithelial connective tissue graft (SCTG) which provides for long-term stability but also increases tissue morbidity.Hence, a suitable alternative technique - the periosteal pedicle flap (PPF) - has been practiced, which is less invasive, does not require a second surgical site, and provides a graft of adequate dimensions.

Conditions

Gingival Recession

Study Design

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

Study Groups

Subepothelial connective tissue graft (SCTG) group

Subepithelial connective tissue graft from palate then coronally positioning flap to cover root recession

Group Type: ACTIVE_COMPARATOR

SCTG followed by coronally postionting flap

Intervention Type: PROCEDURE

The SCTG will be harvested from the palate followed by coronally postionting flap

Periosteal pedicle flap (PPF) group

periosteal flap elevation and repositioning to the root then coronally positioning flap to cover root recession

Group Type: ACTIVE_COMPARATOR

periosteal flap followed by coronally postionting flap

Intervention Type: PROCEDURE

he periosteal pedicle graft obtained is then turned over the exposed root surface then followed by coronally postionting flap

Interventions

SCTG followed by coronally postionting flap

The SCTG will be harvested from the palate followed by coronally postionting flap

Intervention Type: PROCEDURE

periosteal flap followed by coronally postionting flap

he periosteal pedicle graft obtained is then turned over the exposed root surface then followed by coronally postionting flap

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients with one or more Miller's Class 1 and Class II buccal recessions demonstrating ≤20% of plaque and bleeding scores, respectively, after Phase I therapy.
• age from 18 th 60 years.

Exclusion Criteria

• Smokers
• patients with malposed or crowded teeth
• pregnant and lactating women
• patients using medications that could affect the periodontal status

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Alzahraa Alghriany

Lecturer, Oral medicine, Periodontology and Oral diagnosis, Faculty of dentistry

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

periosteal pedicle flap

Identifier Type: -

Identifier Source: org_study_id