Comparing Two Surgical Techniques with Connective Tissue Graft for Treating Isolated RT2 Gingival Recession in Adults

What this Trial Is About

This clinical trial is focused on patients with isolated RT2 gingival recession sites, a common type of gum recession affecting the root surface of teeth. Researchers are evaluating two surgical techniques combined with connective tissue graftsthe tunneled coronally advanced flap and the coronally advanced flapto reduce the depth of gingival recession. The goal is to address issues such as dentin sensitivity, non-carious cervical lesions, and improve esthetic outcomes, especially since RT2 recessions are quite prevalent yet understudied in randomized trials. The study compares two treatment approaches the tunneled coronally advanced flap TCAF and the coronally advanced flap CAF, both combined with connective tissue grafts. TCAF involves carefully elevating the gum flap with minimal trauma to preserve blood supply and papilla integrity, while CAF uses a trapezoidal flap that includes split and full-thickness sections for root coverage. Both procedures involve inserting a connective tissue graft beneath the flap to promote healing. These interventions aim to combine advantages of access, graft stability, and vascularization to improve clinical and esthetic results. Participants will be monitored over a 6-month period to assess outcomes such as gingival recession depth reduction, root coverage percentages, gingival thickness, keratinized tissue width, and esthetic scores. Additional assessments include patient-reported pain and satisfaction over 2 weeks and 6 months. The study involves a randomized allocation to one of the two treatment groups, with single masking. The total involvement includes surgical procedures, follow-up visits, and clinical measurements to evaluate the effectiveness of the treatments and patient experience.

Clinical Evaluation of Tunneled Coronally Advanced Flap v.s Coronally Advanced Flap With Graft for Gingival Recession