Tunneled coronally advanced flap for the treatment of isolated gingival recessions with deficient papilla.
Shayan Barootchi, Lorenzo Tavelli
https://pubmed.ncbi.nlm.nih.gov/35175005Actively Recruiting
Phase Not Applicable
Age: 18Years +
All Genders
Healthy Volunteers
ID06553677
Clinical Evaluation of Tunneled Coronally Advanced Flap Versus Coronally Advanced Flap With Connective Tissue Graft in Treatment of Isolated RT2 Gingival Recession Sites
Led by Cairo University · Updated on 2024-08-14
22
Participants Needed
1
Research Sites
17 weeks
Total Duration
On this page
AI-Summary
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 grafts—the tunneled coronally advanced flap and the coronally advanced flap—to 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.
CONDITIONS
Brief Title
Clinical Evaluation of Tunneled Coronally Advanced Flap v.s Coronally Advanced Flap With Graft for Gingival Recession
Who Can Participate
Age: 18Years +
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
- Patients age 18 years or older
- Isolated recession defect classified as RT2
- Patients with healthy systemic condition
- Clinical indication and/or patient request for root coverage
- O'Leary index less than 20%
You will not qualify if you...
- Pregnant females
- Smokers: a contraindication for any plastic periodontal surgery
- Unmotivated and uncooperative patients with poor oral hygiene
- Patients with habits that may compromise the longevity and affect the result of the study such as alcoholism or parafunctional habits
AI-Screening
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1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Surgery and recovery period of 2 weeks
Participants receive a surgical procedure to treat isolated RT2 gingival recession sites using either the tunneled coronally advanced flap with connective tissue graft or the coronally advanced flap with connective tissue graft technique.
1 surgical visit and follow-up visits during the first 2 weeks
Follow-up
Duration - Up to 6 months after treatment
Participants are monitored for clinical outcomes including root coverage, gingival thickness, esthetic scores, post-operative pain, and patient satisfaction.
Visits at 2 weeks and periodic visits up to 6 months
Trial Site Locations
Total: 1 location
1
Faculty of Dentistry, Cairo University
Cairo, Egypt
Actively Recruiting
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Research Team
O
Omar H Sallam, MSc
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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