Actively Recruiting
Comparing Coronally Advanced Flap and Tunneled Coronally Advanced Flap with Soft Tissue Grafting for Treating Multiple Gum Recessions in the Upper Jaw
Led by University Hospital, Ghent · Updated on 2025-09-16
34
Participants Needed
1
Research Sites
N/A
Total Duration
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AI-Summary
What this Trial Is About
Researchers are evaluating two surgical techniques, coronally advanced flap (CAF) and tunneled coronally advanced flap (TCAF), combined with a connective tissue graft, to treat multiple gum recessions in the upper jaw. This randomized controlled trial aims to compare the average root coverage achieved by each method in both the short and long term. The study explores how better gum coverage might reduce tooth sensitivity, improve appearance, and make oral hygiene easier for patients with receding gums. Participants will be randomly assigned to receive either the CAF procedure, where the gum is detached and repositioned higher, or the TCAF procedure, where the gum is partially detached and repositioned higher. In both surgeries, a small piece of tissue is taken from the roof of the mouth (palate) to support the gum coverage. The study includes regular check-ups and monitoring up to ten years after surgery. During the study, participants will attend follow-up visits to assess root coverage, gum thickness, pocket depth, gum tissue width, pain levels, tooth sensitivity, aesthetic outcomes, and medication use. They will keep a postoperative journal recording medication, pain, and sensitivity. The main outcome measured is the mean root coverage from enrollment up to ten years after surgery, allowing researchers to evaluate the long-term effects and safety of each technique.
CONDITIONS
Brief Title
Comparing CAF and TCAF With Soft Tissue Grafting for Treating Multiple Recessions in the Maxilla.
Who Can Participate
Eligibility Criteria
You may qualify if you...
- At least 18 years of age
- Good oral hygiene
- Presence of multiple gingival recessions in the maxilla
- Good general health
You will not qualify if you...
- Smoker
- Pregnant women (assessed at each visit; if the patient becomes pregnant during follow-up, radiographs will not be taken)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Surgical time measured during surgery in minutes
Participants undergo surgical treatment involving either a coronally advanced flap or a tunneled coronally advanced flap combined with a connective tissue graft to treat multiple gum recessions in the upper jaw.
1 surgical visit (in-person)
Duration - Up to 3 months post-operative for pain; up to 2 weeks for analgesic use; up to 10 years for root coverage and other measures
Participants are monitored for post-operative pain, analgesic use, root sensitivity, and healing outcomes following the surgical treatment.
Multiple visits including weekly or periodic assessments up to 10 years
Trial Site Locations
Total: 1 location
1
Department of Periodontology and Implantology of Ghent University
Ghent, Oost-Vlaanderen, Belgium, 9000
Actively Recruiting
Research Team
V
Véronique Prof. Dr. Christiaens
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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