Comparing Two Gum Surgery Techniques With Tissue Grafting to Treat Multiple Gum Recessions in the Upper Jaw

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.

Comparing CAF and TCAF With Soft Tissue Grafting for Treating Multiple Recessions in the Maxilla.