Vestibular Incision Subperiosteal Tunnel Access With Fascia Lata Allograft in The Treatment of Gingival Recession
Evaluation The Efficacy of Vestibular Incision Subperiosteal Tunnel Access With Fascia Lata Allograft in The Treatment of Gingival Recession A Randomized Controlled Clinical Trial
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Kafr Elsheikh, Egypt
- Kafr El-sheikh University
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Presence of gingival recession type 1 (RT1) Cairo classification (6)
- Gingival recession depth ≥ 2 mm.
- Gingival thickness for the site selected should be ≥1mm.
- The height of keratinized gingiva (HKG) for the site selected should be ≥2 mm (HKG is the distance between the most apical point of the gingival margin and the mucogingival junction).
- Optimal compliance as evidenced by no missed treatment appointments and a positive attitude toward oral hygiene.
Exclusion Criteria:
- Presence of any systemic disease that could influence the outcome of the therapy.
- Presence of any risk factor e.g.; smoker, pregnant and lactating patients.
- Previous history of periodontal surgical treatment in quadrant selected for the study.
- Restorations or caries in the area to be treated and non-vital tooth.
- Teeth which are tilted or rotated.
- Patients taking medications known to cause gingival enlargement.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Control Group
|
The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with subepithelial connective tissue graft CTG
|
|
Experimental: Test Group
|
The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with fascia lata
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
change in Gingival recession depth
Time Frame: 2 weeks, 3 months, 6 months
|
will be measured at the mid-buccal aspect of the tooth from the (CEJ) to the most apical point of the gingival margin (GM).
|
2 weeks, 3 months, 6 months
|
|
change in Gingival recession width (GRW)
Time Frame: 2 weeks, 3 months, 6 months
|
it will be measured at the mesiodistal direction of the GM at the level of CEJ
|
2 weeks, 3 months, 6 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
change in Keratinized tissue width (KTW)
Time Frame: 2 weeks, 3 months, 6 months
|
will be measured as the distance between the GM and the mucogingival junction (MGJ)
|
2 weeks, 3 months, 6 months
|
|
change in Clinical attachment loss (CAL)
Time Frame: 2 weeks, 3 months, 6 months
|
will be measured at the mid-buccal aspect of the tooth from CEJ to the bottom of the sulcus.
|
2 weeks, 3 months, 6 months
|
|
change in Probing depth (PD)
Time Frame: 2 weeks, 3 months, 6 months
|
it will be measured from the GM to the bottom of the sulcus.
|
2 weeks, 3 months, 6 months
|
|
change in Gingival thickness (GT)
Time Frame: 2 weeks, 3 months, 6 months
|
it will be measured at the mid-buccal aspect of a treated tooth on the long axis, 3 mm apically from the GM using K-file 25 ISO with a silicon marker driven perpendicularly to the gingival surface after application of local anesthesia.
|
2 weeks, 3 months, 6 months
|
|
change in Recession esthetic score (RES)
Time Frame: 2 weeks, 3 months, 6 months
|
it evaluates five outcome variables (GM level, marginal tissue contour, soft tissue texture, MGJ alignment, and gingival color) leading to a final score ranging from 0 to 10 points.
|
2 weeks, 3 months, 6 months
|
|
change in Percentage of root coverage (RC)
Time Frame: 2 weeks, 3 months, 6 months
|
it will be calculated at 3 and 6 months post- operative by the following formula: (GRD baseline - GRD 3/6 months)/GRD baseline × 100%
|
2 weeks, 3 months, 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- KFSIRB200-93
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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