A New Therapeutic Approach for Root Coverage

June 18, 2012 updated by: Adriana Campos Passanezi SantAna, University of Sao Paulo

A New Regenerative Therapeutic Approach for Root Coverage: a Randomized Clinical Trial

Different surgical techniques have been proposed for root coverage, showing varying results especially in areas of deep recessions. The aim of this study is to evaluate the effectiveness of the newly forming bone technique (NFB)as an alternative treatment for Miller class I or II deep recessions, requiring regeneration of lost periodontal tissues. Sample should be comprised of patients aged 18-45 years, both genders, presenting at least one site with marginal tissue recession >4mm. Patients will be randomly assigned to either one of the groups, based on treatment technique: newly forming bone (NFB) or subepithelial connective tissue graft (SCTG). Clinical examinations will be performed by a single blinded examiner at baseline, 1, 3, 6 and 9 months after surgery. Intra-group analysis will be performed by one way analysis of variance for repeated measures. Inter-group analysis will be performed by unpaired t-test for each of evaluation periods.

Study Overview

Detailed Description

Both gender patients presenting Miller class I or II recession defects >4mm were selected. Patients were randomly assigned to treatment groups: newly forming bone graft (NFBG) or subepithelial connective tissue graft (SCT). Patients were treated in the period of February 2008 and March 2008 and monitored during 9 months.

Study Type

Interventional

Enrollment (Actual)

15

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

    • SP
      • Bauru, SP, Brazil, 17012-912
        • School of Dentistry at Bauru-USP, Discipline of Periodontics

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 45 years (ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Healthy adults with at least one tooth presenting marginal tissue recession equal to or greater than 4mm in depth and one edentulous area or tooth to be extracted.

Exclusion Criteria:

  • Smokers
  • Pregnants
  • Use of anti-convulsants, anti-hypertensives, cyclosporine or hormones
  • Use of antibiotics for the last 6 months
  • Patients under treatment for medical conditions or presenting systemic disorders that would impair treatment results (e.g.: uncontrolled diabetes mellitus)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Newly forming bone
Miller class I or II deep recessions treated by the newly forming bone technique.
A granulation tissue will be obtained 21-25 days after the creation of an alveolar socket and grafted to receptor site.
Other Names:
  • Bone granulation
  • NFBG
ACTIVE_COMPARATOR: Subepithelial connective tissue graft
Miller class I or II deep recessions treated by subepithelial connective tissue graft.
A subepithelial connective tissue graft will be used for the treatment of Miller class I or II deep recessions.
Other Names:
  • SCTG

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Percentage of Root Coverage
Time Frame: Baseline, 9 months post-operatively
Percentage of root coverage determined by: [area covered]/[total area to be covered] x 100 (in %)
Baseline, 9 months post-operatively

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Gain of Clinical Attachment Level
Time Frame: 9 months post-operatively
Investigation of clinical attachment level, probing depth and reduction of recession depth
9 months post-operatively

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Adriana P Sant'Ana, DDS PhD, School of Dentistry at Bauru, University of São Paulo
  • Principal Investigator: Bruna R Ferraz, DDS, School of Dentistry at Bauru, University of São Paulo

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

February 1, 2008

Primary Completion (ACTUAL)

November 1, 2008

Study Completion (ACTUAL)

February 1, 2009

Study Registration Dates

First Submitted

April 30, 2010

First Submitted That Met QC Criteria

June 11, 2010

First Posted (ESTIMATE)

June 14, 2010

Study Record Updates

Last Update Posted (ESTIMATE)

July 24, 2012

Last Update Submitted That Met QC Criteria

June 18, 2012

Last Verified

June 1, 2012

More Information

Terms related to this study

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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