- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03543163
Treatment of Miller Class I and II Gingival Recession Using Non- Pedicled Buccal Fat Pad Graft as Compared to Subepithelial Connective Tissue Graft
October 12, 2019 updated by: Alia Emad Mohammed, Cairo University
The Evaluation of Recession Depth After Treating Miller Class I and II Gingival Recession Using Non- Pedicled Buccal Fat Pad Graft as Compared to Subepithelial Connective Tissue Graft. A Randomized Controlled Clinical Trial
This randomized controlled single blinded parallel clinical trial is held to monitor if the use of the non pedicled buccal fat pad graft will result in post operative pain as a primary outcome compared to that occurs with the use of the sub epithelial connective tissue graft in treating Miller Class I and Class II gingival recession
Study Overview
Status
Not yet recruiting
Conditions
Study Type
Interventional
Enrollment (Anticipated)
24
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 Contact
- Name: alia emad
- Phone Number: 01123155050
- Email: aliaemad6@gmail.com
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 and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Patients are systemically healthy based on questionnaire dental modification of Cornell index.
- Patients are periodontally healthy with no contraindication for periodontal surgery.
- All patients are not using any kind of medications that could interfere with the health of gingiva or periodontal tissues.
- O'Leary index is less than 10% ( the surgical therapy is not initiated until the patient reaches the 10% level or less of plaque accumulation)
- Buccal recession defects are classified as Miller Class I or II.
- Presence of identifiable CEJ.
- The papilla fill the interdental spaces as far as the contact area
- Clinical indication and/or patient request for recession coverage.
Exclusion Criteria:
- Miller Class III or IV recession defects
- Pregnant female.
- Smokers as smoking is contraindicated for any plastic periodontal surgery
- Patients with special needs or with any mental problems.
- Patients undergoing radiotherapy
- Teeth with carious or non-carious lesion or cervical restorations
- Rotated teeth and tooth extrusion with or without occlusal abrasion
- Patient undergone any prior periodontal surgery in the relevant region.
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 Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: subepithelial connective tissue graft
Subepithelial Connective Tissue graft from the hard palate with Coronally Advanced flap at the site of gingival recession.
|
a sub- epithelial connective tissue graft is harvested from the hard palate is used to treat area with gingival recession
|
Experimental: non pedicled buccal fat pad graft
Non- Pedicled Buccal Fat Pad with Coronally Advanced flap at the site of gingival recession
|
A horizontal incision of 1.5cm in long will be made at the bottom of the vestibule with the #15 blade in the region of maxillary first and second molars, depending on side of the recipient site.
A curved hemostat will be used in the blunt dissection through the buccinators muscle to temporarily reposition and loose the surrounding fascia which will allow the buccal fat pad to be exposed in the oral cavity.
A portion of adipose tissue equals to the required graft size will be excised with the microsurgical scissors.
The grafting material will be placed on a saline-soaked gauze until its transfer to the recipient site.
Finally, the patient's check will be compressed, in order to promote the closure of the wound edges then immediately close the donor site with simple 5.0 silk thread interrupted sutures
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Recession Depth
Time Frame: 6 months
|
Measured from the CEJ to the most apical extension of the gingival margin using the UNC-15 periodontal probe and measured in mm unit
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Thickness of keratinized tissue
Time Frame: 6 months
|
Evaluation of the gingival thickness by trans-gingival piercing using an anesthetic needle with a silicon stopper inserted perpendicular to the mucosal surface with light pressure until touching a hard surface and the silicon disk in a tight contact with soft tissue surface.
This measurement should be taken 1.5 mm apical from the gingival margin.
Then the correct position of the disk is fixed with a drop of cyanoacrylic adhesive after careful removal of the needle.
The penetration depth is measured by an accurate caliper
|
6 months
|
Post-operative pain
Time Frame: 2 weeks
|
Visual Analogue Scale (VAS) with numbers from 0 to 100 ('no pain' to 'worst pain
|
2 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
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 (Anticipated)
September 1, 2021
Primary Completion (Anticipated)
March 1, 2024
Study Completion (Anticipated)
June 1, 2025
Study Registration Dates
First Submitted
May 19, 2018
First Submitted That Met QC Criteria
May 31, 2018
First Posted (Actual)
June 1, 2018
Study Record Updates
Last Update Posted (Actual)
October 15, 2019
Last Update Submitted That Met QC Criteria
October 12, 2019
Last Verified
October 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CEBD-CU-2018-05-15
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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