- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05851248
Free Mucogingival Graft for Isolated Root Coverage
Free Mucogingival Graft for Isolated Root Coverage and Correct Unfavorable Mucogingival Conditions in Lower Incisors: A Randomized Clinical Trial
Study Overview
Status
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Antonio J Ortiz-Ruiz, MD
- Phone Number: +34 868888581
- Email: ajortiz@um.es
Study Contact Backup
- Name: José A Moreno-Rodríguez, DDS
- Phone Number: +34 620538483
- Email: joseantonio171087@hotmail.com
Study Locations
-
-
-
Murcia, Spain, 30007
- Recruiting
- Centro Odontologico Del Sureste Slp
-
Contact:
- Antonio J Ortiz-Ruiz, MD
- Phone Number: +34 868888581
- Email: ajortiz@um.es
-
Contact:
- Jose A Moreno-Rodriguez
- Phone Number: +34 620538483
- Email: joseantonio171087@hotmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Healthy patients with deep GR associated with lower incisor MCD.
- Full mouth plaque and bleeding scores were <20%.
Exclusion Criteria:
Patient characteristics:
- Smoking ≥10 cigarettes a day.
- Medications or systemic contraindications for oral surgery.
- Pregnancy.
Defects:
- Thin scalloped biotype (AND/OR)
- Underlying bone dehiscence (AND /OR)
- Generalized GR affecting most sextants.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Buccal muco-gingival tissue graft
|
Recipient Site Preparation. In the GR, a sulcular incision limited to the vestibular face will be made, which will continue until reaching the tip of the buccal papillae on each side of the GR. Two vertical incisions from the base of the two papillae to the bottom of the vestibule and one horizontal incision will connect the ends of both vertical incisions to remove the pedicle tissue. The exposed root surface will be cleaned and smoothed with mini-curettes. Donor site preparation. The incisions will be made in the same way as in the recipient area, including both papillae. The vertical incision will measure the distance from the cementoenamel junction (CEJ) to the bony dehiscence in the GR tooth, plus at least 2 mm. The tissue between the incisions will be elevated fjull or partial thickness close to the bone in the keratinized portion and superficially in the mucosal portion. A soft tissue substitute will be adapted and sutured to protect the donor site. |
Active Comparator: Palatal connective tissue graft
|
Recipient Site Preparation. In the GR, a sulcular incision limited to the vestibular face will be made, which will continue until reaching the tip of the buccal papillae on each side of the GR. Two vertical incisions from the base of the two papillae to the bottom of the vestibule and one horizontal incision will connect the ends of both vertical incisions to remove the pedicle tissue. The exposed root surface will be cleaned and smoothed with mini-curettes. Donor site preparation A connective tissue graft will be taken from the palatal area, at the level of the premolars, which will include the two papillae. The size of the graft will be the same as that of the recipient area. A soft tissue substitute will be adapted and sutured to protect the donor site, especially if there is exposed bone. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
buccal Recession (bREC)
Time Frame: 12 months
|
Buccal recession measurement, will be assessed with a periodontal probe, measured in mmm on the buccal aspect, from the CEJ to the gingival margin zenith.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
buccal Clinical Attachment Level (bCAL)
Time Frame: 12 months
|
bCAL will be assessed with a periodontal probe, measured in mm from the CEJ to the bottom of the pocket, on the buccal aspect.
|
12 months
|
interproximal Clinical Attachment Level (iCAL)
Time Frame: 12 months
|
iCAL will be assessed with a periodontal probe, measured in mm from the CEJ to the bottom of the pocket, on the interproximal aspect.
|
12 months
|
Interproximal papilla tip location (PT)
Time Frame: 12 months
|
Taking as reference the level of the mid-axis of the tooth, PT will be measured the distance from the CEJ at the zenith of the tooth to the tip of the papilla. A positive value will be recorded when the tip of the papillae is located coronally to the CEJ and a negative value otherwise. This outcome will be assessed with a periodontal probe and measured in mmm. |
12 months
|
keratinized tissue width (KT)
Time Frame: 12 months
|
KT will be assessed with a periodontal probe, measured in mm on the buccal aspect, from the gingival margin to the mucogingival line.
|
12 months
|
vestibule depth (VD)
Time Frame: 12 months
|
VD will be measured, from the mucosal margin to the point of greatest concavity of the mucobuccal fold.
The measure will be assessed with a periodontal probe in mm.
|
12 months
|
Soft tissue attached to alveolar bone (STAB)
Time Frame: 12 months
|
STAB will be measured from the gingival margen to the perpendicular mucosal insertion.
The measure will be assessed with a periodontal probe in mm.
|
12 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Root Coverage (RC percentage)
Time Frame: 12 months
|
RC percentage will be calculated by the following formula: [(basaline recession depth - 12 months recession depth) / basaline recession depth] x100.
The measure will be assessed with a periodontal probe in mm.
|
12 months
|
Complete root coverage (CRC)
Time Frame: 12 months
|
It will assessed if the gingival margen is at or above the CEJ.
The measure will be assessed with a periodontal probe in mm.
|
12 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4157/2022
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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