Comparison of Different Techniques in the Treatment of Gingival Recession

Comparison of Clinical and Aesthetic Results of Different Techniques in the Treatment of Gingival Recession

The aim of this study is to compare the clinical and aesthetic results of different techniques in the treatment of gingival recession.

The main questions it aims to answer are:

• Does the surgical technique preferred by the physician affect the closure rate of gingival recession in the 3rd month?
• Does the surgical technique preferred by the physician affect the closure rate of gingival recession in the 6th month? Participants were informed about the study. Following routine periodontal treatment, surgical operations were performed on the areas with receding gums using different techniques for the patients included in the study.

Study Overview

• Status: Completed
• Conditions: Gingival Recession
• Intervention / Treatment: Procedure: Modified coronally advanced flap technique; Procedure: Tunnel technique

Detailed Description

After the routine clinical and radiological periodontal evaluation of every patient applying to the periodontology department, phase-I periodontal treatment is first applied to every patient diagnosed with periodontal disease. Patients are then given the necessary information to ensure plaque control. Gingival recessions that make mechanical cleaning of the patient difficult and the dentine sensitivity reported by the patient due to these recessions make plaque control difficult for the patient. It is routinely applied to patients who are found to have gingival recessions that cause these problems. These applications vary depending on the withdrawal type.

In patients with gingival recession who apply to the periodontology department, gingival recession closure operations performed with subepithelial connective tissue graft, laterally placed flap, coronally placed flap, modified coronally placed flap, tunnel technique, vestibular incision and subperiosteal tunnel access technique are preferred. The change and recovery status of the patients after the treatments are evaluated and followed up with routine photographs.

Photographs of the procedures and the wound area during and after the operations are taken and stored in the clinic photo archive.

Objective success after root closure procedures is monitored with clinical records and measurements at regular intervals. Success after root closure is evaluated in two categories: clinical and aesthetic success. Clinical success; The reduction in withdrawal depth is determined by measuring clinical binding gain. To determine these, clinical measurements of the patients at the beginning, 1st month, 3rd month, 6th month and 12th month are recorded and photographs are taken. At the same time, since there are other factors that affect both aesthetic and clinical success, the type of recession, aesthetic complaints, sensitivity and brushing effectiveness are recorded before and after treatment. For this reason, the amount of recession, keratinized tissue (mm), clinical attachment level, plaque index, pocket depth, papilla width and height values are recorded and compared in the initial and follow-up examinations of the patients.

Individual choice:

For this study, patients who receive gingival recession treatment at the Periodontology clinic and those who agree to take routine photographs before and after treatment and who sign the consent form if they meet the inclusion criteria for the study will be included. in the study. Our study is a retrospective study. Clinical and photographic records of patients who had previous gingival recession surgery by a clinician at the periodontology clinic will be used in the study.

• Study Type: Observational
• Enrollment (Actual): 28

Contacts and Locations

Study Locations

• Turkey
  • Konya, Turkey, 42090
    • Necmettin Erbakan University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

• Sampling Method: Probability Sample

Study Population

Systemically healthy adults between the ages of 18-65 who applied to the department of periodontology at Necmettin Erbakan University Faculty of Dentistry.

Description

Inclusion Criteria:

• Must be volunteers between the ages of 18-65,
• Absence of any systemic disease such as impaired glucose tolerance, diabetes mellitus or endocrine disease, nephrotic syndrome, chronic renal disease and cardiovascular disease, Not having used antibiotics in the last 6 months for any reason,
• Not using cigarettes and alcohol,
• Presence of at least 20 teeth in the mouth,
• Not during pregnancy or breastfeeding,
• Not receiving any regulatory drug treatment,
• Patients who applied to the periodontology clinic with various periodontal problems and underwent gingival recession closure surgery using subepithelial connective tissue graft along with modified coronally placed flap and tunnel technique due to the indication of gingival recession.

Exclusion Criteria:

• Being outside the inclusion criteria and not agreeing to participate in the study

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Modified coronally advanced flap technique; Patients using a modified coronally placed flap technique to cover gingival recession	Procedure: Modified coronally advanced flap technique; Subepithelial connective tissue graft was applied to the relevant areas with a modified coronally placed flap technique to cover the gingival recession.
Tunnel technique; Patients using the tunnel technique to cover gingival recession	Procedure: Tunnel technique; Subepithelial connective tissue graft was applied to the relevant areas with the tunnel technique to cover the gingival recession.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Gingival recession closure amount	How much gingival recession has closed after the operation will be measured.	6 months

Collaborators and Investigators

• Sponsor: Necmettin Erbakan University
• Investigators: Study Chair: FATMA UÇAN YARKAÇ, Assoc. Dr., Necmettin Erbakan University Faculty of Dentistry, Department of Periodontology; Study Director: DİLEK ÖZKAN ŞEN, Asst Prof., Necmettin Erbakan University Faculty of Dentistry, Department of Periodontology; Study Chair: ZEYNEP TAŞTAN EROĞLU, Asst Prof., Necmettin Erbakan University Faculty of Dentistry, Department of Periodontology; Study Chair: OSMAN BABAYİĞİT, Asst Prof., Necmettin Erbakan University Faculty of Dentistry, Department of Periodontology; Principal Investigator: KEVSER YILDIRIM, RESEARCH ASSISTANT, Necmettin Erbakan University Faculty of Dentistry, Department of Periodontology

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2021
• Primary Completion (Actual): December 31, 2022
• Study Completion (Actual): December 31, 2022

Study Registration Dates

• First Submitted: July 8, 2024
• First Submitted That Met QC Criteria: July 16, 2024
• First Posted (Actual): July 19, 2024

Study Record Updates

• Last Update Posted (Actual): July 19, 2024
• Last Update Submitted That Met QC Criteria: July 16, 2024
• Last Verified: July 1, 2024

More Information

Terms related to this study

• Keywords: connective tissue graft; modified coronally advanced flap; tunel technique
• Additional Relevant MeSH Terms: Stomatognathic Diseases; Periodontal Diseases; Mouth Diseases; Gingival Diseases; Periodontal Atrophy; Gingival Recession
• Other Study ID Numbers: TreatmentofGingivalRecession

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No