The Effect of Free Gingival Graft on Root Closure
The Effect of Two Different Graft Positioning Techniques on Creeping Attachment in Free Gingival Graft Operations
Berceste Guler
40 participants
Jun 1, 2022
INTERVENTIONAL
Conditions
Summary
Free gingival graft is a mucogingival surgical technique applied to increase keratinized gingival width and reduce gingival recession. Free gingival graft is one of the most widely used approaches in root closure treatments and in increasing the height of the keratinized gingiva. Evaluation of the effect of the amount of creeping attachment on the root surface caused by the free gingival grafts placed coronally and apical to the mucogingival line on the gingival recession in the mandibular anterior region with keratinized gingival deficiency with gingival recession. Forty patients with gingival recession and insufficient keratinized gingival height will be randomly divided into 2 main groups as free gingival grafts to be placed coronal and apical to the gingival recession.
Eligibility
Inclusion Criteria8
- years old
- The patient does not have any systemic disease
- Presence of at least one tooth with gingival recession in the mandibular anterior region
- Excessive dentin sensitivity and impaired esthetics associated with recession
- Identification of the enamel-cementum boundary in the shrinkage region
- The tooth is alive and there are no irregularities, grooves, caries and restorations in the area to be treated.
- No periodontal surgical treatment in the relevant areas in the last 24 months
- Presence of adequate keratinized and attached gingiva in the donor area
Exclusion Criteria8
- Being outside the specified age range
- Any contraindication for systematic periodontal surgery
- Failure to define the enamel-cementum boundary in the withdrawal region
- Presence of caries, restoration, root concavity in the area to be treated
- Patients who smoke more than 10 cigarettes per day
- Patients who use drugs that suppress the immune system or impair recovery
- Patients using drugs that impair bleeding
- Insufficient keratinized and attached gingiva in the donor area
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Interventions
For free gingival graft operation, the recipient area will be prepared with a half-thickness flap. A graft with a thickness of approximately 1.5 mm and a width and height of the recipient bed will be obtained from the palatal region in accordance with the recipient bed, and it will be sutured by placing it in the apical region of the gingival recession according to the randomly selected positioning technique.
For free gingival graft operation, the recipient area will be prepared with a half-thickness flap. A graft with a thickness of approximately 1.5 mm and a width and height of the recipient bed will be obtained from the palatal region in accordance with the recipient bed, and it will be sutured by placing the coronal region of the gingival recession according to the randomly selected positioning technique.
Locations(1)
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NCT05604391