Comparison of Two Methods of Covering a Single Lower Front Tooth With Receded Gums
Comparison of Surgical Techniques to Treat Isolated Gingival Recession in Mandibular Incisors: A Randomized Clinical Trial
Case Western Reserve University
36 participants
May 19, 2023
INTERVENTIONAL
Conditions
Summary
The primary objective of this randomized clinical trial is to compare the mean root coverage achieved with Coronally Advanced Flap (CAF) + Connective Tissue Graft (CTG) (control) to Gingival Pedicle Split Thickness flap (GPST) + CTG (test) for the treatment of isolated gingival recession defects in mandibular incisors. The secondary objectives are to compare the percentage of complete root coverage and keratinized tissue gain between the two techniques.
Eligibility
Inclusion Criteria6
- Males and females of > 18 years of age
- Single Cairo's RT1 (Recession Type 1) and RT2 ( Recession Type 2) recession defects (≥3 mm in depth) in mandibular anterior teeth (Incisors).
- Presence of identifiable cemento-enamel junction (CEJ)
- Presence of a step ≤1 mm at the CEJ level and/or the presence of a root abrasion, but with an identifiable CEJ, will be accepted
- Periodontally and systemically healthy patients
- No contraindications for periodontal surgery and not taking medications known to interfere with periodontal tissue health or healing; and no prior periodontal surgery on the involved sites
Exclusion Criteria7
- Vaping, chewing tobacco or smoking > 10 cigarettes per day
- Uncontrolled Diabetes Mellitus (HbA1c > 7)
- Pregnancy and Lactation
- Diseases affecting connective tissue metabolism
- Long-term steroid use
- Recession defects associated with caries
- Teeth associated with pulpal pathology
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Interventions
Mucogingival procedure to cover mandibular incisor tooth with receded gums
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06037161