Gingival Recession Clinical Trial
Official title:
Clinical and Histomorphometric Analysis of Collagen Matrix Versus Connective Tissue Graft in Mucogingival Surgery in Orthodontic Patients. A Randomized, Controlled Clinical Trial
There are some orthodontics treatments that perform risk movements ,and a bone dehiscence may
be expected. In that cases mucogingival surgery , such as connective tissue grafts, is
necessary prior to tooth movement.
The connective tissue graft in combination with coronal advanced flap is still considered the
gold standard , although the use of porcine collagen matrix has obtained promising results
for treatment of Miller class I and II recession defects.
Most of the studies report clinical results after a connective tissue graft and there is no
evidence about the type of attachment obtained after the graft is performed, a few articles
have shown histological results. But, as a rule , a histological study is only performed
under exceptional circumstances such as a dental fracture, untreatable decay, tooth
extraction for orthodontic reasons, or other reasons.
Most of the techniques results in the formation of a long junctional epithelium and
connective tissue attachment with fibers parallel to the root surface. Animals studies have
shown a shorter epithelium and a larger new cementum formation after the use of the collagen
matrix.
The purpose of this study is to confirm that periodontal regeneration happens after
mucogingival surgery The principal outcome is compare the millimeters of new attachment
create after a connective tissue graft and after the use of a porcine collagen matrix in
teeth that have to been extracted (because of the orthodontic planing treatment) after
mucogingival surgery .
The secondary outcomes are:
1. length of new cementum (histometry results)
2. length of the junctional epithelium (histometry results)
3. length of connective tissue attachment (histometry results)
4. complete root coverage (clinical results)
5. width of keratinized tissue
;
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