Microsurgical vs Macro Surgical Approach for Grade II Gingival Recessions Employing Laterally Repositioned Flap

Gingival Recession, Localized Clinical Trial

— CCMMRCLDF  

Official title:

Comparison of Conventional vs Microsurgical Method for Root Coverage by Lateral Displacement Flap

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03654339
• Other study ID #: kranthirecession
• Status: Completed
• Phase: N/A
• Start date: August 24, 2017
• Est. completion date: August 16, 2018

Study information

• Verified date: August 2018
• Source: Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study was conducted to assess the evaluation of micro and Macro surgical approach in the treatment of grade II gingival recessions using the laterally repositioned flap

Description:

In this study total, 30 patients were selected The patients initially received a comprehensive periodontal examination and complete plaque control program including oral hygiene to eliminate habits related to the aetiology of recession. Scaling, root planning and occlusal adjustments were done The patients were randomly assigned and divided into two groups. Group A and Group B. Patients with miller class II were treated with a laterally repositioned flap to obtain root coverage using conventional macrosurgical approach (15patients) and microsurgical approach(15patients)

The clinical parameters evaluated were height of gingival recession relative clinical attachment level which was measured as the distance from a fixed point in a stent to the bottom of the pocket and gingival biotype at baseline, 3 months and 6 months period

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30
• Est. completion date: August 16, 2018
• Est. primary completion date: March 31, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

Inclusion Criteria:

• Age 20-50 yrs

• ClassII gingival recession

• Vital teeth that were free from caries or inadequate restorations

• Sufficient width of attached gingiva

Exclusion Criteria:

• Any systemic diseases and smokers

• ClassI,III&IV gingival recession

• Abnormal frenal attachments

• Interdental bone loss with tooth mobility

Related Conditions & MeSH terms

• Gingival Recession
• Gingival Recession, Localized

Intervention

Procedure:
• root coverage
Group A: After administration of local anaesthesia using ophthalmic microsurgical knives a V-shaped incision was made in the gingival recession area. the gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then secured with 6-0 absorbable sling suture without tension. the surgical procedure was done with seilar microscope 40X magnification. Group B: After administration of local anaesthesia using 15 no blade a V-shaped incision was made in the gingival recession area . gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then carefully secured with 4-0 absorbable sling suture

Locations

Country	Name	City	State
India	Panineeya Mahavidyalaya Institute of Dental Sciences	Hyderabad	Telangana

Sponsors (1)

Lead Sponsor	Collaborator
Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre

Country where clinical trial is conducted

India, 

References & Publications (2)

Nizam N, Bengisu O, Sönmez S. Micro- and macrosurgical techniques in the coverage of gingival recession using connective tissue graft: 2 years follow-up. J Esthet Restor Dent. 2015 Mar-Apr;27(2):71-83. doi: 10.1111/jerd.12124. Epub 2014 Nov 13. — View Citation

Ucak O, Ozcan M, Seydaoglu G, Haytac MC. Microsurgical Instruments in Laterally Moved, Coronally Advanced Flap for Miller Class III Isolated Recession Defects: A Randomized Controlled Clinical Trial. Int J Periodontics Restorative Dent. 2016 Aug 24. doi: 10.11607/prd.2547. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	vertical depth of recession	The height of gingival recession: From cementoenamel junction to the free gingival margin.	Change in level of gingival margin from baseline to 6 months.
Secondary	horizontal width of recession	The width of gingival recession: Horizontal dimension of gingival defect at the level of Cementoenamel junction..	Change in horizontal dimension of gingival margin from baseline to 6 months.