Gingival Recession Clinical Trial
Official title:
Laser De-epithelialization for Epithelial Exclusion in Root Coverage Procedure: a Clinical Study
The concept of laser deepithelialization to retard epithelial migration has enabled new attachment formation in periodontal pockets. Based on this hypothesis, that laser deepithelialization during root coverage procedures will enhance clinical outcome, a split mouth randomized controlled clinical trial was planned to compare the clinical outcome of Coronally advanced flap (CAF) + subepithelial connective tissue graft (SCTG) alone and in combination with laser de-epithelialization in the treatment of gingival recession.
Successful treatment of recession defects to obtain new attachment and prevent repair by long
junctional epithelium continues to present a serious therapeutic challenge. The concept of
laser deepithelialization to retard epithelial migration has enabled new attachment formation
in periodontal pockets. Based on this hypothesis, that laser deepithelialization during root
coverage procedures will enhance clinical outcome, a split mouth randomized controlled
clinical trial was planned to compare the clinical outcome of Coronally advanced flap (CAF) +
subepithelial connective tissue graft (SCTG) alone and in combination with laser
de-epithelialization in the treatment of gingival recession.
METHOD:
In a split-mouth study, 20 patients presenting at least one pair of bilaterally symmetrical
Miller's Class I and Class II buccal gingival recessions will be selected. Control site will
receive coronally advanced flap with connective tissue graft and test site will receive laser
deepithelialization as an adjunct to coronally advanced flap with connective tissue graft.
Gingival recession depth (GRD), Gingival recession width (GRW), Probing depth (PD), Clinical
attachment level (CAL), Keratinized tissue width (KTW), Plaque index (PI), Gingival index
(GI), Gingival bleeding index (GBI) will be measured at baseline, 6 weeks, 3 months and 6
months after treatment. The root coverage outcomes were also assessed by photogrammetric
analysis.
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