Gingival Recession Clinical Trial
Official title:
Adjunctive Benefit of a Xenogenic Collagen Matrix Associated With Coronally Advanced Flap for Treating Multiple Gingival Recessions
The present CONSORT-based randomized clinical trial is to assess the adjunctive benefit of a xenogenic collagen matrix in combination with a coronal advanced flap with respect to a coronal advanced flap alone in the treatment of multiple gingival recession defects in adult population.
This is a single-centre, superiority, double blind clinical trial, with balanced
randomisation and parallel two groups design. The 2 groups will be:
1. CAF combined with XCM;
2. CAF alone.
The objective is therefore to assess the adjunctive benefit of a xenogenic collagen matrix in
combination with a coronal advanced flap.
The primary endpoint is the mean recession reduction after 6 and 12 months post treatment.
The secondary endpoints are: Percentage of complete root coverage after 6 and 12 month;
Thickness of soft tissue over the root after 6 and 12 month; Recession width after 6 and 12
month; KT width; Patients satisfaction.
The following Inclusion Criteria have to be satisfied: patient (male or female) must be 18
years or older, not pregnant, and candidate for buccal root coverage procedure in the upper
jaw; recession defects have to be AAA or ABA (according to Rotundo et al classification),
with at least 2 adjacent RC with ≥ 2 mm RC depth and root abrasion depth less than 1 mm;
Patient shows sufficient plaque control (FMPS ≤ 20%) and acceptable bleeding score(FMBS ≤
20%); Teeth intended to treat are in the region 1 - 5; patient has to be able to comply with
the study-related procedures such as exercising good oral hygiene and attending all follow-up
procedures; patient is able to fully understand the nature of the proposed surgery and is
able to provide a signed informed consent.
Randomisation: Computer-generated blocked for each centre, with allocation concealment by
opaque sequentially numbered sealed envelopes.
Blinding: Patients and outcome assessor blind to group assignment.
Sample size: Based on a formula for cluster design to detect a difference between treatments
of 1 mm in recession reduction (standard deviation of 0.93 mm - Woodyard et al. 2004) with a
two-side 5% significance level, a power of 90%, a mean number of treated teeth per patient of
2.92, an intraclass correlation coefficient of 0.35, a sample size of 24 patients per
treatment will be necessary.
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