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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06331325
Other study ID # 724
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date March 20, 2024
Est. completion date September 30, 2024

Study information

Verified date March 2024
Source October University for Modern Sciences and Arts
Contact Nada Zazou, PHD
Phone +201224016945
Email drzazou@hotmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this randomized clinical trial is to compare frenotomy to frenectomy surgical techniques in the management of high frenum attachment in adults. The main questions it aims to answer are: - Does Frenotomy procedure have a lower relapse rate compared to frenectomy? - Does Frenotomy procedure result in fewer postoperative complications? Participants will be divided into two groups. The intervention group will involve frenotomy procedure for participants and will be compared to the traditional frenectomy procedure in the comparator group. The level of the frenum will be measured at baseline and after 6 months. Pain scores will be recorded by the participants during the first week.


Description:

Frenum is a triangular thin folded mucus membrane with underlying connective tissue and muscular fibers that attaches the lips and cheeks with alveolar mucosa enhancing the stability of the lip (Newman et al., 2020). High frenum attachment can have numerous negative effects when highly attached close to the gingival margin including gingival recession, papilla loss, and obliteration of the sulcus, which might enhance plaque accumulation indirectly by hindering tooth brushing. It may also be responsible for midline diastema (Miller, 1985). According to Mirko et al. (1974), there are four different types of labial frenal attachments: mucosal, gingival, papillary, and papilla piercing. The mucosal form is the most common and predominates in the mandible (JaƄczuk & Banach, 1980). Frenectomy procedure involves the complete removal of the frenum along with its attachment to the underlying bone. Frenotomy procedure is the incision and relocation of the frenal attachments to a more apical level (Dibart & Karima, 2008). However, this procedure is not well-documented in the literature and little is known about its expected relapse rates. The rationale for conducting the research: The traditional frenectomy procedure as described by Archer (1961) and Kruger (1964) could be considered invasive and may lead to scarring, delayed healing, and loss of the interdental papilla due to bone exposure and complete removal of fibers which may have negative esthetic outcome in addition to the frequent relapse rate (Devishree et al., 2012). A systematic review (Delli et al., 2013) discussed some complications that may arise when performing frenectomy procedure such as scar formation, postoperative pain, and swelling. Thus, frenectomy is considered a radical procedure with potential complications. In contrast, frenotomy could be introduced as a more conservative procedure that can achieve the same outcomes with lower postoperative complications and scar formation. To the best of our knowledge, no studies are comparing both techniques in terms of relapse rate and postoperative pain. Thus, the rationale of our study is to evaluate the clinical effectiveness of frenotomy procedure and its effect on frenum relapse and postoperative pain compared to the conventional frenectomy procedure.


Recruitment information / eligibility

Status Recruiting
Enrollment 46
Est. completion date September 30, 2024
Est. primary completion date September 30, 2024
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 18 Years to 50 Years
Eligibility Inclusion Criteria: - Adults with active highly attached maxillary/mandibular labial frenum. - Systemically healthy - Non-smokers - Gingival and plaque index <10% Exclusion Criteria: - Poor oral hygiene. - Smokers - Any systemic diseases or medications that delay wound healing. - Pregnant or lactating females - Previous frenal procedures.

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Frenotomy
Partial thickness procedure aiming to relocate high frenum attachment to a more apical level.
Frenectomy
Full-thickness excision of the frenum down to the bone level and suturing by achieving primary closure.

Locations

Country Name City State
Egypt MSA University Giza

Sponsors (1)

Lead Sponsor Collaborator
October University for Modern Sciences and Arts

Country where clinical trial is conducted

Egypt, 

Outcome

Type Measure Description Time frame Safety issue
Primary Rebound / Relapse. The level of the frenum will be measured at baseline and follow-up using William's graduated periodontal probe. The incisal edge will be assigned as a reference point at baseline to measure the frenum level before and after the procedure and identify the change in level. 6 months
Secondary Postoperative pain A visual analog scale (VAS) will be recorded by the patients during the first week postoperatively to compare the postoperative pain experienced after both procedures. 1 week
See also
  Status Clinical Trial Phase
Not yet recruiting NCT06102642 - The Clinical Usage of a Free Gingival Graft Combined With Frenotomy in Patients With High Frenal Attachment Phase 4
Completed NCT03156387 - Clinical Efficacy of Frenectomies Using Diode Laser Versus Conventional Techniques N/A