Comparison of Free Gingival Graft and Modified Apical Repositioning Flap Techniques

Periodontal Diseases Clinical Trial

Official title:

Comparison of Free Gingival Graft and Modified Apical Repositioning Flap Techniques to Create Attached Gingiva: A Long-Term (2 Year) Retrospective Study

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT06253910
• Other study ID #: 79
• Status: Terminated
• Phase: N/A
• Start date: February 15, 2019
• Est. completion date: December 1, 2023

Study information

• Verified date: February 2024
• Source: Istanbul Medipol University Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Attached gingiva, a crucial component of the keratinized tissue, plays a vital role in preserving periodontal health. The free gingival graft (FGG) and modified apically repositioned flap (MARF) techniques are frequently used for addressing issues related to insufficient attached gingiva. The aim of this study was to compare the efficiency of the FGG and the MARF increasing the zone of attached gingiva in 2-year posttreatment.

Description:

The study included 15 participants who were both systemically and periodontally healthy, and these participants had a total of 21 teeth (10 for SDG and 11 for MARF). All included teeth had an attached gingiva width ranging from 0.5 mm to 1.5 mm and showed no signs of bone dehiscence. SDG and MARF methods were selected randomly (coin-to-coin). Clinical parameters recorded at baseline, third month, at first and second years were plaque index (PI), pocket probing depth (PPD), keratinized tissue width (KTW), attached gingiva width (AGW), bleeding on probing (BOP), gingival recession (GR) and clinical attachment level (CAL).

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 15
• Est. completion date: December 1, 2023
• Est. primary completion date: November 22, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 34 Years to 58 Years

Eligibility

Inclusion Criteria:

• having =15 permanent teeth excluding third molars,
• not using any orthodontic appliance,
• not being pregnant or breastfeeding,
• not having any uncontrolled chronic and/or auto-immune disease,
• not smoking.

Exclusion Criteria:

• having chronic and/or auto-immune disease
• smoking.

Related Conditions & MeSH terms

• Periodontal Diseases

Intervention

Other:
• Patients selection
Patient selection were selected according to selected criteria.
• Recall visits
Following the operations, periodontal measurements were measured at the baseline, third month, first and second years.

Locations

Country	Name	City	State
Turkey	Istanbul Medipol University, School of Dentistry	Istanbul	Fatih

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul Medipol University Hospital

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Carnio J, Camargo PM, Klokkevold PR, Pirih FQ. The Modified Apically Repositioned Flap Technique: A Long-Term (4 to 16 Years) Retrospective Study. Int J Periodontics Restorative Dent. 2018 July/August;38(4):519-524. doi: 10.11607/prd.3028. Epub 2017 Dec 15. — View Citation

Carnio J, Carnio AT, Pirih FQ, Cordero MG, Camargo PM. The Modified Apically Repositioned Flap Technique and Its Potential to Create Attached Gingiva in Areas with No Keratinized Tissue: A Long-Term (1 to 11 Years) Retrospective Case Series Study. Int J Periodontics Restorative Dent. 2020 Jan/Feb;40(1):103-109. doi: 10.11607/prd.4241. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Attached gingiva width	The width of the attached gingiva was calculated by measuring the distance from the crest of the gingival margin to the mucogingival junction and then subtracting the probing depth of the gingival sulcus from this distance on the particular tooth.	Baseline, third month, first year and second years.
Primary	Keratinized tissue width	The width of the keratinized tissue was calculated by measuring the distance from the crest of the gingival margin to the mucogingival junction	Baseline, third month, first year and second years.
Secondary	Pocket probing depth	Measurement of the depth of a sulcus or periodontal pocket determined by measuring distance from a gingival margin to the base of the sulcus or pocket with a calibrated periodontal probe.	Baseline, third month, first year and second years.

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