Comparison of Free Gingival Graft and Modified Apical Repositioning Flap Techniques

Medipol Health Group

Status: Terminated

Conditions: Periodontal Diseases

Treatments: Other: Patients selection; Other: Recall visits

Study type: Interventional

Funder types: Other

Identifiers

NCT06253910

79

Details and patient eligibility

About

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.

Full 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).

Enrollment: 15 patients

Sex: Female

Ages: 34 to 58 years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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15 participants in 3 patient groups

Patient selection

Other group

Description:

A total of 15 (female) patients, between 31 and 70 years, who were systemically and periodontally healthy and applied to the periodontology clinic for treatment, were included in our study. Criteria for inclusion in the study are 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, and not smoking.

Treatment:

Other: Patients selection

MARF and FGG tehcniques

Other group

Description:

Free gingival graft for the treatment of a total of 21 teeth with gingival recession in the lower jaw incisors area, no bone dehiscence, and the amount of attached gingiva being at least 0.5 mm and at most 1.5 mm and modified apically positioned flap methods were randomly selected (coin toss) and applied by a single investigator (MY). Surgical methods were performed on a minimum of 1 and a maximum of 2 teeth in the treated areas.

Treatment:

Other: Patients selection

Post-surgical evalution and periodontal measurements

Other group

Description:

Clinical periodontal parameters (plaque index (PI), pocket probing depth (PPD), bleeding on probing (BOP), gingival recession (GR) and clinical attachment level (CAL)) were recorded and evaluated at baseline, third months, first and second years. Periodontal measurements (keratinized tissue width (KTW), attached gingiva width (AGW)) recorded and evaluated at baseline, third months, first and second years.

Treatment:

Other: Recall visits