Influence of Flap Position Following FibReORS

University of Turin

Status: Completed

Conditions: Periodontitis; Periodontal Diseases

Treatments: Procedure: FibReORS with apically positioned flap (crestal position); Procedure: FibReORS with apically positioned flap (apical position)

Study type: Interventional

Funder types: Other

Identifiers

NCT05140681

FibReORSTurin

Details and patient eligibility

About

There is lack of data in literature on keratinized tissue increase after FibReORS in relation to primary flap position. This study has been designed as a split-mouth randomized trial to assess the influence of flap position after FibReORS. 16 patients were recruited and treated. The placement of the flap 2 mm apically to the bone crest instead at the bone level would be a viable approach to increase KT width without delaying wound healing. The extent of post-operative discomfort/pain was not influenced by primary flap position.

Enrollment: 16 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. diagnosis of severe chronic periodontitis (corresponding to grade III or IV according to the actual classification); 2) good general health; 3) full-mouth plaque score (FMPS) and full-mouth bleeding score (FMBS) < 20%; 4) at least two contralateral sextants with residual PDs of > 5 mm and persisting bleeding on probing (BoP) at posterior natural teeth 3 months after the completion of cause-related therapy

Exclusion criteria

1. pregnancy and lactation; 2) smoking > 10 cigarettes/day; 3) intake of antibiotics in the previous 6 months. In addition, teeth with degree II or III mobility, horizontal bone loss higher than 1/3 of the root length or designed as abutment for prosthetic rehabilitation were also excluded from the study.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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16 participants in 2 patient groups

apical group

Experimental group

Description:

FibReORS with apically flap positioning 2 mm below the bone crest (apical group)

Treatment:

Procedure: FibReORS with apically positioned flap (apical position)

Crestal group

Active Comparator group

Description:

FibReORS with apically flap positioning at the level of bone crest (crestal group).

Treatment:

Procedure: FibReORS with apically positioned flap (crestal position)