Periodontal Plastic Reconstruction of Soft Tissue Dehiscences After the Removal of Localized Gingival Enlargements

Semmelweis University

Status: Enrolling

Conditions: Epulides; Periodontal; Lesion; Localized Gingival Enlargement; Recurrence

Treatments: Procedure: Surgical excision

Study type: Interventional

Funder types: Other

Identifiers

NCT06210789

Epulis

Details and patient eligibility

About

Non-inflammatory recessions and Miller class I-II-III. mucogingival defects after elimination of localized gingival enlargements are frequently encountered challenges in the daily practice. In Miller class II-III. recessions the lack of keratinized tissues often compromise the maintenance a proper oral hygiene, this can cause inflammation, which can result in further periodontal attachment loss. In the literature there are some approaches that aim at widening of keratinized tissues and root coverage at the same time, such as the subperiosteal envelope technique (SET) (Allen 1994) combined with a subepithelial connective tissue graft (SCTG) or a partially epithelialized connective tissue graft (PE-SCTG) (Stimmelmayr 2011). In the eradication of localized gingival enlargement postoperative complications following surgical removal, such as recurrence and subsequent gingival recessions as well as loss of keratinized tissues are commonly observed. Nevertheless, a state of the art comprehensive treatment approach has not been reported yet to overcome the above mentioned sequels. The aim of this study is to present a periodontal plastic surgical approach to definitively eliminate localized gingiva enlargements and to simultaneously correct consecutive Miller class I II-III. recessions, esthetic disturbances. (Ethical committee permission number: SE RKEB: 185/2020.)

Enrollment: 22 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patients older than 18 years
• systematically healthy patients
• localized gingival enlargement is present that involves maximum 3 teeth

Exclusion criteria

• pregnant women
• medication intake that can potentially affect the oral mucosa and its healing
• heavy smokers (>=15)

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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22 participants in 1 patient group

Surgical treatment

Experimental group

Description:

Surgical excision and periodontal reconstruction according to the remaining amount of keratinized gingiva

Treatment:

Procedure: Surgical excision