Periosteal Pedicle Flap Versus Subepithelial Connective Tissue Graft in Management of Gingival Recession

Assiut University

Status: Not yet enrolling

Conditions: Gingival Recession

Treatments: Procedure: SCTG followed by coronally postionting flap; Procedure: periosteal flap followed by coronally postionting flap

Study type: Interventional

Funder types: Other

Identifiers

NCT06529640

periosteal pedicle flap

Details and patient eligibility

About

Gingival recession is defined as the apical shift of the marginal gingiva from its normal position on the crown of the tooth to levels on the root surface beyond the cemento-enamel junction (CEJ).Various surgical procedures including repositioned flaps as well as autogenous and other type grafts have been used in the treatment of gingival recession.The present gold standard technique is the bilaminar technique using the subepithelial connective tissue graft (SCTG) which provides for long-term stability but also increases tissue morbidity.Hence, a suitable alternative technique - the periosteal pedicle flap (PPF) - has been practiced, which is less invasive, does not require a second surgical site, and provides a graft of adequate dimensions.

Enrollment: 10 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with one or more Miller's Class 1 and Class II buccal recessions demonstrating ≤20% of plaque and bleeding scores, respectively, after Phase I therapy.
• age from 18 th 60 years.

Exclusion criteria

• Smokers
• patients with malposed or crowded teeth
• pregnant and lactating women
• patients using medications that could affect the periodontal status

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

10 participants in 2 patient groups

Subepothelial connective tissue graft (SCTG) group

Active Comparator group

Description:

Subepithelial connective tissue graft from palate then coronally positioning flap to cover root recession

Treatment:

Procedure: SCTG followed by coronally postionting flap

Periosteal pedicle flap (PPF) group

Active Comparator group

Description:

periosteal flap elevation and repositioning to the root then coronally positioning flap to cover root recession

Treatment:

Procedure: periosteal flap followed by coronally postionting flap