The Relationship Between Root Coverage Procedures and Buccal Vestibular Depth

Hacettepe University

Status: Completed

Conditions: Shallow Vestibular Depth; Gingival Recession

Treatments: Procedure: Free gingival graft; Procedure: Vertically coronally advanced flap combined with connective tissue graft.

Study type: Interventional

Funder types: Other

Identifiers

NCT05777811

Buccal Vestibule Depth

Details and patient eligibility

About

In this comparative trial, 50 patients with shallow vestibules and Type 1/2 recessions will be treated with either a vertically coronally advanced flap + connective tissue graft or a free gingival graft. At baseline, 3rd-month, 6th-month, and 12th-month visits, the following parameters will be evaluated: buccal vestibular depth, keratinized tissue height, gingival thickness, recession depth, recession width, probing depth, and clinical attachment level. Keratinized tissue change, gingival thickness change, root coverage, clinical attachment gain, and complete root coverage will be calculated. The wound healing index, tissue appearance, patient expectations, aesthetics, and dentin hypersensitivity will be assessed at baseline and at the 6th week.

Full description

Buccal vestibule depth was recorded using two different measurement methods. First, the distance between the cementoenamel junction and the deepest point of the vestibule sulcus was measured and recorded as VD1. Then, the distance between the gingival margin and the base of the vestibule sulcus was measured and recorded as VD2.

Enrollment: 50 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• full-mouth plaque and bleeding scores <15%
• the presence of at least one recession type-1/2 recession and at least one recession with recession depth ≥ 2 mm
• the presence of an identifiable cemento-enamel junction

Exclusion criteria

• Vestibule depth > 6mm
• Smoking > 10 cigarettes per day
• Any contraindications for periodontal surgery
• Unstable endodontic conditions or presence of any restoration.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Vertically Coronally advanced flap combined with connective tissue graft

Active Comparator group

Treatment:

Procedure: Vertically coronally advanced flap combined with connective tissue graft.

Free Gingival Graft

Active Comparator group

Treatment:

Procedure: Free gingival graft