Three Types of Papilla Incision in Periodontal Surgery

Universidad de Murcia

Status: Enrolling

Conditions: Periodontitis; Periodontal Pocket; Periodontal Diseases

Treatments: Procedure: Minimally invasive surgical technique; Procedure: Marginal approach by palatal incision; Procedure: Midline interproximal soft-tissue incision

Study type: Interventional

Funder types: Other

Identifiers

NCT06428149

2937/2020

Details and patient eligibility

About

Three types of papilla incision in periodontal reconstruction techniques will be compared.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients diagnosed with periodontal disease.
• Active residual pockets associated with intraosseous defects that did not resolve with non-surgical treatment after 1 year of maintenance.
• Intraosseous lesions with probing depth greater than 5 mm or extension of the radiographic defect greater than 4 mm.
• Plaque index and bleeding index less than 30%.

Exclusion criteria

• Systemic disease that contraindicates periodontal surgery.
• Pregnant women.
• Third molars or teeth with incorrect endodontic or restorative treatment.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 3 patient groups

Midline interproximal soft-tissue incision

Experimental group

Description:

Marginal approach by midline interproximal soft tissue incision and a limited papilla elevation to the buccal aspect will be made for treating isolated periodontal defect. Enamel matrix derivates will be applied on the debrided root surfaces.

Treatment:

Procedure: Midline interproximal soft-tissue incision

Marginal approach by palatal incision

Active Comparator group

Description:

A small incision in the palatal aspect and a limited papilla elevation to the buccal aspect will be made for treating isolated periodontal defect. Enamel matrix derivates will be applied on the debrided root surfaces.

Treatment:

Procedure: Marginal approach by palatal incision

Minimally invasive surgical technique

Active Comparator group

Description:

The incision of the defect-associated papilla will be performed according to the principles of the papilla preservation techniques. Enamel matrix derivates will be applied on the debrided root surfaces. Stable primary closure of the flaps will be obtained with internal modified mattress sutures.

Treatment:

Procedure: Minimally invasive surgical technique