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Active, Not Recruiting

NCT Number: NCT06044870

Clinical Evaluation of the Modified Laterally Stretched Technique (RT2) Gingival Recession vs Tunneling With CT Grafting

Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

Conditions

Gingival Recession Gingival Diseases Mouth Diseases Periodontal Atrophy Periodontal Diseases Stomatognathic Diseases

Age range

18 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Cairo University

Cairo, Egypt

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

  • Single or multiple RT2 gingival recession site/sites in the lower anterior teeth.
  • Age >/= 18 years.
  • Patients with healthy or treated periodontal conditions.
  • Patients willing to participate in the study.
  • Absence of uncontrolled medical conditions.
  • Full mouth plaque score </= 20% (O'Leary 1972).
  • Full mouth bleeding score <20% (Ainamo and Bay 1975).
  • Patients with aesthetic concerns.

Exclusion criteria

  • Pregnant or lactating females.
  • deep recession sites more than 5 mm
  • Tobacco smoking.
  • Uncontrolled medical conditions.
  • Uncooperative patients or unable to complete the study.
  • Patients treated with any medication known to cause gingival hyperplasia.
  • No occlusal interferences.

Treatment and study plan

Modified laterally stretched technique with a connective tissue graft.

Procedure

Modified laterally stretched technique with a connective tissue graft.

Primary outcomes

  1. Recession depth reduction.

    Time frame: 1 year

    Measured as the difference between the recession gingival depth at different follow up intervals and the baseline.

Secondary outcomes

  1. Mean root coverage

    Time frame: 1 year

    (Preoperative vertical recession - Postoperative vertical recession/preoperative vertical recession) x 100

  2. Recession depth

    Time frame: 1 year

    Measured as the distance between the free gingival margin and the cemento-enamel junction .

  3. Recession width

    Time frame: 1 year

    Measured as the distance between the between the mesial gingival margin and distal gingival margin

  4. Soft tissue thickness

    Time frame: 1 year

    The measurement of Gingival tissue thickness is performed 2 mm apical from the gingival margin.

  5. Keratinized tissue width

    Time frame: 1 year

    Measured as the distance between the gingival margin and the muco-gingival junction.

  6. Esthetics (RES) score

    Time frame: 1 year

    A system used to evaluate five variables 6 months gingival margin (GM), marginal tissue contour (MTC), soft tissue texture (STT), MGJ alignment, and gingival color (GC).

  7. patient satisfaction

    Time frame: 1 year

    A 3-item questionnaire is asked, and the patients shall use a 7-point answer scale. The answers were given on a 7-point scale ranging from 1 'not at all'' to 7 ''very likely''.

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Clinical Evaluation of the Modified Laterally Stretched Technique in the Gingival Recession Sites of the Lower Anterior Teeth (RT2) vs Tunneling With Connective Tissue Grafting in Both Techniques: A Randomized Clinical Trial

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Sep 21, 2023
Registry last updated
Oct 2, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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