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NCT Number: NCT03654339

Microsurgical vs Macro Surgical Approach for Grade II Gingival Recessions Employing Laterally Repositioned Flap

This study was conducted to assess the evaluation of micro and Macro surgical approach in the treatment of grade II gingival recessions using the laterally repositioned flap

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Key information

Conditions

Gingival Recession, Localized Gingival Diseases Gingival Recession Mouth Diseases Periodontal Atrophy Periodontal Diseases Stomatognathic Diseases

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Panineeya Mahavidyalaya Institute of Dental Sciences

Hyderabad, Telangana, 500060, India

About this study

In this study total, 30 patients were selected The patients initially received a comprehensive periodontal examination and complete plaque control program including oral hygiene to eliminate habits related to the aetiology of recession. Scaling, root planning and occlusal adjustments were done The patients were randomly assigned and divided into two groups. Group A and Group B. Patients with miller class II were treated with a laterally repositioned flap to obtain root coverage using conventional macrosurgical approach (15patients) and microsurgical approach(15patients)

The clinical parameters evaluated were height of gingival recession relative clinical attachment level which was measured as the distance from a fixed point in a stent to the bottom of the pocket and gingival biotype at baseline, 3 months and 6 months period

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Age 20-50 yrs
  • ClassII gingival recession
  • Vital teeth that were free from caries or inadequate restorations
  • Sufficient width of attached gingiva

Exclusion criteria

  • Any systemic diseases and smokers
  • ClassI,III&IV gingival recession
  • Abnormal frenal attachments
  • Interdental bone loss with tooth mobility

Treatment and study plan

root coverage

Procedure

Group A: After administration of local anaesthesia using ophthalmic microsurgical knives a V-shaped incision was made in the gingival recession area. the gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then secured with 6-0 absorbable sling suture without tension. the surgical procedure was done with seilar microscope 40X magnification.

Group B: After administration of local anaesthesia using 15 no blade a V-shaped incision was made in the gingival recession area . gingiva was removed .the adjacent partial thickness pedicle flap was reflected from the donor area .the pedicle flap was then covered over the recipient site. then carefully secured with 4-0 absorbable sling suture

Primary outcomes

  1. vertical depth of recession

    Time frame: Change in level of gingival margin from baseline to 6 months.

    The height of gingival recession: From cementoenamel junction to the free gingival margin.

Secondary outcomes

  1. horizontal width of recession

    Time frame: Change in horizontal dimension of gingival margin from baseline to 6 months.

    The width of gingival recession: Horizontal dimension of gingival defect at the level of Cementoenamel junction..

Sponsors and collaborators

Lead sponsor

Panineeya Mahavidyalaya Institute of Dental Sciences & Research Centre

Other

Registry information

Official study title

Comparison of Conventional vs Microsurgical Method for Root Coverage by Lateral Displacement Flap

Acronym: CCMMRCLDF

Important dates

Study start
2017
Primary completion
2018
Study completion
2018
First posted
Aug 31, 2018
Registry last updated
Sep 4, 2018

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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