About this trial

The aim of this clinical study is to understand whether the modified free gingival graft technique is superior to the conventional free gingival graft:

Will gingival recession completely close in modified free gingival grafting areas? Will there be a significant increase in the amount of keratinized gingiva in modified free gingival grafting participants compared to traditional free gingival grafting participants? Participants will visit our clinic in the 1st, 3rd and 6th months. Necessary clinical parameter measurements will be made by the clinician.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

To be systemically healthy.

Not smoking.

Individuals aged 18 years and over.

Shallow vestibule (≤5 mm).

Disqualifiers

pregnancy

untreated periodontal disease

parafunctional habits

poor oral hygiene (persistent whole mouth plaque index > 20%)

Trial design

Design model

Parallel

Treatments tested in this trial

Mod-fgg
Procedure/Surgery
Following an intrasulcular incision, 2 mm long horizontal incisions will be made on each side at the level of the gum line. From these incisions, divergent vertical release incisions will be made extending towards the alveolar mucosa. To prepare the recipient area, a thin partial thickness flap will be lifted and then removed. A foil template will be obtained by measuring the dimensions of the resulting area. A horizontal incision will be made apical to the exposed root area of the target teeth at a distance corresponding to the height of the exposed root surface. Starting from the endpoints of this incision, two more slightly divergent incisions will be made in the coronal direction. Thus, a connective tissue pedicle flap will be formed and carefully separated from the periosteum. The pedicle graft will be turned over the exposed root surface and fixed with bioabsorbable sutures. The palatal graft will be sutured to cover the connective tissue.
Fgg
Procedure/Surgery
The surgical procedures to be performed in this group will be the same as in the modified free gingival graft group, but no connective tissue pedicle flap will be performed.

Treatment groups

60 Participants

are divided into 2 treatment groups

Group A: modified free gingival graftExperimental treatment 1 intervention

Group B: traditional free gingival graftExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

measurement of preoperative periodontal parameters

To determine the baseline condition, preoperative measurement of periodontal parameters (amount of keratinized tissue, papilla height, papilla width, probing pocket depth, amount of recession, tissue thickness) will be recorded in millimeters using a periodontal probe.

Time frame

Preoperatively, before the start of treatment.

2

Preoperative Intraoral Photographs Capture and Evaluation

Intraoral photographs of patients will be taken before surgery. These photographs will be used to meet the situation before and after treatment. The photographs will be taken with a high-performance digital camera under standardized angles and lighting. Unit of Measurement: General condition of oral structures (% change rate).

Time frame

Preoperatively, before the start of treatment.

3

gingival index measurement

The status of gingival health will be assessed using the Gingival Index (Loe and Silness, 1963). This measurement will be made to determine the degree of gingival inflammation and will be scored on a scale from 0 (healthy gingiva) to 3 (severe inflammation and bleeding). Unit of Measurement: 0-3 scale.

Time frame

Preoperatively, before the start of treatment.

4

Plaque Index (PI) measurement

The degree of plaque accumulation on the tooth surfaces will be assessed using the Plaque Index (Silness and Loe, 1964). The assessment will be made on a scale from 0 (no plaque) to 3 (entire tooth surface covered with plaque). This measurement will be used to objectively determine the degree of plaque formation.Unit of Measurement: 0-3 scale.

Time frame

Preoperatively, before the start of treatment.

Secondary outcomes

1

Measurement of Periodontal Parameters

Postoperative measurement of periodontal parameters will be recorded using a periodontal probe in millimeters at 1, 3 and 6 months. The parameters include the amount of keratinized tissue, papilla height, papilla width, probing pocket depth , the amount of recession and tissue thickness.

Time frame

1,3 and 6 months post-operation.

2

Post-Operative Photographing and Evaluation

After surgery, intraoral photographs of patients will be taken at 1, 3 and 6 months. These photographs will be used to analyze the changes that occur after treatment. The photographs will be taken with a high-resolution digital camera under standardized angles and lighting conditions. The evaluation will be performed using specific parameters to measure aesthetic and functional changes.Unit of Measurement:General condition of oral structures (% change rate).

Time frame

1,3 and 6 months post-operation.

3

gingival index measurement

The status of gingival health will be assessed using the Gingival Index (Loe and Silness, 1963). This measurement will be made to determine the degree of gingival inflammation and will be scored on a scale from 0 (healthy gingiva) to 3 (severe inflammation and bleeding). Unit of Measurement: 0-3 scale.

Time frame

1,3 and 6 months post-operation.

4

Plaque Index (PI) measurement

The degree of plaque accumulation on tooth surfaces will be assessed using the Plaque Index (Silness and Loe, 1964). The measurement will be made on a scale from 0 (no plaque) to 3 (entire tooth surface covered with plaque). This index will be used to evaluate oral hygiene and treatment effectiveness. Measurement Unit: 0-3 scale.

Time frame

1,3 and 6 months post-operation.

Effect of Modified Free Gingival Graft and Conventional Free Gingival Graft on Gingival Recession

About this trial

Eligibility criteria

Qualifiers

Disqualifiers

Trial design

Treatments tested in this trial

Treatment groups

Trial outcomes

Primary outcomes

Secondary outcomes

Other outcomes

Sponsors and contacts