The objective of this project is to compare post-operative pain associated with palatal and tuberosity donor sites for micro-CTG, and to evaluate the outcomes in both the donor and recipient sites.
age ≥18 years,
systemically healthy,
presenting adjacent RT1/RT2 recessions, on both sides of the anterior maxilla, with an apico-coronal extension (i.e. recession depth) > 2mm combined with thick phenotype and deep root concavity.
pregnancy or lactation,
heavy tobacco smoking (>15 cigarettes/day),
uncontrolled medical conditions and intake of medication that can affect gingival conditions.
uncorrected trauma from toothbrushing,
Parallel
modified coronally advanced tunnel technique combined with multiple palatal micro connective tissue grafts
Procedure/SurgeryThe connective tissue graft will be harvested from the palate.
modified coronally advanced tunnel technique combined with multiple tuberosity micro connective tissue grafts
Procedure/SurgeryThe connective tissue graft will be harvested from the maxillary tuberosity.
Mean mid-facial recession coverage (mRC)
Percentage of the exposed tooth root covered after surgical intervention
Complete Root Coverage (CRC)
Frequency of complete root coverage
Changes of Keratinized Tissue Width (KTW)
Measured as the distance from the muco-gingival-junction to the gingival margin
Changes of Gingival Thickness (GT)
Measured 3 mm apically from the free gingival margin at the mid-buccal aspect of the tooth
Patient Morbidity/Discomfort
Measured using an oral health-related quality of life questionnaire (OHRQoL)
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