The goal of this (study type: RCT) is to learn if the use of the non-submerged de-epithelized FGG will result in better esthetic outcomes in adults. The main questions that it aims to answer are:
* Does this procedure increase the width of keratinized tissue? * Does this procedure increase the depth of the vestibule? Researchers will compare this technique with the gold standard using the FGG to evaluate which technique provides better esthetics.
Adult patients: 18-60.
Insufficient width of keratinized mucosa, that is less than 2 mm.
Lower anterior areas.
Good oral hygiene.
Systemic conditions that prevent the patient from undergoing minor oral surgical procedures or hinder the healing process.
Patient undertaking radiotherapy or chemotherapy.
Smokers.
Pregnant females
Parallel
Non-Submerged De-Epithelialized Free Gingival Graft
Procedure/SurgeryThe Free gingival graft will be de-epithelialized and fixed at the recipient site in a non-submerged manner to increase the keratinized mucosa
Conventional FGG
Procedure/SurgeryThe Free gingival graft will be fixed at the recipient site to increase the keratinized mucosa
Esthetic Evaluation of Non-Submerged De-Epithelialized Free Gingival Graft (Ns-dFGG) Versus Conventional Free Gingival Graft (cFGG) for the Augmentation of The Keratinized Mucosa
The professional esthetic evaluation will be done using the root coverage esthetic score (RES) by(Cairo et al.,2009). Standardized Clinical photographs will be taken at 6 months, where they will evaluate: Color matching: Score 0, \& Score 1: Regarding the color matching to the normal gingiva Soft tissue texture: Score 0, \& Score 1: If there is scar formation or keloid appearance Muco-gingival junction (MGJ) alignment: Score 0, \& Score 1:If the MGJ is or isn't aligned that of the adjacent teeth
Esthetic Evaluation of Non-Submerged De-Epithelialized Free Gingival Graft (Ns-dFGG) Versus Conventional Free Gingival Graft (cFGG) for the Augmentation of The Keratinized Mucosa
The patient esthetic evaluation will evaluated at 6 months during the follow-up based on the Visual Analogue Scale(VAS). They will select among 100 scores of color matching: Score 0(Very bad) 50(Average) 100(Excellent)
Click on the lead sponsor to view all of their trials.
