About this trial
Gingival recession (GR) is a term that describes the displacement of the gingival margin apical to the cemento-enamel junction (CEJ) of a tooth. The gold standard of GR treatment is surgical coverage through coronally advanced flap with subepithelial connective tissue graft (CAF+SCTG) (3). But, the need for a non-invasive technique for managing GR has not been frequently addressed.
Phenytoin (PHT), used as an anti-seizure medication, has an established side effect of causing drug-influenced gingival enlargement. Its stimulatory effects on soft tissue metabolism suggested PHT to be tested topically for its effectiveness in wound healing. However, none of the previous studies that investigated topical phenytoin has assessed gingival recession; except for a case series.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients having gingival recession types RT1 and RT2
Patients refusing surgical treatment options of their gingival recession.
Disqualifiers
Patients who underwent periodontal surgery in the affected teeth.
Patients with sensitivity to the medication used in the study.
Patients with systemic problems or administering drugs which could affect their periodontium or healing.
Pregnant or lactating women.
Trial design
Parallel
Treatments tested in this trial
phenytoin cream
DrugPhenytoin 1% paste
Placebo
Other interventionplacebo paste
Treatment groups
Trial outcomes
Primary outcomes
Clinical Attachment loss
measured by Periodontal probe (distance from cemento-enamel junction to base of the pocket)
Secondary outcomes
gingival recession
Measured by periodontal probe (distance from gingival margin to cemento-enamel junction)
probing depth
Measured by periodontal probe (distance from gingival margin to base of the pocket)
gingival thickness
Measured by periodontal probe (is the probe visible during probing or not? Yes/No)
Keratinized tissue width
Measured by periodontal probe
Locations
Sponsors and contacts
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