The Effect of Free Gingival Graft on Root Closure
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-99
SponsorBerceste Guler
About this trial
Free gingival graft is a mucogingival surgical technique applied to increase keratinized gingival width and reduce gingival recession. Free gingival graft is one of the most widely used approaches in root closure treatments and in increasing the height of the keratinized gingiva. Evaluation of the effect of the amount of creeping attachment on the root surface caused by the free gingival grafts placed coronally and apical to the mucogingival line on the gingival recession in the mandibular anterior region with keratinized gingival deficiency with gingival recession. Forty patients with gingival recession and insufficient keratinized gingival height will be randomly divided into 2 main groups as free gingival grafts to be placed coronal and apical to the gingival recession.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
18-99 years old
The patient does not have any systemic disease
Presence of at least one tooth with gingival recession in the mandibular anterior region
Excessive dentin sensitivity and impaired esthetics associated with recession
Disqualifiers
Being outside the specified age range
Any contraindication for systematic periodontal surgery
Failure to define the enamel-cementum boundary in the withdrawal region
Presence of caries, restoration, root concavity in the area to be treated
Trial design
Design model
Crossover
Treatments tested in this trial
Free gingival graft placed apically
Procedure/SurgeryFor free gingival graft operation, the recipient area will be prepared with a half-thickness flap. A graft with a thickness of approximately 1.5 mm and a width and height of the recipient bed will be obtained from the palatal region in accordance with the recipient bed, and it will be sutured by placing it in the apical region of the gingival recession according to the randomly selected positioning technique.
Free gingival graft placed coronally
Procedure/SurgeryFor free gingival graft operation, the recipient area will be prepared with a half-thickness flap. A graft with a thickness of approximately 1.5 mm and a width and height of the recipient bed will be obtained from the palatal region in accordance with the recipient bed, and it will be sutured by placing the coronal region of the gingival recession according to the randomly selected positioning technique.
Treatment groups
40 Participants
are divided into 2 treatment groupsGroup A: Free gingival grafts to be placed apical to the gingival recession.Active comparator 1 intervention
Group B: Free gingival grafts to be placed coronal to the gingival recession.Active comparator 1 intervention
Trial outcomes
Primary outcomes
1
1. Percent closure of the gingival recession
It is calculated by dividing the pre- and post-surgical values of the exposed root surface.
Time frame
Postoperatively 1th month, Postoperatively 3th month, Postoperatively 6th month, Postoperatively 12th monthSecondary outcomes
1
2. Keratinized mucosa width change
It is the pre- and post-surgical variation of the distance from the free gingival margin to the mucogingival junction line.
Time frame
Postoperatively 1th month, Postoperatively 3th month, Postoperatively 6th month, Postoperatively 12th month2
3. Keratinized mucosa width thickness change
It is the pre- and post-surgical variation of the distance measured between the gingival surface and hard tissue with a standard periodontal probe inserted perpendicular to the keratinized gingiva.
Time frame
Postoperatively 1th month, Postoperatively 3th month, Postoperatively 6th month, Postoperatively 12th month3
4. Vestibular sulcus depth change
It is the pre- and post-surgical variation of the distance measured from the gingival margin to the base of the sulcus.
Time frame
Postoperatively 1th month, Postoperatively 3th month, Postoperatively 6th month, Postoperatively 12th monthSponsors and contacts
Click on the lead sponsor to view all of their trials.
Berceste Guler
Lead sponsor
Kutahya Health Sciences University
Sponsor institution
Source ClinicalTrials.gov