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Microsurgical Instruments and Magnification May Enhance Treatment Outcomes Of Laterally Moved, Coronally Advanced Flap in Miller Class III Isolated Recession Defects

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT02281071
First Posted: November 3, 2014
Last Update Posted: November 4, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Information provided by (Responsible Party):
Onur Ozcelik, Cukurova University
  Purpose

The benefits of microsurgical approaches in periodontal therapy have been described. The main focus of this study is to determine if using microsurgical LMCAF technique would improve the outcomes of the therapy for the Miller Class III isolated recession-type defects.

Six months results of this study showed that LMCAF with microsurgical approach offered better complete and mean root coverage results over macrosurgical LMCAF technique. The superior effect of microsurgical approach on post-operative morbidity can make this technique more preferable for the patients who expected comfortable postoperative period.

This study supports that using the microsurgical aproach with LMCAF procedure significantly affects the clinical and patient-centered success of treating Miller Class III isolated typed defects.


Condition Intervention
Gingival Recession, Mucogingival Surgery Procedure: laterally moved coronally advanced flap with microsurgical instruments and x2.5 loupe

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Microsurgical Instruments and Magnification May Enhance Treatment Outcomes Of Laterally Moved, Coronally Advanced Flap in Miller Class III Isolated Recession Defects

Further study details as provided by Onur Ozcelik, Cukurova University:

Primary Outcome Measures:
  • the percentage of root coverage [ Time Frame: at 6 months ]

Enrollment: 50
Study Start Date: January 2012
Study Completion Date: October 2014
Primary Completion Date: March 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: laterally moved coronally advanced flap microsurgical
For the test group (LMCAF-M), the surgical procedures were performed with the aid of a galilean loupe, under 2.5x magnification vision, microsurgical instruments and microsurgical suture material .
Procedure: laterally moved coronally advanced flap with microsurgical instruments and x2.5 loupe
The recipient area for the laterally moved flap was prepared. When the flap was moved in the distal-mesial direction another short horizontal incision was performed at the most apical extension of this vertical incision. Once the mucogingival line was reached, flap elevation was continued split-thickness. Flap elevation was terminated when it was possible to passively move the flap laterally above the exposed root. Flap was sutured.
Active Comparator: laterally moved coronally advanced flap macrosurgical
For the control group (LMCAF), LMCAF was performed with conventional instruments (detaylı) and materials (stur). Loupe magnification, microsurgical instruments and suture material were not used in the control group.
Procedure: laterally moved coronally advanced flap with microsurgical instruments and x2.5 loupe
The recipient area for the laterally moved flap was prepared. When the flap was moved in the distal-mesial direction another short horizontal incision was performed at the most apical extension of this vertical incision. Once the mucogingival line was reached, flap elevation was continued split-thickness. Flap elevation was terminated when it was possible to passively move the flap laterally above the exposed root. Flap was sutured.

  Eligibility

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Ages Eligible for Study:   22 Years to 39 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Presence of Miller Class III isolated gingival recessions located at upper and lower incisors and canines (Miller 1985)
  • Presence of identifiable cementoenamel junction (CEJ)
  • Presence of a step ≤ 2mm at CEJ level and/or the presence of a root abrasion, but with an identifiable CEJ
  • Lateral keratinized tissue width at least 6 mm greater than the width of the recession measured at the level of the cemento-enamel junction (CEJ)
  • Lateral keratinized tissue height at least 2 mm greater than the buccal probing depth of the adjacent tooth/teeth
  • Full-mouth plaque score and full-mouth bleeding score of < 15% (four sites/tooth) -No occlusal interferences; all patients were nonsmokers

Exclusion Criteria:

  • Tooth with a prosthetic crown or restoration involving CEJ
  • Patients with a history of destructive periodontal disease (o zaman class 3 nasıl oluştu demiş adam) or repeated abscess formation
  • Presence of systemic disease or taking medications known to interfere with periodontal tissue health or healing (patients with insulin-dependent diabetes
  • History of malignancy, radiotherapy, or chemotherapy for malignancy
  • Disease affecting connective tissue metabolism)
  • Patient pregnant or nursing during the past 5 months
  • Patients who participated in a clinical trial within the past 6 months
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02281071


Locations
Turkey
Cukurova University
Adana, Turkey, 01330
Sponsors and Collaborators
Cukurova University
  More Information

Responsible Party: Onur Ozcelik, Professor doctor PhD, Cukurova University
ClinicalTrials.gov Identifier: NCT02281071     History of Changes
Other Study ID Numbers: CukurovaU2
First Submitted: October 30, 2014
First Posted: November 3, 2014
Last Update Posted: November 4, 2014
Last Verified: October 2014

Additional relevant MeSH terms:
Gingival Recession
Gingival Diseases
Periodontal Diseases
Mouth Diseases
Stomatognathic Diseases
Periodontal Atrophy