The principle object of periodontal treatment is to eliminate and control of etiologic factors, cessation of disease progress and obtain acquiesce biologic and functional outcome and obtain healthy and esthetic position that patents want to have it. marginal gingival recession is problem that all of the time can discontent patients from esthetic and root sensitivity perspective.
Periodontal disease and traumatic use of root brush and another things can cause gingival recession. the aim of this study is evaluate of clinical outcome after treatment of marginal gingival recession with semilunar coronally reposition flap with free gingival graft technique. we think this technique with the lowest trauma and lowest patients inconvenience in comparison with other technique. twelve samples selected from patients they are gone to the academy of periodontology and implantology of babol dental university .and they have age range 18-65 and they want to treatment miller class I gingival recession in one or more teeth among maxillary and premolar. before and after 1,3 and six month of surgery. we will module and register amount of probing depth ,recession height, width of keratinized gingival and clinical attachment level with william’s probe at midbuccal of respective teeth.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT201101015519N1
Registration date:2011-04-24, 1390/02/04
Registration timing:registered_while_recruiting
Last update:
Update count:0
Registration date
2011-04-24, 1390/02/04
Registrant information
Name
Amirhosein Shakoorpour
Name of organization / entity
Babol University of Medical sciences, Dental school
Country
Iran (Islamic Republic of)
Phone
+98 11 1229 1408
Email address
a.shakoorpour@mubabol.ac.ir
Recruitment status
Recruitment complete
Funding source
Babol univrsity of medical science, dental school
Expected recruitment start date
2010-09-27, 1389/07/05
Expected recruitment end date
2011-11-26, 1390/09/05
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
evaluation of Semilunar coronally position flap with free gingival graft for root coverage.
Public title
evaluation of Semilunar coronally position flap with free gingival graft for root coverage.
Purpose
Treatment
Inclusion/Exclusion criteria
INCLUSION CRITERIA: age range 18-65 and miller class I gingival recession in one or more teeth among maxillary incisors ,canines and premolars.
EXCLUSION CRITERIA: systemic disease ,it can has effect on tissue healing ,for example , uncontrolled diabete ,immune deficiency disease ,local & systemic bone disease, history of alcohol consumption , cigarette consumption , pregnancy ,consumption of immune drugs and anti coagulant, don’t have adequate cooperation , untreatment periodontal disease ,can not do oral hygiene procedure or don’t want to have oral hygiene .
Age
From 18 years old to 65 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
12
Randomization (investigator's opinion)
N/A
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Single
Other design features
after complete examination of patients and oral hygiene instruction ,we will start scaling/root planning and complete polishing with rubber cap and light abrasive paste in 2 session. we will start treatment when patient can have good and adequate oral hygiene and eliminate microbial plaque. we will use plaque index (sillness & loe ) for evaluating periodontal condition in all time o this study. Before and after 1,3 and 6 month of surgery we will module and register amount of probing depth, recession width, recession height ,width of keratinized tissue ,clinical attachment level with William’s probe at mid buccal of tooth.SURGICAL PROCEDURE:Tarnow technique (semilunar coronally positioned flap) surgery is primed with local anesthesia with lidocain contain epinephrine . semilunar incision is made following the curvature of the recede gingival margin and ending about 2-3mm short of the tip of the papillae. Derives all its blood supply from the Papillary area. the incision may need to reach the alveolar mucosa if the attach gingival is narrow.perform a split thickness dissection coronally from the incision .the tissue will collapse coronally ,covering the denuded root it is then held in its new position for a few minutes with moist gauze. there is no need to suture or to pack. this technique is very simple and predictably provide 2-3mm of root coverage. In technique was suggested in our research after incision at MGJ and coronally displaced of the tissue in apically position, tissue graft that supplies from the hard palate (first molar and premolar area)and have 1mm thickness and with the holding [vicryl (5-0)]suturing stable in its position. donor site is sutured with silk (3-0).after dressing prescribe amoxicillin (500mgr TID) and for prevent of pain and inflammation NSAIDs (ibuprofen 400mgr QID) is prescribed for one week. Mouth wash chlorhexidine (0.2%) (manufacture of royaye behdasht factory ) is prescribed for two weeks. donor site dressing and change it after 7 days and remove after 14 days. We remove suture after 14 days and patient except surgery location perform a usual oral hygiene procedure. use of tooth brush at surgery location is prohibited for 1 month. and remove microbial plaque with the cotton swab that sinking in chlorhexidine. After 4 weeks we will educate patients to use soft tooth brush and use roll technique as atraumatic procedure for cleaning a surgical location. patients will visit every week at a first months and after 3 and 6 month after surgery every 3 month complete oral hygiene procedure will perform.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Babol University of Medical Sciences
Street address
Mazandaran ,Babol-Gang afrooz ave,University of Medical Sciences
in the mid- buccal region by William's prob in millimeter
2
Description
recession width
Timepoint
1,3,6 month
Method of measurement
in the mid- buccal region by William's prob in millimeter
3
Description
recession height
Timepoint
1,3,6 month
Method of measurement
in the mid- buccal region by William's prob in millimeter
4
Description
width of keratinized gingiva
Timepoint
1,3,6 month
Method of measurement
in the mid- buccal region by William's prob in millimeter
5
Description
clinical attachment level
Timepoint
1,3,6 month
Method of measurement
in the mid- buccal region by William's prob in millimeter
Secondary outcomes
empty
Intervention groups
1
Description
SURGICAL PROCEDURE:
Tarnow technique (semilunar coronally positioned flap) surgery is primed with local anesthesia with lidocain contain epinephrine .step1: semilunar incision is made following the curvature of the recede gingival margin and ending about 2-3mm short of the tip of the papillae. Derives all its blood supply from the Papillary area. the incision may need to reach the alveolar mucosa if the attach gingival is narrow. step 2:perform a split thickness dissection coronally from the incision .step 3: the tissue will collapse coronally ,covering the denuded root it is then held in its new position for a few minutes with moist gauze. there is no need to suture or to pack. this technique is very simple and predictably provide 2-3mm of root coverage. In technique was suggested in our research after incision at MGJ and coronally displaced of the tissue in apically position, tissue graft that supplies from the hard palate (first molar and premolar area)and have 1mm thickness and with the holding [vicryl (5-0)]suturing stable in its position. donor site is sutured with silk (3-0).after dressing prescribe amoxicillin (500mgr TID) and for prevent of pain and inflammation NSAIDs (ibuprofen 400mgr QID) is prescribed for one week. Mouth wash chlorhexidine (0.2%) (manufacture of royaye behdasht factory ) is prescribed for two weeks. donor site dressing and change it after 7 days and remove after 14 days. We remove suture after 14 days and patient except surgery location perform a usual oral hygiene procedure. use of tooth brush at surgery location is prohibited for 1 month. and remove microbial plaque with the cotton swab that sinking in chlorhexidine. After 4 weeks we will educate patients to use soft tooth brush and use roll technique as a traumatic procedure for cleaning a surgical location. patients will visit every week at a first months and after 3 and 6 month after surgery every 3 month complete oral hygiene procedure will perform.
Category
Treatment - Surgery
Recruitment centers
1
Recruitment center
Name of recruitment center
Department of Periodontology and Implantology of Babol Dental School
Full name of responsible person
Dr. Amirhosein shakoorpour post doctoral student
Street address
Babol.Gang afrooz ave. Dental school- Department of Periodontology
City
Babol
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Babol University of Medical Sciences . Dental School
Full name of responsible person
Dr .Amirhosein Shakoorpour
Street address
Babol ,Gang afrooz ave,University of Medical Science
City
Babol
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Babol University of Medical Sciences . Dental School
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Babol. Dental school,Department of periodontology
Full name of responsible person
Dr Amirhosein Shakoorpour
Position
dentist,post doctoral student of periodontology
Other areas of specialty/work
Street address
Babol,Velayat square, Felestin ave, Dental school, Department of Periodontology and implantology
City
Babol
Postal code
Phone
+98 11 1229 1408
Fax
Email
a.shakoorpour@mubabol.ac.ir
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Babol university of medical sciences ,Dental school