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IRCT201101015519N1 IRCT 2011-04-24 Babol University of Medical Sciences . Dental School evaluation of Semilunar coronally position flap with free gingival graft for root coverage. evaluation of Semilunar coronally position flap with free gingival graft for root coverage. 2010-09-27 anticipated 12 Complete https://irct.ir/trial/5920 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment, 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. N/A Gingival recession. 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..
public Dr Amirhosein Shakoorpour
Babol,Velayat square, Felestin ave, Dental school, Department of Periodontology and implantology
Babol Iran (Islamic Republic of) +98 11 1229 1408 a.shakoorpour@mubabol.ac.ir Babol. Dental school,Department of periodontology scientific Dr.Amirhosein Shakoorpour
Babol, Velayat square,Felestin ave, Dental school
Babol Iran (Islamic Republic of) +98 11 1229 1408 a.shakoorpour@mubabol.ac.iramirhosain_shakoorpoor@yahoo.com Babol university of medical sciences ,Dental school Iran (Islamic Republic of) 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 . 18 years 65 years Both K06.0 Gingival recession (generalized)(localized)(postinfective)(post-operative) Treatment - Surgery 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. Probing depth. Timepoint: 1,3,6 month. Method of measurement: in the mid- buccal region by William's prob in millimeter. Recession width. Timepoint: 1,3,6 month. Method of measurement: in the mid- buccal region by William's prob in millimeter. Recession height. Timepoint: 1,3,6 month. Method of measurement: in the mid- buccal region by William's prob in millimeter. Width of keratinized gingiva. Timepoint: 1,3,6 month. Method of measurement: in the mid- buccal region by William's prob in millimeter. Clinical attachment level. Timepoint: 1,3,6 month. Method of measurement: in the mid- buccal region by William's prob in millimeter. Babol University of Medical Sciences . Dental School Approved 2011-02-08 Babol University of Medical Sciences Mazandaran ,Babol-Gang afrooz ave,University of Medical Sciences Babol Iran (Islamic Republic of)