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In this study it will be investigated the usefulness of Platelet-Rich Fibrin (PRF) on in the epithelialized connective tissue graft palatal donor site healing acceleration and in the patient's morbidity reduction. Forty patients, with at least one gingival recession will be treated by a coronally advanced flap (CAF) with connective tissue graft(CTG) resulting from the de-epithelialization of a free gingival graft. In the test group (20 patients) a quadruple layer of PRF membrane will be placed over the palatal wounds; conversely, the control group patients will be treated by an absorbable gelatin sponge. Patients will be monitored at 1, 2, 3 and 4 weeks after surgery for the complete re-epithelialization of the palatal wound (CWE), the alteration of sensibility (AS) around the wound area, the post-operative discomfort (D), and the changes of feeding habits (CFH) by a visual analogic scale (VAS) evaluation. Furthermore, the analgesics consumption and the existence of delayed bleeding from the palatal wound (DWB) during the first post-operative week will be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Palatal wound bandage by PRF | Experimental | Intervention: In the test group (n=20 patients) the palatal wound will be protected by a quadruple layer of Platelet Rich Fibrin obtained by folding on itself 2 Platelet Rich Fibrin membranes |
|
| Palatal wound bandage by gelatin sponge | Placebo Comparator | Intervention: The control group patients (n=20) will have their palatal wound medicated by absorbable gelatin sponge. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Palatal wound bandage | Procedure | Treatment of Palatal wounds by Platelet Rich Fibrin or absorbable gelatin sponge. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome is to assess the time needed to obtain a complete re epithelialization of the palatal wound | four weeks |
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Inclusion Criteria: are as follows:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Michele Paolantonio, MD; DDS | Contact | +393395204073 | mpaoantonio@unich.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| G. d'Annunzio University | Chieti | CH | 66100 | Italy |
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| ID | Term |
|---|---|
| D005889 | Gingival Recession |
| D010146 | Pain |
| ID | Term |
|---|---|
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
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| D055093 |
| Periodontal Atrophy |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |