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The present study will be conducted as a randomized controlled clinical study to assess to evaluate the effect of minimally invasive VISTA with fascia lata allograft in the treatment of gingival recession
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Group | Experimental |
| |
| Control Group | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Vestibular incision sub-periosteal tunnel access + fascia lata | Other | The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with fascia lata |
| Measure | Description | Time Frame |
|---|---|---|
| change in Gingival recession depth | will be measured at the mid-buccal aspect of the tooth from the (CEJ) to the most apical point of the gingival margin (GM). | 2 weeks, 3 months, 6 months |
| change in Gingival recession width (GRW) | it will be measured at the mesiodistal direction of the GM at the level of CEJ | 2 weeks, 3 months, 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| change in Keratinized tissue width (KTW) | will be measured as the distance between the GM and the mucogingival junction (MGJ) | 2 weeks, 3 months, 6 months |
| change in Clinical attachment loss (CAL) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kafr El-sheikh University | Kafr Elsheikh | Egypt |
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| Vestibular incision sub-periosteal tunnel access + subepithelial connective tissue graft | Other | The vestibular incision sub-periosteal tunnel access (VISTA) technique for all groups will be done and the patients will receive VISTA techniques with subepithelial connective tissue graft CTG |
|
will be measured at the mid-buccal aspect of the tooth from CEJ to the bottom of the sulcus.
| 2 weeks, 3 months, 6 months |
| change in Probing depth (PD) | it will be measured from the GM to the bottom of the sulcus. | 2 weeks, 3 months, 6 months |
| change in Gingival thickness (GT) | it will be measured at the mid-buccal aspect of a treated tooth on the long axis, 3 mm apically from the GM using K-file 25 ISO with a silicon marker driven perpendicularly to the gingival surface after application of local anesthesia. | 2 weeks, 3 months, 6 months |
| change in Recession esthetic score (RES) | it evaluates five outcome variables (GM level, marginal tissue contour, soft tissue texture, MGJ alignment, and gingival color) leading to a final score ranging from 0 to 10 points. | 2 weeks, 3 months, 6 months |
| change in Percentage of root coverage (RC) | it will be calculated at 3 and 6 months post- operative by the following formula: (GRD baseline - GRD 3/6 months)/GRD baseline × 100% | 2 weeks, 3 months, 6 months |
| ID | Term |
|---|---|
| D005889 | Gingival Recession |
| ID | Term |
|---|---|
| D005882 | Gingival Diseases |
| D010510 | Periodontal Diseases |
| D009059 | Mouth Diseases |
| D009057 | Stomatognathic Diseases |
| D055093 | Periodontal Atrophy |
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