The Effect of Vertically Coronally Advanced Flap With Sub-epithelial Connective Tissue Graft Versus Coronally Advanced Flap With Sub-epithelial Connective Tissue Graft on Gingival Recession.

The Effect of Vertically Coronally Advanced Flap With Sub-epithelial Connective Tissue Graft Versus Coronally Advanced Flap With Sub-epithelial Connective Tissue Graft on Gingival Recession: A Randomized Clinical Trial

The aim of this randomized clinical trial will be to assess the change in recession depth after using a vertically coronally advanced flap with sub-epithelial connective tissue graft compared to a coronally advanced flap with sub-epithelial connective tissue graft after 6 months.

To test new approaches for root coverage for the treatment of RT1 and RT2 gingival recession.

Inclusion Criteria:

• • Age ≥ 18 years.

  • Systemically healthy.
  • Non-smokers.
  • Full-mouth plaque index (PI) and full-mouth bleeding on probing (BOP) score of ≤ 15%.
  • Presence of identifiable CEJ.
  • Absence of non-carious cervical lesions.
  • Mature permanent tooth in the aesthetic zone.
  • At least one recession defect type RT1 and/ or RT2 in the upper or lower jaw.
  • Thin gingival phenotype (GT < 0.8 mm) via probe transparency method.
  • A minimum of (2 mm KTW).

Exclusion Criteria:

• Any systemic disease.
• Pregnancy or lactation.
• Cairo RT3 recession defects.
• Teeth with active orthodontic treatment.
• Previous periodontal surgery in the area.
• Use of any drugs that might lead to gingival enlargement.
• Smoking.
• Caries, restoration, mobility, unstable endodontic condition, and malocclusion in teeth undergoing treatment.