Gum Graft Techniques for Gum Recession
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial examines two methods for placing gum grafts to treat gum recession in individuals with thin gum tissue. Researchers aim to determine if removing all tissue from the bone before placing the graft (Gum Graft Placed on Denuded Bone) is as effective as leaving a thin tissue layer (Gum Graft Placed on Split Thickness Periosteal Bed Preparation). They will compare the effectiveness of each method over 12 months, focusing on healing and patient comfort. Individuals with thin gums, gum recession in the front bottom teeth, and who do not smoke may be suitable candidates for this trial. As an unphased trial, this study provides an opportunity to enhance understanding of effective treatments for gum recession.
Will I have to stop taking my current medications?
The trial does not specify if you need to stop taking your current medications. However, if you are on medications that affect wound healing or have taken antibiotics in the past 3 months, you may not be eligible to participate.
What prior data suggests that these gum graft techniques are safe?
Research has shown that gum grafts, like those under study, usually yield good results but can cause discomfort. Patients often report pain, swelling, and bruising, particularly if the surgery exceeds an hour. Healing typically takes about 4-8 weeks. Some studies have identified risks such as bone loss and further gum recession over time. However, gum grafts generally prove effective for treating gum recession. Prospective participants should discuss any concerns or questions with their healthcare provider before joining a trial.12345
Why are researchers excited about this trial?
Researchers are excited about the gum graft techniques being tested because they explore innovative ways to treat gum recession. Unlike traditional methods, which often use a gum graft on a split thickness periosteal bed, one approach in this trial uses a graft on denuded bone, where all the tissue is removed. This technique could potentially enhance healing and integration of the graft by providing a more stable and direct contact with the bone. If successful, it might offer a more effective solution for patients suffering from gum recession, leading to better long-term outcomes.
What evidence suggests that these gum graft techniques are effective for gum recession?
This trial will compare two gum graft techniques for treating receding gums. Research has shown that gum grafts placed directly on exposed bone, which participants in one arm of this trial will receive, have a success rate of over 90%, making them a reliable choice for covering exposed roots. However, the graft might shrink or the tissue might not survive if it doesn't receive enough blood. Participants in another arm of this trial will receive the split thickness approach, which leaves some tissue on the bone and has success rates between 84.83% and 87.7% for treating receding gums. Both methods help increase the width of the tough gum tissue, which is important for healthy gums.678910
Who Is on the Research Team?
Carlos Garaicoa, DDS, MS
Principal Investigator
University of Iowa College of Dentistry
Are You a Good Fit for This Trial?
This trial is for adults aged 18-95 with inactive gum disease, thin gums (<1.5mm depth), insufficient keratinized tissue, shallow vestibule depth, or aberrant frenum needing grafts. Eligible participants must not be current smokers and have no recent soft tissue procedures in the area of interest.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Prophylaxis
Participants undergo prophylaxis before random assignment and surgery
Treatment
Participants are randomly assigned to Group A or Group B and receive gum graft surgery
Post-operative
Participants attend post-operative visits to monitor recovery and collect digital data
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Gum Graft Placed on Denuded Bone
- Gum Graft Placed on Split Thickness Periosteal Bed Preparation
Trial Overview
The study compares two methods of placing gum grafts in patients with thin gums: directly on denuded bone versus on a split thickness bed with some tissue left. Over 12 months, researchers will assess clinical outcomes and patient satisfaction through eight scheduled visits.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Subjects in this arm will have a free epithelialized gingival/mucosal graft (gum graft) placed on full thickness periosteal bed preparation where all of the tissue was removed (test group).
Group B will have a free epithelialized gingival/mucosal graft (gum graft) on split thickness periosteal bed preparation where only a portion of the tissue was removed (control group).
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Who Is Running the Clinical Trial?
University of Iowa
Lead Sponsor
Published Research Related to This Trial
Citations
Treatment of Gingival Recession and Root Coverage ...
The success rates ranged from 11% to 53% for gingival grafts [10]. The success rate of the subepithelial connective tissue graft technique ...
Surgical management of gingival recession: A clinical update
Encouraging results could be also achieved when bone grafts were added ... graft: results of 107 recession defects in 50 consecutively treated patients.
Treatment of Gingival Recession: When and How?
The portion of a FGG placed on the denuded root surface does not have a good blood supply, and therefore, graft shrinkage or early necrosis may occur.
What is the Success Rate for a Free Gingival Graft?
Gingival grafts are historically a highly successful procedure with a success rate higher than 90%. Gum grafts are effective in treating gum recession.
5.
journals.lww.com
journals.lww.com/jisp/fulltext/2019/23020/efficacy_of_free_gingival_graft_in_the_treatment.4.aspxEfficacy of free gingival graft in the treatment of Miller...
The result of this systematic review presented with greater reduction in gingival recession depth with gain in WKG and CAL and reduction in probing depth ...
6.
arlingtondentalma.com
arlingtondentalma.com/blog/gum-graft-surgery-success-and-possible-complicationsGum Graft Surgery: Success and Possible Complications
Soft tissue healing generally takes 4-8 weeks to return to normal. Healing time also depends on how much tissue (thickness and area) was taken ...
Long-term evaluation (20 years) of the outcomes ...
Thus, the aims of this study are two-fold: 1) to evaluate the long-term outcomes following SCTG + CAF in the treatment of gingival recessions (GR) and 2) to ...
Soft tissue conditioning around teeth: A narrative review
Despite the latter being less aggressive, both techniques resulted in bone loss, gingival recession, and inconsistent gains of KT [26,[81], [82], [83], [84], [ ...
9.
brookhavendentalassociates.com
brookhavendentalassociates.com/post/when-is-it-too-late-for-gum-graftingWhen Is It Too Late For Gum Grafting?
Advanced recession can lead to tooth mobility, infection, and bone loss. Attempting gum grafting too late may increase the risks of graft ...
Complications and treatment errors in root coverage ...
Patients reported experiencing more pain, swelling, and bruising when the duration of the periodontal surgery was 60 minutes or longer. Pain ...
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