Modified Coronally Advanced Tunnel for Gum Recession
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new gum surgery technique to treat gum recession, specifically on the tongue side of the lower teeth. The surgery, called the Modified Coronally Advanced Tunnel with Connective Tissue Graft, uses tissue from the roof of the mouth to cover exposed roots. Researchers aim to assess how effectively this technique covers the roots and improves gum health over time. It suits adults with significant gum recession on certain teeth who smoke fewer than 10 cigarettes a day and have otherwise healthy gums. Participants will be monitored for up to 24 months to evaluate healing and comfort after the surgery. As an unphased trial, this study offers a unique opportunity to contribute to pioneering research and potentially benefit from an innovative treatment.
Do I need to stop taking my current medications for the trial?
The trial requires that you do not take certain medications that affect gum tissues, like phenytoin, calcium channel blockers, or immunosuppressants, and you cannot be on blood thinners. If you're on these medications, you might need to stop them to participate.
What prior data suggests that the Modified Coronally Advanced Tunnel technique is safe for treating gum recession?
Research has shown that the Modified Coronally Advanced Tunnel (MCAT) technique, combined with a connective tissue graft, is generally well-tolerated for treating receding gums. In past studies, patients who underwent this type of gum surgery experienced successful outcomes, with much of the exposed tooth root covered and improved gum thickness.
These studies also reported minimal side effects, primarily typical post-surgery discomfort such as mild pain and swelling. These effects are common in dental surgeries and usually resolve on their own without causing major issues.
Overall, the MCAT technique with a connective tissue graft has been safely used in similar dental procedures, supporting its safety for patients.12345Why are researchers excited about this trial?
The Modified Coronally Advanced Tunnel with Connective Tissue Graft is unique because it uses a specialized surgical technique to address gum recession, specifically targeting mandibular lingual gingival recessions. Unlike traditional treatments like the Coronally Advanced Flap or the Pinhole Surgical Technique, this method involves a deepithelialized connective tissue graft that is carefully placed to promote better tissue integration and stability. Researchers are excited about this approach because it has the potential to provide longer-lasting results and improved aesthetics by effectively covering exposed roots and encouraging natural tissue growth.
What evidence suggests that the Modified Coronally Advanced Tunnel technique is effective for gum recession?
Research has shown that the modified coronally advanced tunnel (MCAT) technique with a connective tissue graft effectively treats gum recession. One study found that this method can cover up to 90% of the exposed tooth root, effectively protecting the root. Connective tissue grafts, which use tissue from the roof of the mouth, enhance results by thickening and stabilizing the gums. Other studies have found that this technique also increases patient comfort and satisfaction. Overall, these findings suggest that the MCAT technique is a reliable option for treating gum recession.13678
Who Is on the Research Team?
Andrea Ravida, DDS, MS, PhD
Principal Investigator
University of Pittsburgh, Department of Periodontics and Preventive Dentistry
Are You a Good Fit for This Trial?
This trial is for adults aged 18-65 with gum recession of at least 3 mm on the tongue side of lower front or side teeth. Participants must have healthy single-rooted teeth, good oral hygiene, smoke less than 10 cigarettes a day, and enough tissue in the roof of their mouth for grafting.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo the Modified Coronally Advanced Tunnel technique with a connective tissue graft
Early Healing
Participants are monitored for early post-operative complications and healing progress
Follow-up
Participants are monitored for safety and effectiveness after treatment, with assessments of root coverage and patient-reported outcomes
What Are the Treatments Tested in This Trial?
Interventions
- Modified Coronally Advanced Tunnel with Connective Tissue Graft
Trial Overview
The study tests a surgical technique called Modified Coronally Advanced Tunnel with connective tissue graft from the roof of the mouth to treat gum recession on the inside (tongue side) of lower teeth. Outcomes like root coverage and healing are measured over up to two years.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Adults with single or multiple Cairo RT1 mandibular lingual gingival recessions of at least 3 mm on mandibular incisors, canines, or premolars who will receive standardized Modified Coronally Advanced Tunnel surgery with a deepithelialized connective tissue graft and will be followed for up to 24 months.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pittsburgh
Lead Sponsor
Citations
Comparing Connective Tissue Grafts and Collagen Matrix in ...
The modified coronally advanced tunnel (MCAT) technique has been used for gingival recession treatment, providing a promising outcome for ...
Coronally Advanced Flap versus Tunnel on the treatment ...
Coronally advanced flap (CAF) and tunneling (TUN) techniques were evaluated for treating gingival recessions and peri-implant mucosal defects.
3.
ctv.veeva.com
ctv.veeva.com/study/effectiveness-of-meshed-connective-tissue-graft-for-treatment-of-multiple-adjacent-gingival-recessioEffectiveness of Micro Connective Tissue Graft for Treatment ...
The objective of this project is to evaluate 1-year outcomes of treatment of MAGRD using a modified coronally advanced tunnel technique (MCAT) with either ...
Modified Coronally Advanced Tunnel Technique With Porcine ...
ABSTRACT. Objectives. To assess the efficacy of the modified coronally advanced tunnel technique (MCAT) with a porcine dermal matrix (PDM) ...
Root coverage surgeries using modified tunneling technique ...
This study was designed as a prospective, randomized controlled clinical trial with a parallel design to investigate and compare the outcomes ...
A Novel Vertical Y-shaped Tunnel Approach Versus ...
In this study we propose a novel vertical tunnel technique as a minimally invasive approach (Vertical Y-shaped Tunnel Approach) and evaluate clinical results in ...
7.
springermedizin.de
springermedizin.de/recession-coverage-using-the-modified-coronally-advanced-tunnel-/23399834Recession coverage using the modified coronally ...
To evaluate the 5-year results of single and multiple recession type (RT) 1 and 2 (Miller I to III) recessions treated with the modified coronally advanced ...
Clinical and Aesthetic Outcomes of Multiple Gingival ...
The efficacy of modified coronally advanced tunnel in the treatment of maxillary or mandibular GR has not been conclusively proved yet. Given the paucity of ...
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