Gingival RecessionNCT03676088
Comparative Evaluation of CTG With and Without rhPDGF- BB Using Modified Coronally Advanced Tunnel for Root Coverage
A study testing root coverage in people with Gingival Recession, run by Krishnadevaraya College of Dental Sciences & Hospital.
Trial summary
The present study is a human, prospective, single centre, single blind, comparative controlled randomized clinical trial for the treatment of Miller's Class I, II or combination of class I and II mandibular recession and comparing the clinical outcomes prior to and 6 months after treatment. Read more about this study
- Who is it for?
- Ages 21 to 58 yearsHealthy volunteers can take part
- Conditions the study is for
- Gingival Recession
- What is being tested?
- root coverage
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 6 participants
- Where
- No sites listed yet
- Study dates
- Nov 2016to Jul 2018
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 21 to 58 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Patients fulfilling the following criteria were included in the study:-
- Two or more teeth with Miller's class I and II or combined class I and II recession defects in mandibular anteriors.
- Age group 21-58 years.
- Patients with healthy or treated periodontal conditions.
- Patients willing to participate in the study.
- Absence of uncontrolled medical conditions.
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- Patients with full mouth plaque score </= 10%(O'Leary 1972)
- Patients with esthetic concerns.
- Patients with thick gingival biotype >0.8mm
Who cannot join
- Pregnant or lactating females.
- Tobacco smoking.
- Uncontrolled medical conditions.
- Untreated periodontal conditions.
- Use of systemic antibiotics in the past 3 months.
- Patients treated with any medication known to cause gingival hyperplasia.
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- Drug and alcohol abuse
- No occlusal interferences.
- Patient with a known hypersensitivity to rhPDGF-BB.
About this study
Official title: Comparative Evaluation of rhPDGF- BB With Modified Coronally Advanced Tunnel and CTG Versus Modified Coronally Advanced Tunnel With CTG Alone for Root Coverage in Multiple Mandibular Gingival Recession Defects- A RCT
The present study is a human, prospective, single centre, single blind, comparative controlled randomized clinical trial for the treatment of Miller's Class I, II or combination of class I and II mandibular recession and comparing the clinical outcomes prior to and 6 months after treatment. The trial is in accordance to the Consolidated Standards of Reporting Trials (CONSORT) criteria, 2010.
Read the detailed description
24 recession defects were selected in patients who were systemically and periodontally healthy, satisfying the determined inclusion criteria. Patients with at least two or more teeth having Miller's class I , II or combination of class I and II mandibular recession defects were included in the study. A detailed, thorough medical and dental history was obtained and each patient was subjected to comprehensive clinical and radiological examination. All patients were informed about the nature of the study, surgical procedure involved, potential benefits and risks associated with the surgical procedure and a written informed consent was obtained from all patients.
The patients were assigned into two treatment groups (test and control). The test group was treated with recombinant human Platelet Derived Growth Factor-BB and Modified Coronally Advanced Tunnel +Connective Tissue Graft whereas the control group was treated by Modified Coronally Advanced Tunnel +Connective Tissue Graft alone.
- Conditions
- Gingival Recession
- Being tested
- root coverage
- Medical subject headings
- Gingival Recession
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
root coverageProcedure or surgery
Also called root coverage with/without growth factor
recession coverage is treated with modified coronally advanced tunnel with connective tissue graft with recombinant human platelet derived growth factor- BB for Experimental: Test group and without recombinant human platelet derived growth factor- BB for Active Comparator: Control group
| Study group | Role | What they receive |
|---|---|---|
| Test group - rhPDGF-BB+MCAT+CTG | Experimental | Root coverage surgical procedure.The patients were assigned into two treatment groups (test and control). Intervention - The test group recession coverage is treated with modified coronally advanced tunnel with connective tissue graft with recombinant human platelet derived growth factor- BB Receives: Procedure: root coverage |
| Control group - MCAT+CTG | Active comparator | Root coverage surgical procedure.The patients were assigned into two treatment groups (test and control). Intervention - The control group recession coverage is treated with modified coronally advanced tunnel with connective tissue graft alone Receives: Procedure: root coverage |
What is being measured
The primary outcome is the main question the study is designed to answer.
Gingival recession depth (GRD)
measured as the distance from the Cemento Enamel Junction to the gingival margin
Measured: 6 months
2. Gingival Recession Width (GRW)
measured as the distance between the mesial gingival margin and distal gingival margin
Measured: 6 months
Mean root coverage(MRC)
(Baseline recession depth - 6 month recession depth/Baseline recession depth)*100
Measured: 6 months
Complete root coverage(CRC)
root coverage regarded as complete with gingival margin located at the level of Cemento Enamel Junction
Measured: 6 months
coverage esthetic score(RCES)
The Aesthetic evaluation was performed according to the root coverage aesthetic score system (RES)
Five Variables evaluated which are as follows:
- Level of Gingival margin (GM)
- Marginal Tissue Contour (MTC)
- Soft Tissue Texture (STT)
- Mucogingival Junction(MJ) alignment
- Gingival Colour (GC)
Measured: 6 months
Secondary outcomes (3)
probing pocket depth (PD)
measured as the distance from the gingival margin to the base of gingival sulcus
Measured: 6 months
clinical attachment level (CAL)
measured as Gingival Recession Depth + Probing Depth
Measured: 6 months
width of keratinized tissue (KTW)
measured as the distance from the mucogingival junction to the gingival margin , with the mucogingival junction location determined using a visual method (Schiller's Potassium Iodide Solution).
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Sep 2018
- Study startNov 2016
- Primary completionJul 2018
- Study completionJul 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gingival RecessionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- The patients were assigned into two treatment groups (test and control). The test group was treated with recombinant human Platelet Derived Growth Factor-BB and Modified Coronally Advanced Tunnel +Connective Tissue Graft whereas the control group was treated by Modified Coronally Advanced Tunnel +Connective Tissue Graft alone.
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 6 participants (actual)
Sponsor and investigators
- Lead sponsor
- Krishnadevaraya College of Dental Sciences & Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Dr. Joann P George, MDS, Study director, Krishnadevaraya College of Dental Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03676088
- Sponsor's protocol ID
- 02_D012_71663
- Status last verified
- Sep 2018
- First submitted
- 8 May 2018
- Last updated
- 25 Sep 2018
- Results posted
- No
- FDA-regulated drug
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Sep 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Evaluation of rhPDGF- BB With Modified Coronally Advanced Tunnel and CTG Versus Modified Coronally Advanced Tunnel With CTG Alone for Root Coverage in Multiple Mandibular Gingival Recession Defects- A RCT
- ClinicalTrials.gov ID
- NCT03676088
- Acronym / sponsor ID
- 02_D012_71663
- Conditions
- Gingival Recession
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 6 participants (actual)
- Lead sponsor
- Krishnadevaraya College of Dental Sciences & HospitalUniversity, hospital or other
- Study start
- Nov 2016 (actual)
- Primary completion
- Jul 2018 (actual)
- Study completion
- Jul 2018 (actual)
- First posted
- 18 Sep 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The present study is a human, prospective, single centre, single blind, comparative controlled randomized clinical trial for the treatment of Miller's Class I, II or combination of class I and II mandibular recession and comparing the clinical outcomes prior to and 6 months after treatment. The trial is in accordance to the Consolidated Standards of Reporting Trials (CONSORT) criteria, 2010.
Detailed description
24 recession defects were selected in patients who were systemically and periodontally healthy, satisfying the determined inclusion criteria. Patients with at least two or more teeth having Miller's class I , II or combination of class I and II mandibular recession defects were included in the study. A detailed, thorough medical and dental history was obtained and each patient was subjected to comprehensive clinical and radiological examination. All patients were informed about the nature of the study, surgical procedure involved, potential benefits and risks associated with the surgical procedure and a written informed consent was obtained from all patients.
The patients were assigned into two treatment groups (test and control). The test group was treated with recombinant human Platelet Derived Growth Factor-BB and Modified Coronally Advanced Tunnel +Connective Tissue Graft whereas the control group was treated by Modified Coronally Advanced Tunnel +Connective Tissue Graft alone.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- The patients were assigned into two treatment groups (test and control). The test group was treated with recombinant human Platelet Derived Growth Factor-BB and Modified Coronally Advanced Tunnel +Connective Tissue Graft whereas the control group was treated by Modified Coronally Advanced Tunnel +Connective Tissue Graft alone.
| Arm | Type | Receives |
|---|---|---|
| Test group - rhPDGF-BB+MCAT+CTG | Experimental | Procedure: root coverageRoot coverage surgical procedure.The patients were assigned into two treatment groups (test and control). Intervention - The test group recession coverage is treated with modified coronally advanced tunnel with connective tissue graft with recombinant human platelet derived growth factor- BB |
| Control group - MCAT+CTG | Active comparator | Procedure: root coverageRoot coverage surgical procedure.The patients were assigned into two treatment groups (test and control). Intervention - The control group recession coverage is treated with modified coronally advanced tunnel with connective tissue graft alone |
Who may qualify
- Ages
- 21 to 58 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (9 listed)
- Patients fulfilling the following criteria were included in the study:-
Key exclusion criteria (9 listed)
- Pregnant or lactating females.
- Tobacco smoking.
- Uncontrolled medical conditions.
- Untreated periodontal conditions.
- Use of systemic antibiotics in the past 3 months.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| root coverageAlso: root coverage with/without growth factorrecession coverage is treated with modified coronally advanced tunnel with connective tissue graft with recombinant human platelet derived growth factor- BB for Experimental: Test group and without recombinant human platelet derived growth factor- BB for Active Comparator: Control group | Procedure or surgery | Control group - MCAT+CTG, Test group - rhPDGF-BB+MCAT+CTG |
Primary outcome
Gingival recession depth (GRD)
Time frame: 6 months
measured as the distance from the Cemento Enamel Junction to the gingival margin
2. Gingival Recession Width (GRW)
Time frame: 6 months
measured as the distance between the mesial gingival margin and distal gingival margin
Mean root coverage(MRC)
Time frame: 6 months
(Baseline recession depth - 6 month recession depth/Baseline recession depth)*100
Complete root coverage(CRC)
Time frame: 6 months
root coverage regarded as complete with gingival margin located at the level of Cemento Enamel Junction
coverage esthetic score(RCES)
Time frame: 6 months
The Aesthetic evaluation was performed according to the root coverage aesthetic score system (RES) Five Variables evaluated which are as follows: 1. Level of Gingival margin (GM) 2. Marginal Tissue Contour (MTC) 3. Soft Tissue Texture (STT) 4. Mucogingival Junction(MJ) alignment 5. Gingival Colour (GC)
3 secondary outcomes
probing pocket depth (PD)
Time frame: 6 months
clinical attachment level (CAL)
Time frame: 6 months
width of keratinized tissue (KTW)
Time frame: 6 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Sep 2018.
- Individual participant dataSharing planned: No
Related trials for Gingival Recession
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Evaluation of the Effect of Smoking on Palatal Donor Site Tissue Profile in the Success of Connective Tissue Grafts
Soft Tissue Augmentation, Gingival Recession Localized Moderate
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Vertically Coronally Advanced Flap Versus Coronally Advanced Flap for Miller Class I Gingival Recession
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Effects of Low-Level Laser Therapy and Hyaluronic Acid After Free Gingival Graft
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Gingival Recession
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dr. Joann P George, MDS study director
Krishnadevaraya College of Dental Sciences
Questions about this trial
What is this clinical trial studying?
A study testing root coverage in people with Gingival Recession, run by Krishnadevaraya College of Dental Sciences & Hospital.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Sep 2018. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Gingival recession depth (GRD) (time frame: 6 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2018.