Gingival RecessionPhase 1/2NCT07437885
Effects of the Adjunctive Use of Hyaluronic Acid-based Gel With Coranally Advanced Flap in the Gingival Recession
A Phase 1/2 study testing Hyaluronic acid and Steril saline solution in people with Gingival Recession, run by Ordu University at 1 site in Turkey (Türkiye).
Trial summary
The study aimed to evaluate the effect of Hyaluronic Acid-based gel use in addition to the coronally advanced flap (CAF) technique in type 1 gingival recession (RT1) on postoperative morbidity, clinical parameters, and patient satisfaction, analyzed at baseline and 6 months. Read more about this study
- Who is it for?
- Ages 18 to 55 years
- Conditions the study is for
- Gingival Recession
- What is being tested?
- Hyaluronic acid and Steril saline solution
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 20 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Sep 2024to 10 Aug 2025
- Phase
- Phase 1/2
- 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 18 to 55 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Double-sided type 1 gingival recession
- No inflammation
Who cannot join
- active periodontal disease
- smokers
- pregnant and breastfeeding women
- individuals with unilateral GR
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Clinical Efficacy and Patient Experience of Adjunctive Hyaluronic Acid-based Gel Application With Coronally Advanced Flap in Type 1 Gingival Recession: A Randomized Controlled Clinical Trial
The study aimed to evaluate the effect of Hyaluronic Acid-based gel use in addition to the coronally advanced flap (CAF) technique in type 1 gingival recession (RT1) on postoperative morbidity, clinical parameters, and patient satisfaction, analyzed at baseline and 6 months.
Read the detailed description
The aim of this study is to evaluate the effect of HA use in addition to the coronally advanced flap (CAF) technique in type 1 gingival recession (RT1) on postoperative morbidity, clinical parameters, and patient satisfaction, analyzed at baseline and 6 months.
This split-mouth study included 20 patients (9 males, 11 females) with a mean age of 42.10±9.46 years who were diagnosed with bilateral RT1 gingival recession in the maxilla. The right and left defect areas of the 20 patients were randomly assigned to two groups. The control group received CAF (n=20), and the test group received CAF+HA (n=20). Pre-treatment plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment level (CAL), vertical recession depth (VRD), horizontal recession width (HRW), gingival thickness (GT), attached gingival (AG), and keratinized gingival width (KGW) were recorded. Additionally, a satisfaction analysis was conducted, including patient-based comfort (PBC), aesthetic (PEA), and sensitivity (PHS) scores. During the operation, a 0.8% HA gel was applied to the defect areas in the test group, in addition to CAF, while saline was applied to the control group, also in addition to CAF. Pain, bleeding, and edema scores, as well as the amount of painkillers, were recorded during the 9-day postoperative period. Clinical parameter measurements and patient satisfaction analyses were repeated 6 months after surgical treatment.
- Conditions
- Gingival Recession
- Being tested
- Hyaluronic acid, Steril saline solution
- Medical subject headings
- Gingival Recession
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Hyaluronic acidDrug
0.8% hyaluronic acid gel (Gengigel Oral Forte Gel, Ricefarma, Milan, Italy)
Steril saline solutionOther
Mix 8 teaspoons of salt into 4 L of distilled water
| Study group | Role | What they receive |
|---|---|---|
| Coranally Advanced Flap and Hyaluronic Acid-Based Gel application | Active comparator | Coronally advanced flap and adjunctive use of 0.8% hyaluronic acid-based gel Receives: Drug: Hyaluronic acid |
| Coranally Advanced Flap | Placebo comparator | Only Coronally advanced flap Receives: Other: Steril saline solution |
What is being measured
The primary outcome is the main question the study is designed to answer.
Complete root coverage
for evaluating rate of complete root coverage
Measured: 6 months postsurgery
Mean root coverage
for evaluating rate of mean root coverage
Measured: 6 months postsurgery
Secondary outcomes (24)
Plaque Index
to assess plaque accumulation
Measured: Baseline
Plaque Index
to assess plaque accumulation
Measured: 6 months post surgery
Gingival Index
for evaluating gingival inflammation
Measured: Baseline
Gingival index
for evaluating gingival inflammation
Measured: 6 montsh post surgery
Probing pocket depth
for measuring disease severity
Measured: Baseline
Probing pocket depth
for measuring disease severity
Measured: 6 months post surgery
Clinical attachment level
Clinical attachment level (CAL) is calculated by adding or subtracting probing depth (PD) and gingival recession (GR). The formula is CAL = PD + GR. CAL is measured in millimeters.
Measured: Baseline
Clinical attachment level
Clinical attachment level (CAL) is calculated by adding or subtracting probing depth (PD) and gingival recession (GR). The formula is CAL = PD + GR. CAL is measured in millimeters.
Measured: 6 months post surgery
Vertical recession depth
for evaluating gingival recession depth
Measured: Baseline
Vertical recession depth
for evaluating gingival recession depth
Measured: 6 months postsurgery
Horizontal gingival recession
for evaluating gingival recession depth
Measured: Baseline
Horizontal gingival recession
for evaluating gingival recession depth
Measured: 6 months postsurgery
Attached gingival width
for evaluating attached gingival width
Measured: Baseline
Attached gingival width
for evaluating attached gingival width
Measured: 6 months postsurgery
Keratinized gingival width
for evaluating keratinized gingival width
Measured: Baseline
Keratinized gingival width
for evaluating keratinized gingival width
Measured: 6 months postsurgery
Gingival thickness
for evaluating gingival thickness
Measured: Baseline
Gingival thickness
for evaluating gingival thickness
Measured: 6 months postsurgery
Patient comfort score
Patient satisfaction was assessed using a visual analog scale (VAS). "unbearable discomfort (score 0)" to "no discomfort (score 10)".
Measured: Baseline
Patient comfort score
Patient satisfaction was assessed using a visual analog scale (VAS). "unbearable discomfort (score 0)" to "no discomfort (score 10)".
Measured: 6 months postsurgery
Patient aesthetic score
Poor-unexpected aesthetics (score 0) → beautiful-perfect aesthetics (score 10) using VAS scale
Measured: Baseline
Patient aesthetic score
Poor-unexpected aesthetics (score 0) → beautiful-perfect aesthetics (score 10) using VAS scale
Measured: 6 months post surgery
Patient sensitivity score
painless-discomfort no (score 0) → unbearable pain (score 10) using VAS scale
Measured: Baseline
Patient sensitivity score
painless-discomfort no (score 0) → unbearable pain (score 10) using VAS scale
Measured: 6 months postsurgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Feb 2026
- Study start1 Sep 2024
- Primary completion30 Jul 2025
- Study completion10 Aug 2025
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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Ordu University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Prof.Dr. Figen ÖNGÖZ DEDE, Ordu University
- Investigators
- Figen Öngöz Dede, Prof, Principal investigator, Ordu Universitesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07437885
- Sponsor's protocol ID
- 2024/178
- Status last verified
- Feb 2026
- First submitted
- 20 Feb 2026
- Last updated
- 27 Feb 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 27 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Efficacy and Patient Experience of Adjunctive Hyaluronic Acid-based Gel Application With Coronally Advanced Flap in Type 1 Gingival Recession: A Randomized Controlled Clinical Trial
- ClinicalTrials.gov ID
- NCT07437885
- Acronym / sponsor ID
- 2024/178
- Conditions
- Gingival Recession
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Ordu UniversityUniversity, hospital or other
- Study start
- 1 Sep 2024 (actual)
- Primary completion
- 30 Jul 2025 (actual)
- Study completion
- 10 Aug 2025 (actual)
- First posted
- 27 Feb 2026 (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 study aimed to evaluate the effect of Hyaluronic Acid-based gel use in addition to the coronally advanced flap (CAF) technique in type 1 gingival recession (RT1) on postoperative morbidity, clinical parameters, and patient satisfaction, analyzed at baseline and 6 months.
Detailed description
The aim of this study is to evaluate the effect of HA use in addition to the coronally advanced flap (CAF) technique in type 1 gingival recession (RT1) on postoperative morbidity, clinical parameters, and patient satisfaction, analyzed at baseline and 6 months.
This split-mouth study included 20 patients (9 males, 11 females) with a mean age of 42.10±9.46 years who were diagnosed with bilateral RT1 gingival recession in the maxilla. The right and left defect areas of the 20 patients were randomly assigned to two groups. The control group received CAF (n=20), and the test group received CAF+HA (n=20). Pre-treatment plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment level (CAL), vertical recession depth (VRD), horizontal recession width (HRW), gingival thickness (GT), attached gingival (AG), and keratinized gingival width (KGW) were recorded. Additionally, a satisfaction analysis was conducted, including patient-based comfort (PBC), aesthetic (PEA), and sensitivity (PHS) scores. During the operation, a 0.8% HA gel was applied to the defect areas in the test group, in addition to CAF, while saline was applied to the control group, also in addition to CAF. Pain, bleeding, and edema scores, as well as the amount of painkillers, were recorded during the 9-day postoperative period. Clinical parameter measurements and patient satisfaction analyses were repeated 6 months after surgical treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Coranally Advanced Flap and Hyaluronic Acid-Based Gel application | Active comparator | Drug: Hyaluronic acidCoronally advanced flap and adjunctive use of 0.8% hyaluronic acid-based gel |
| Coranally Advanced Flap | Placebo comparator | Other: Steril saline solutionOnly Coronally advanced flap |
Who may qualify
- Ages
- 18 to 55 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Double-sided type 1 gingival recession
- No inflammation
Key exclusion criteria (4 listed)
- active periodontal disease
- smokers
- pregnant and breastfeeding women
- individuals with unilateral GR
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 |
|---|---|---|
| Hyaluronic acid0.8% hyaluronic acid gel (Gengigel Oral Forte Gel, Ricefarma, Milan, Italy) | Drug | Coranally Advanced Flap and Hyaluronic Acid-Based Gel application |
| Steril saline solutionMix 8 teaspoons of salt into 4 L of distilled water | Other | Coranally Advanced Flap |
Primary outcome
Complete root coverage
Time frame: 6 months postsurgery
for evaluating rate of complete root coverage
Mean root coverage
Time frame: 6 months postsurgery
for evaluating rate of mean root coverage
24 secondary outcomes
Plaque Index
Time frame: Baseline
Plaque Index
Time frame: 6 months post surgery
Gingival Index
Time frame: Baseline
Gingival index
Time frame: 6 montsh post surgery
Probing pocket depth
Time frame: Baseline
Probing pocket depth
Time frame: 6 months post surgery
Clinical attachment level
Time frame: Baseline
Clinical attachment level
Time frame: 6 months post surgery
Vertical recession depth
Time frame: Baseline
Vertical recession depth
Time frame: 6 months postsurgery
Horizontal gingival recession
Time frame: Baseline
Horizontal gingival recession
Time frame: 6 months postsurgery
Attached gingival width
Time frame: Baseline
Attached gingival width
Time frame: 6 months postsurgery
Keratinized gingival width
Time frame: Baseline
Keratinized gingival width
Time frame: 6 months postsurgery
Gingival thickness
Time frame: Baseline
Gingival thickness
Time frame: 6 months postsurgery
Patient comfort score
Time frame: Baseline
Patient comfort score
Time frame: 6 months postsurgery
Patient aesthetic score
Time frame: Baseline
Patient aesthetic score
Time frame: 6 months post surgery
Patient sensitivity score
Time frame: Baseline
Patient sensitivity score
Time frame: 6 months postsurgery
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 27 Feb 2026.
- Individual participant dataSharing planned: No
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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.
Figen Öngöz Dede, Prof principal investigator
Ordu Universitesi
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Hyaluronic acid and Steril saline solution in people with Gingival Recession, run by Ordu University at 1 site in Turkey (Türkiye).
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 2 inclusion and 4 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 27 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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?
Complete root coverage (time frame: 6 months postsurgery). The study lists 2 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 27 Feb 2026.