Gingival Recession, GeneralizedNCT07727707
Ultrasonographic Vascular Supply
An observational study of Gingival Recession, Generalized, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
Trial summary
Pre-operative ultrasound enables visualization of mandibular arterial branches relevant to flap design in mucogingival surgery. This study documents the pre-and post operative course of these arteries in four CAF procedures using a CE-marked ulstrasound device within its intended purpose. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Gingival Recession, Generalized
- How many people
- 4 participants
- Where
- 1 siteBelgium
- Study dates
- 2 Apr 2026to 30 Jun 2026
- How long will I take part?
- 4 Months
- Phase
- Observational
- 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Potential participants will be identified and recruited during participant consultations at the department of periodontology. No additional recruitment material (such as for example flyers, social media advertising, audio/video recordings) will be used.
Who may be able to join
- Age ≥ 18 years.
- Presence of at least one mandibular gingival recession defect (RT1 or RT2) at an anterior, canine, or premolar tooth with an indication for treatment using a coronally advanced flap (CAF).
- Good oral hygiene: full-mouth plaque score (FMPS) ≤ 20% and full-mouth bleeding score (FMBS) ≤ 20%.
- Periodontal stability: no active or untreated periodontitis; probing depths ≤ 4 mm at the study site.
- Ability to undergo pre-operative and post-operative ultrasound imaging and clinical documentation.
- No contraindication to local anaesthesia or minor periodontal surgery.
- Ability and willingness to comply with all scheduled follow-up visits (days 7, 14, 30 and 4 months).
- Provision of written informed consent prior to any study-related procedures.
Who cannot join
- Systemic contraindications to minor oral surgery (ASA ≥ III, uncontrolled diabetes mellitus [HbA1c > 7.5%], immunosuppressive therapy, bleeding disorders, or coagulation abnormalities).
- Current antithrombotic therapy that cannot be safely managed peri-operatively according to the treating clinician.
- Smoking more than 10 cigarettes per day or equivalent vaping within the previous 6 months.
- Previous mucogingival surgery, traumatic scarring, or soft-tissue grafting in the mandibular anterior or premolar region that could interfere with vascular assessment.
- Active oral infection or acute gingival inflammation at or near the study site.
- Untreated caries, endodontic pathology, or restorative defects at the involved tooth.
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- Pregnancy or lactation.
- Known allergy or hypersensitivity to ultrasound gel or (if applied) indocyanine green (ICG) or iodine.
- Liver dysfunction or other medical contraindication precluding ICG use (relevant only if optional perfusion imaging is performed).
- Inability or unwillingness to comply with study procedures or follow-up schedule.
Trial locations and contacts
1 site in 1 country.
Belgium1 site
UZLeuven, Campus St. Raphaël, Department Oral Health Sciences, Periodontology
Leuven, Vlaams Brabant, 3000
About this study
Official title: Ultrasonographic Evaluation of the Vascular Supply After Coronally Advanced Flap Surgery in the Lower Jaw: a Clinical Case Series
Pre-operative ultrasound enables visualization of mandibular arterial branches relevant to flap design in mucogingival surgery. This study documents the pre-and post operative course of these arteries in four CAF procedures using a CE-marked ulstrasound device within its intended purpose.
Read the detailed description
Pre-operative ultrasound imaging offers a non-invasive method to visualize superficial arteries of the mandible and can complement the surgeon's anatomical knowledge when planning incisions for CAF procedures. By mapping the vascular network before surgery and comparing it with intra- and post-operative findings, clinicians can better understand how arterial patterns relate to surgical anatomy and flap perfusion.
This prospective case series documents four CAF procedures (single recession lower incisors, multiple recessions lower incisors, single recession lateral posterior, multiple recessions lateral posterior) performed in the mandibular anterior region, aiming to describe the course and variability of the mental, ascending mental, submental, and inferior labial arteries. The ultrasound system used is CE-marked and applied strictly within its intended purpose (soft-tissue imaging). The study seeks to enhance anatomical awareness.
- Conditions
- Gingival Recession, Generalized
- Keywords
- ultrasonography, Vascular supply, Mucogingival surgery, Coronally Advanced Flap Surgery, arterial structure, visualization
- Medical subject headings
- Gingival Recession
What is being measured
The primary outcome is the main question the study is designed to answer.
Correlation
Correlation between pre-operative ultrasound findings and intra-/post-operative visualization of mandibular arterial branches (mental, ascending mental, submental, and inferior labial arteries), expressed as agreement in location, trajectory, and branching pattern
Measured: Immediately after surgery
Secondary outcomes (5)
Intra-operative bleeding
Incidence and severity of intra-operative bleeding (mild, moderate, severe)
Measured: during surgery
perfusion or ischemic changes
Presence of perfusion or ischemic changes in the flap area, evaluated clinically
Measured: 14 days after surgery
Clinical outcome: percentage of root coverage
Clinical outcome including percentage of root coverage (%RC)
Measured: 4 months after surgery
Clinical Outcome: Gain in keratinized tissue
Clinical outcome, including gain in keratinized tissue (KT, mm)
Measured: 4 months after surgery
Feasibility of pre-operative ultrasound mapping
ability to visualize and identify relevant arterial branches before surgery (yes/no)
Measured: 10 minutes before surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jul 2026
- Study start2 Apr 2026
- Primary completion30 Apr 2026
- Study completion30 Jun 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gingival Recession, GeneralizedStudies of the same condition, open and under way.
- More trials run by Universitaire Ziekenhuizen KU LeuvenThe sponsor's other registered studies.
- 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
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 4 participants (actual)
- Target duration
- 4 Months
Sponsor and investigators
- Lead sponsor
- Universitaire Ziekenhuizen KU Leuven
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Andy Temmerman, professor, Principal investigator, UZLeuven Department of Oral Health Sciences, Periodontology
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07727707
- Sponsor's protocol ID
- S71602
- Status last verified
- Jul 2026
- First submitted
- 17 Jul 2026
- Last updated
- 27 Jul 2026
- Results posted
- No
- 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 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Ultrasonographic Evaluation of the Vascular Supply After Coronally Advanced Flap Surgery in the Lower Jaw: a Clinical Case Series
- ClinicalTrials.gov ID
- NCT07727707
- Acronym / sponsor ID
- S71602
- Conditions
- Gingival Recession, Generalized
- Keywords
- ultrasonography, Vascular supply, Mucogingival surgery, Coronally Advanced Flap Surgery, arterial structure, visualization
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4 participants (actual)
- Lead sponsor
- Universitaire Ziekenhuizen KU LeuvenUniversity, hospital or other
- Study start
- 2 Apr 2026 (actual)
- Primary completion
- 30 Apr 2026 (actual)
- Study completion
- 30 Jun 2026 (actual)
- First posted
- 27 Jul 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.
Pre-operative ultrasound enables visualization of mandibular arterial branches relevant to flap design in mucogingival surgery. This study documents the pre-and post operative course of these arteries in four CAF procedures using a CE-marked ulstrasound device within its intended purpose.
Detailed description
Pre-operative ultrasound imaging offers a non-invasive method to visualize superficial arteries of the mandible and can complement the surgeon's anatomical knowledge when planning incisions for CAF procedures. By mapping the vascular network before surgery and comparing it with intra- and post-operative findings, clinicians can better understand how arterial patterns relate to surgical anatomy and flap perfusion.
This prospective case series documents four CAF procedures (single recession lower incisors, multiple recessions lower incisors, single recession lateral posterior, multiple recessions lateral posterior) performed in the mandibular anterior region, aiming to describe the course and variability of the mental, ascending mental, submental, and inferior labial arteries. The ultrasound system used is CE-marked and applied strictly within its intended purpose (soft-tissue imaging). The study seeks to enhance anatomical awareness.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Target follow-up
- 4 Months
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Potential participants will be identified and recruited during participant consultations at the department of periodontology. No additional recruitment material (such as for example flyers, social media advertising, audio/video recordings) will be used.
Key inclusion criteria (8 listed)
- Age ≥ 18 years.
- Presence of at least one mandibular gingival recession defect (RT1 or RT2) at an anterior, canine, or premolar tooth with an indication for treatment using a coronally advanced flap (CAF).
- Good oral hygiene: full-mouth plaque score (FMPS) ≤ 20% and full-mouth bleeding score (FMBS) ≤ 20%.
- Periodontal stability: no active or untreated periodontitis; probing depths ≤ 4 mm at the study site.
- Ability to undergo pre-operative and post-operative ultrasound imaging and clinical documentation.
Key exclusion criteria (10 listed)
- Systemic contraindications to minor oral surgery (ASA ≥ III, uncontrolled diabetes mellitus [HbA1c > 7.5%], immunosuppressive therapy, bleeding disorders, or coagulation abnormalities).
- Current antithrombotic therapy that cannot be safely managed peri-operatively according to the treating clinician.
- Smoking more than 10 cigarettes per day or equivalent vaping within the previous 6 months.
- Previous mucogingival surgery, traumatic scarring, or soft-tissue grafting in the mandibular anterior or premolar region that could interfere with vascular assessment.
- Active oral infection or acute gingival inflammation at or near the study site.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Correlation
Time frame: Immediately after surgery
Correlation between pre-operative ultrasound findings and intra-/post-operative visualization of mandibular arterial branches (mental, ascending mental, submental, and inferior labial arteries), expressed as agreement in location, trajectory, and branching pattern
5 secondary outcomes
Intra-operative bleeding
Time frame: during surgery
perfusion or ischemic changes
Time frame: 14 days after surgery
Clinical outcome: percentage of root coverage
Time frame: 4 months after surgery
Clinical Outcome: Gain in keratinized tissue
Time frame: 4 months after surgery
Feasibility of pre-operative ultrasound mapping
Time frame: 10 minutes before surgery
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 Jul 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.
Andy Temmerman, professor principal investigator
UZLeuven Department of Oral Health Sciences, Periodontology
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Gingival Recession, Generalized, run by Universitaire Ziekenhuizen KU Leuven at 1 site in Belgium.
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 8 inclusion and 10 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 Jul 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 Belgium. 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. 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?
Correlation (time frame: Immediately after surgery). 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 Jul 2026; AzTrials last refreshed its copy on 28 Oct 2026.