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Status unknownNCT03454490Updated Mar 6, 2018

Pseudoaneurysm of the Greater Palatine Artery Following Autogenous Connective Tissue Gingival Graft : A Case Series

An observational study in Pseudoaneurysm, sponsored by Hopital de l'Enfant-Jesus. Status unknown. Per ClinicalTrials.gov, last updated 2018-03-06.

Sponsored by Hopital de l'Enfant-Jesus · Observational

The sponsor has not verified this record recently (last verified Mar 2018), so the status shown — last known as Not yet recruiting — may be out of date.
Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
10
Sex
All
01

Study summary

Gingival recession is defined as the apical migration of the gingival margin from the amelocemental junction. This condition may be associated with symptoms such as tooth hypersensitivity, root decay, and cosmetic complaints from patients. Many treatments have been used to treat gingival recession and the gold standard is the autogenous connective tissue gingival graft because of its predictability. This type of gingival graft is performed by harvesting connective tissue from patients' hard palate. Periodontists and general dentists frequently perform these gingival grafts. Occasionally, some patients develop postoperative complications that need to be addressed in an hospital setting. An uncommon but concerning complication of an autogenous connective tissue gingival graft is a donor site pseudoaneurysm of the greater palatine artery. No description of this complication following a gingival graft has been identified in the current literature. One case report mentioned that pseudoaneurysm of the greater palatine artery looks like a pulsatile nodule associated or not with pain on palpation. From the experience of the investigators, patients may consult an hospital setting having a complaint of major oral bleeding. Local hemostatic agents can palliate this type of bleeding, but angiographic embolization is often required. Several cases were treated in the investigators' hospital. Thus, the investigators believe it is relevant to share this experience with the scientific community. The primary objective of this case series is to inform dental professionals of the existence and the management of postoperative pseudoaneurysm of the greater palatine artery following autogenous gingival graft. The secondary objective is to find potential solutions to minimize the incidence of this morbid complication.

02

Conditions studied

  • Pseudoaneurysm

Keywords

  • Gingival graft
  • Pseudoaneurysm
  • Postoperative complication
  • Gingival recession treatment
  • Palatine mass
  • Palatine bleeding
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In context

Postoperative Complications

1,269 studies on the registry are indexed under Postoperative Complications; 299 are open to participants now.

This study's planned enrollment of 10 is below the median of 251 across 531 observational studies indexed under Postoperative Complications.

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Lead sponsor

Hopital de l'Enfant-Jesus is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients having a diagnostic of pseudoaneurysm of the greater palatine artery who had an autogenous connective tissue gingival graft

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Population : Patients having a diagnostic of pseudoaneurysm of the greater palatine artery who had an autogenous connective tissue gingival graft
  • Intervention : Patients treated with local hemostatic agents or by angiographic embolization
  • Comparison : None

Exclusion criteria

Exclusion Criteria:

  • Missing data in patients' chart precluding complete data extraction
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
10 participants (estimated)
Patient registry
No

Interventions

  • ProcedurePostoperative pseudoaneurysm of the greater palatine artery

    Patients had an autogenous connective tissue gingival graft.

06

What researchers measure

Primary outcomes

  1. Postoperative oral bleeding

    Complication following autogenous connective tissue gingival graft

    Time frame: One month following autogenous connective tissue gingival graft

Secondary outcomes

  1. Use of local hemostatic agents

    Palliative method before definitive care

    Time frame: Six months

  2. Secondary effects following angiographic intervention

    Postoperative infection, bone or gum necrosis, extrusion of embolization material, loss of tooth, tooth devitalization following angiographic intervention

    Time frame: Six months

  3. Number of followups required

    Secondary effects following angiographic intervention

    Time frame: Six months

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Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Yadav AP, Kulloli A, Shetty S, Ligade SS, Martande SS, Gholkar MJ. Sub-epithelial connective tissue graft for the management of Miller's class I and class II isolated gingival recession defect: A systematic review of the factors influencing the outcome. J Investig Clin Dent. 2018 Aug;9(3):e12325. doi: 10.1111/jicd.12325. Epub 2018 Feb 9. PubMed 29424485 ↗
  • Tozum TF, Keceli HG, Guncu GN, Hatipoglu H, Sengun D. Treatment of gingival recession: comparison of two techniques of subepithelial connective tissue graft. J Periodontol. 2005 Nov;76(11):1842-8. doi: 10.1902/jop.2005.76.11.1842. PubMed 16274302 ↗
  • Byun HY, Oh TJ, Abuhussein HM, Yamashita J, Soehren SE, Wang HL. Significance of the epithelial collar on the subepithelial connective tissue graft. J Periodontol. 2009 Jun;80(6):924-32. doi: 10.1902/jop.2009.080673. PubMed 19485822 ↗
  • Thomas J, Patel NS, Viroslav A, Sheykholeslami K. Greater palatine artery pseudoaneurysm presenting as a slow-growing palatal mass. J Oral Maxillofac Surg. 2013 Apr;71(4):e164-7. doi: 10.1016/j.joms.2012.11.017. Epub 2013 Jan 29. No abstract available. PubMed 23375075 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03454490
Lead sponsor
Hopital de l'Enfant-Jesus
Responsible party
Simon Jean (Principal Investigator, Hopital de l'Enfant-Jesus) — Principal investigator
First posted
Mar 6, 2018
Start date
Mar 2018 (estimated)
Primary completion
Jul 2018 (estimated)
Completion
Jul 2018 (estimated)
Last update
Mar 6, 2018

Study contacts

Simon Jean, DMD
Contact
simon.jean.4@ulaval.ca
1-418-649-0252 ext. 63972
Marianne Bouchard-Asselin, DMD
Contact
marianne.bouchard-asselin.1@ulaval.ca
1-418-649-0252 ext. 63972
Melinda Paris, DMD, FRCD
study director · Hopital de l'Enfant-Jesus, CHU de Quebec, Laval University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2018. You cannot join it, but the record below documents what was studied.

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