An interventional study of Buccal muco-gingival tissue graft and Palatal connective tissue graft in Free Mucogingival Grafts, Gingival Recession and Root Coverage, sponsored by Universidad de Murcia. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-19.
Sponsored by Universidad de Murcia · Not applicable, Interventional, and Treatment
The goal of this clinical trial is to to describe and evaluate an approach, free mucogingival graft (FMG), in periodontal plastic surgery for root coverage (RC) in lower incisor gingival recessions (GR) with mucogingival conditions and deformities (MCD) that might negatively influence the outcomes of conventional RC procedures.
402 studies on the registry are indexed under Gingival Recession; 98 are open to participants now.
This study's planned enrollment of 24 is below the median of 30 across 368 interventional studies indexed under Gingival Recession.
Browse Gingival Recession studies →Universidad de Murcia is the lead sponsor of 78 studies on the registry; 16 are open to participants now.
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Exclusion Criteria:
Patient characteristics:
Defects:
Procedure: Buccal muco-gingival tissue graft
Procedure: Palatal connective tissue graft
Recipient Site Preparation. In the GR, a sulcular incision limited to the vestibular face will be made, which will continue until reaching the tip of the buccal papillae on each side of the GR. Two vertical incisions from the base of the two papillae to the bottom of the vestibule and one horizontal incision will connect the ends of both vertical incisions to remove the pedicle tissue. The exposed root surface will be cleaned and smoothed with mini-curettes. Donor site preparation. The incisions will be made in the same way as in the recipient area, including both papillae. The vertical incision will measure the distance from the cementoenamel junction (CEJ) to the bony dehiscence in the GR tooth, plus at least 2 mm. The tissue between the incisions will be elevated fjull or partial thickness close to the bone in the keratinized portion and superficially in the mucosal portion. A soft tissue substitute will be adapted and sutured to protect the donor site.
Recipient Site Preparation. In the GR, a sulcular incision limited to the vestibular face will be made, which will continue until reaching the tip of the buccal papillae on each side of the GR. Two vertical incisions from the base of the two papillae to the bottom of the vestibule and one horizontal incision will connect the ends of both vertical incisions to remove the pedicle tissue. The exposed root surface will be cleaned and smoothed with mini-curettes. Donor site preparation A connective tissue graft will be taken from the palatal area, at the level of the premolars, which will include the two papillae. The size of the graft will be the same as that of the recipient area. A soft tissue substitute will be adapted and sutured to protect the donor site, especially if there is exposed bone.
buccal Recession (bREC)
Buccal recession measurement, will be assessed with a periodontal probe, measured in mmm on the buccal aspect, from the CEJ to the gingival margin zenith.
Time frame: 12 months
buccal Clinical Attachment Level (bCAL)
bCAL will be assessed with a periodontal probe, measured in mm from the CEJ to the bottom of the pocket, on the buccal aspect.
Time frame: 12 months
interproximal Clinical Attachment Level (iCAL)
iCAL will be assessed with a periodontal probe, measured in mm from the CEJ to the bottom of the pocket, on the interproximal aspect.
Time frame: 12 months
Interproximal papilla tip location (PT)
Taking as reference the level of the mid-axis of the tooth, PT will be measured the distance from the CEJ at the zenith of the tooth to the tip of the papilla. A positive value will be recorded when the tip of the papillae is located coronally to the CEJ and a negative value otherwise. This outcome will be assessed with a periodontal probe and measured in mmm.
Time frame: 12 months
keratinized tissue width (KT)
KT will be assessed with a periodontal probe, measured in mm on the buccal aspect, from the gingival margin to the mucogingival line.
Time frame: 12 months
vestibule depth (VD)
VD will be measured, from the mucosal margin to the point of greatest concavity of the mucobuccal fold. The measure will be assessed with a periodontal probe in mm.
Time frame: 12 months
Soft tissue attached to alveolar bone (STAB)
STAB will be measured from the gingival margen to the perpendicular mucosal insertion. The measure will be assessed with a periodontal probe in mm.
Time frame: 12 months
Root Coverage (RC percentage)
RC percentage will be calculated by the following formula: \[(basaline recession depth - 12 months recession depth) / basaline recession depth\] x100. The measure will be assessed with a periodontal probe in mm.
Time frame: 12 months
Complete root coverage (CRC)
It will assessed if the gingival margen is at or above the CEJ. The measure will be assessed with a periodontal probe in mm.
Time frame: 12 months
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Universidad de Murcia