An interventional study of Modified laterally stretched technique with a connective tissue graft. in Gingival Recession, sponsored by Cairo University. Active, not recruiting at 1 site in Egypt. Open to participants aged 18 Years to 50 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-10-02.
Sponsored by Cairo University · Not applicable, Interventional, and Treatment
Regression analysis in a recent systematic review showed significantly greater mRC and CRC values when modifications are done to the TUN procedure to achieve more coronal advancement of the flap, coronal advancement also helps in covering the underlying graft for better recession coverage outcomes (Tavelli et al., 2018), limited data is present on the possible influence of a covered or partially uncovered graft. However, it has been suggested that minimal exposure of the CTG may aid not only in achieving CRC but also a harmonious gingival margin (John et al., 2015; Rasperini et al., 2011).
402 studies on the registry are indexed under Gingival Recession; 98 are open to participants now.
This study's enrollment of 26 is below the median of 30 across 368 interventional studies indexed under Gingival Recession.
Browse Gingival Recession studies →Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.
Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
After the administration of local anesthesia, root planing of the exposed root surfaces will be performed by means of hand instruments. A partial thickness envelope is performed with tunneling instruments involving one or two teeth adjacent to the tooth, in case of a very thin biotype a complete thickness envelope could be done. Two horizontal incisions are done at the base of the papillae of the deepest recession site, allowing to place the graft in a more coronal position and improving access and visibility.
Procedure: Modified laterally stretched technique with a connective tissue graft.
Immediately before surgery, contact point composite stops were placed to prevent the collapse of the suspended sutures in the inter-proximal spaces.• The entire gingival papillary complex will be moved coronally using a suspended suture anchored in the lingual gingiva (Aroca et al., 2010, 2013; Azzi et al, 2002, zuhr et al.,2009).
Procedure: Modified laterally stretched technique with a connective tissue graft.
Modified laterally stretched technique with a connective tissue graft.
Recession depth reduction.
Measured as the difference between the recession gingival depth at different follow up intervals and the baseline.
Time frame: 1 year
Mean root coverage
(Preoperative vertical recession - Postoperative vertical recession/preoperative vertical recession) x 100
Time frame: 1 year
Recession depth
Measured as the distance between the free gingival margin and the cemento-enamel junction .
Time frame: 1 year
Recession width
Measured as the distance between the between the mesial gingival margin and distal gingival margin
Time frame: 1 year
Soft tissue thickness
The measurement of Gingival tissue thickness is performed 2 mm apical from the gingival margin.
Time frame: 1 year
Keratinized tissue width
Measured as the distance between the gingival margin and the muco-gingival junction.
Time frame: 1 year
Esthetics (RES) score
A system used to evaluate five variables 6 months gingival margin (GM), marginal tissue contour (MTC), soft tissue texture (STT), MGJ alignment, and gingival color (GC).
Time frame: 1 year
patient satisfaction
A 3-item questionnaire is asked, and the patients shall use a 7-point answer scale. The answers were given on a 7-point scale ranging from 1 'not at all'' to 7 ''very likely''.
Time frame: 1 year
Plan to share: No
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This study is active, not recruiting, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.
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Cairo University