ClinicalTrials.gg
Not yet recruitingNCT07771244Updated Aug 21, 2026

Hyaluronic Acid and Polynucleotides With Connective Tissue Graft and Coronally Advanced Flap for RT II Gingival Recession

An interventional study of Coronally Advanced Flap with Connective Tissue Graft and Hyaluronic Acid/Polynucleotides in RT II Gingival Recession, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 15 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-08-21.

Sponsored by Cairo University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
15 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 35 studies in Gingival Recession by Cairo University — 14 open to participants now, 14 under way, 2 of them phase 3. Gingival Recession · Cairo University.

Planned enrollment
33rd of 35
12 · median 24
Started
2026
with 4 others
No phase
30 of 35
11 open now
Primary completion
2027-03
later than 11 of 13 live
Registered
35th of 35
by date

Among the 35 studies in Gingival Recession by Cairo University, this one is the 33rd largest by planned enrollment, is one of 5 that started in 2026, is one of 30 with no phase, reaches primary completion later than 11 of the 13 other live ones, and was the 35th registered.

By phase

35 studies; the count open now beside each. This study's row is marked.

No phasethis study30 · 11 open
Phase 1/22 · 1 open
Phase 2/32 · 2 open
Phase 41 · 0 open

By the year they started

First in 2014; this study’s year is marked. 5 started in 2026.

Size and results

Median enrollment 24 across the 35 interventional studies. Of the 8 that completed or were terminated, 1 (13%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 35 studies in Gingival Recession by Cairo University, or all of them as a file.
02

Study summary

This case series will evaluate the effectiveness of injectable hyaluronic acid combined with polynucleotides as an adjunct to coronally advanced flap and connective tissue graft in patients with RT II gingival recession. Twelve patients will be included and followed for 6 months. Clinical outcomes will include percentage of root coverage, clinical attachment level gain, gingival thickness, probing depth, width of keratinized tissue, post-operative pain, and patient aesthetic satisfaction.

Read the detailed description

Patients with RT II gingival recession will be treated using a coronally advanced flap combined with a de-epithelialized connective tissue graft. Approximately 1-2 mL of a hyaluronic acid and polynucleotide mixture will be applied to the graft before suturing. Patients will be followed for 6 months. Clinical measurements will include recession depth and width, percentage of root coverage, clinical attachment level, gingival thickness, probing depth, keratinized tissue width, post-operative pain, and patient esthetic satisfaction.

03

Conditions studied

  • RT II Gingival Recession

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Keywords

  • Gingival Recession
  • RT II Gingival Recession
  • Hyaluronic Acid
  • Polynucleotides
  • Coronally Advanced Flap
  • Connective Tissue Graft
04

Who can participate

Ages eligible
15 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patients with RT II gingival recession.
  • Age range: 15-60 years.
  • Systemically healthy patients with no to surgery.
  • Patients who have not had previous periodontal surgery in the area of treatment.

Exclusion criteria

Exclusion Criteria:

  • Periodontitis.
  • Active systemic disease affecting wound healing.
  • Pregnancy or breastfeeding.
  • Improperly aligned teeth or teeth with cervical restorations or crowns.
  • Non-carious cervical lesions
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    CAF + CTG + Hyaluronic Acid and Polynucleotides

    Participants with RT II gingival recession will receive coronally advanced flap surgery with a de-epithelialized connective tissue graft combined with hyaluronic acid and polynucleotides.

    Procedure: Coronally Advanced Flap with Connective Tissue Graft and Hyaluronic Acid/Polynucleotides

Interventions

  • ProcedureCoronally Advanced Flap with Connective Tissue Graft and Hyaluronic Acid/Polynucleotides

    A coronally advanced flap will be performed with a de-epithelialized connective tissue graft. Approximately 1-2 mL of a hyaluronic acid and polynucleotide mixture will be applied to the graft before suturing

06

What researchers measure

Primary outcomes

  1. Percentage of Root Coverage

    Percentage of root coverage will be calculated using the following formula: (Initial Recession Depth - Post-Treatment Recession Depth) / Initial Recession Depth × 100.

    Time frame: Baseline, 1 month, 3 months, and 6 months

  2. Clinical Attachment Level (CAL) Gain

    Clinical attachment level will be measured in millimetres using a UNC-15 periodontal probe

    Time frame: Baseline, 3 months, and 6 months

Secondary outcomes

  1. Recession Depth

    Gingival recession depth will be measured in millimeters using a UNC-15 periodontal probe

    Time frame: Baseline, 3 months, and 6 months

  2. Recession Width

    Gingival recession width will be measured in millimeters using a UNC-15 periodontal probe.

    Time frame: Baseline, 3 months, and 6 months

  3. Gingival Thickness

    Gingival thickness will be measured in millimeters using an endodontic file

    Time frame: Baseline, 3 months, and 6 months

  4. Probing Depth

    Probing depth will be measured in millimeters using a UNC-15 periodontal probe.

    Time frame: Baseline, 3 months, and 6 months

  5. Width of Keratinized Tissue

    Keratinized tissue width will be measured in millimeters using a UNC-15 periodontal probe

    Time frame: Baseline, 3 months, and 6 months

  6. Post-Operative Pain

    Post-operative pain will be assessed using a Visual Analogue Scale (VAS) questionnaire, with scores ranging from 1 to 10

    Time frame: 1 week post-surgery

  7. Patient Esthetic Satisfaction

    Patient esthetic satisfaction will be assessed using a Visual Analogue Scale (VAS) questionnaire, with scores ranging from 1 to 10

    Time frame: 3 months and 6 months

07

Study locations

1 site
08

References and documents

Publications

  • Zucchelli G, Amore C, Sforza NM, Montebugnoli L, De Sanctis M. Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study. J Clin Periodontol. 2003 Oct;30(10):862-70. doi: 10.1034/j.1600-051x.2003.00397.x. PubMed 14710766 ↗
  • Han HS, Shin HR, Kim S, Cho YD. Polynucleotide with cross-linked hyaluronic acid reduces inflammation and increases collagen synthesis. J Periodontal Implant Sci. 2025 Jun;55(3):206-216. doi: 10.5051/jpis.2402520126. Epub 2025 Jan 30. PubMed 40047180 ↗
  • Pilloni A, Schmidlin PR, Sahrmann P, Sculean A, Rojas MA. Effectiveness of adjunctive hyaluronic acid application in coronally advanced flap in Miller class I single gingival recession sites: a randomized controlled clinical trial. Clin Oral Investig. 2019 Mar;23(3):1133-1141. doi: 10.1007/s00784-018-2537-4. Epub 2018 Jun 30. PubMed 29961138 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared with other researchers in order to maintain participant confidentiality and data privacy. Access to the study data will be limited to the principal investigator and supervisors.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Mar 2027, 6 months later.

Of 233 non-industry interventional studies with no phase under Gingival Recession, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 30. This study's planned 6 months is below that.

Counting every sponsor, half of 235 studies reached it within 19 months; a quarter within 11 and three quarters within 30.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 13, 2026
First posted
Aug 18, 2026
StartEst.
Sep 1, 2026
Primary completionEst.
Mar 1, 2027
CompletionEst.
Mar 1, 2027
Last update
Aug 21, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 21, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07771244
Lead sponsor
Cairo University
Responsible party
hassan nidal fandi (Master Student - Periodontology, Cairo University) — Principal investigator
First posted
Aug 18, 2026
Start date
Sep 1, 2026 (estimated)
Primary completion
Mar 1, 2027 (estimated)
Completion
Mar 1, 2027 (estimated)
Last update
Aug 21, 2026

Study contacts

HASSAN NIDAL FANDI, BDS
Contact
hassan.fandi@dentistry.cu.edu.eg
+201011066726
HASSAN NIDAL FANDI, BDS
principal investigator · Cairo University
Dr.Manal Hosny
study chair · Cairo 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 not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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