The goal of this clinical trial is to compare the effectiveness of two treatments for gingival recession. The main questions it aims to answer are:
Which treatment method, Coronally Positioned Flap with Connective Tissue Graft or Modified Coronally Advanced Tunnel with connective tissue graft, is more effective in treating gum recession? How does the Anatomical Recession Rate, a new measurement technique, help in evaluating the success of these treatments?
The patients will be treated with coronally advanced flap or modified coronally advanced tunnel + connective tissue graft to see which method is more effective in reducing gum recession, as measured by using anatomical recession rate.
Who can participate
Age range18 Years – 60 Years
SexALL
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Inclusion Criteria:
* Participants aged 18 to 60 years.
* Individuals with the gingival recession of Miller Class I, II, or III in at least one tooth in the anterior mandibular or maxillary region.
* Participants must have at least 1 mm of keratinized tissue width around the affected tooth/tooth and be in good general health.
* Ability to provide informed consent for participation in the study.
Exclusion Criteria:
* Individuals with uncontrolled systemic diseases that could impact periodontal healing (e.g., diabetes mellitus, cardiovascular diseases).
* Current smokers or those who have quit smoking less than 6 months before the study.
* Women who are pregnant or breastfeeding.
* Participants who have received periodontal or gingival recession treatment in the study area within the last year.
* Presence of acute periodontal or dental infections requiring immediate treatment, or extensive caries affecting the study teeth.