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V-Reverse Suture Technique Compared to Traditional Anchored Sling Suture in Treating Multiple Gingival Recession
Sponsor: King Abdullah University Hospital
Summary
The goal of this split-mouth pilot study is to study the effect of two different suturing techniques in root coverage using coronally advanced flap tunnel in multiple adjacent recession cases to see which technique will give superior outcomes in term of mean root coverage percentage, and root coverage esthetic score after 3-months. The main questions it aims to answer are: * Does a suturing technique gives superior mean root coverage percentage over another? * Does a suturing technique gives superior root coverage esthetic score? Researcher will compare between V-reverse suturing technique and anchored sling suture to see which will result in superior mean root coverage percentage, and root coverage esthetic score after 3-months. Participants will: * Come in for a first visit to check your gum health, check eligibility and to be provided with scaling and polishing if needed. * Come in for surgery and clinical measurements. * Participant will be asked to complete post-operative questionnaire for 14 days. * Re-evaluated after 1 week and suture removal at 2 weeks. * Follow-up after 1 and 3 months.
Official title: Modified Coronally Advanced Tunnel for Root Coverage With Sling Suture VS. V-Reverse Suture: A Slit-Mouth Pilot Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
7
Start Date
2025-04-01
Completion Date
2027-06-01
Last Updated
2026-05-22
Healthy Volunteers
Yes
Conditions
Interventions
coronally advanced tunnel with v-reverse suture
The V-reverse suturing technique can be a valid technique for improving graft and flap stability in the midfacial region which is likely the most crucial area that should be firm for achieving complete root coverage following the tunnel approach. The V-reverse suture starts in the palatal aspect, passing below the splinted contact point. Then the needle engages the graft and the flap (from inside to outside) ≈3 mm apical to the soft tissue margin in the mid-facial area. Then the needle passes to the palatal side under the contact point. Then the needle turns one round around the splinted composite (without pinching the soft tissue), and then the knot is performed and tightened over the composite. At the end, the sutures form a V-reverse shape
coronally advanced tunnel with anchored sling suture
In addition to interrupted sutures, sling sutures have also regularly been applied as a conventional method of suturing to advance periodontal flaps over exposed root surfaces and connect the papillae to the interdental connective tissues, and composite stops where added to provide better stability.
Locations (1)
Jordan University of Science and Technology
Irbid, Jordan, Jordan