Comparative Evaluation of Coronally Advanced Flap with Modified Coronally Advanced Flap in the Management of Gingival Recession: A Randomized Clinical Trial

Abstract

Gingival recession is one of the most common esthetic concerns associated with periodontal tissues. As the conventional technique of coronally advanced flap ends up with different disadvantages, a modified technique has been introduced to overcome the limitations. Thus, the two techniques has been planned to compare and evaluate. The study was conducted on 11 randomly selected subjects. In phase I, scaling was done and in phase II, coronally advanced flap technique in control group and modified coronally advanced flap technique in test group was done. Clinical attachment level, probing pocket depth, keratinized tissue width, length and width of recession, pain and healing index was assessed. Results showed a statistically significant reduction in pain index scores, clinical attachment level scores, probing depth scores, recession length and width scores in both the groups were observed. Also, statistically significant increase in healing index scores and keratinized tissue width scores were observed on intragroup comparison. However, on intergroup comparison, test group revealed better results as compared to control group in all the parameters. Thus, from the observation, it was concluded that both the groups has better clinical outcomes but test group showed better results in all the clinical parameters as compared to control group.