Modified Widman Flap vs Fibre Retention Osseous Resective Surgery

Launched by UNIVERSITY OF FLORENCE · Nov 2, 2023

Keywords

ClinConnect Summary

This clinical trial is studying two surgical techniques for treating periodontal pockets (spaces between the gums and teeth) in patients with periodontitis, a serious gum disease. The two methods being compared are the Modified Widman Flap (MWF) surgery and the Fibre Retention Osseous Resective Surgery (FibReORS). The goal is to see which method is better at closing these pockets and improving gum health, particularly in areas with small bone defects at the back teeth.

To participate in this trial, you must be at least 18 years old and have periodontitis with specific conditions, such as having a gum pocket of at least 5 mm that bleeds when probed, and a bone defect that is 3 mm or less based on an X-ray. Participants can expect to receive one of the two surgical treatments and will be closely monitored for their gum health. It's important to know that this trial is currently recruiting participants and aims to provide valuable information on the best treatment options for periodontitis.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age ≥ 18 years;
• • Patients affected by periodontitis;
• • No systemic disease or pregnancy;
• • No systemic antibiotic therapy in 6 months preceding the enrollment;
• • Smoking ≤ 20 cigarettes/day;
• • Full-mouth plaque score (FMPS) and full- mouth bleeding score (FMBS) ≤ 15%;
• • Residual periodontal pocket ≥5 mm with bleeding on probing at posterior natural teeth;
• • Experimental pocket associated with a detectable infrabony defect ≤ 3mm at x-ray;
• • No history of periodontal surgery at the experimental site.
• Exclusion Criteria:
• • Undetectable cemento-enamel junction (CEJ) at experimental teeth;
• • Severe furcation involvement (class II and III);
• • Abutment for prosthetic rehabilitation;
• • Periodontal Pockets associated with infrabony defect \>3 mm;
• • Horizontal bone loss higher than 1/3 of the root length at experimental teeth;
• • Severe tooth mobility at baseline (class 2 or 3).