Laser-Assisted Minimally Invasive Esthetic Crown Lengthening Using Flapless vs. Tunneled Flap Approach
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: laser assissted crown lengthening, surgical esthetic crown lengthening, Laser-assisted tunneled flap approach.
- Who it may be relevant to
- Registry conditions: Altered Passive Eruption of Teeth. Basic parameters: from 21 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Laser-Assisted Minimally Invasive Esthetic Crown Lengthening Using Flapless vs. Tunneled Flap Approach (Randomized Controlled Clinical Trial)
Overview
Crown lengthening surgery is one of the most commonly performed periodontal procedures. Multiple techniques have been used throughout the years to overcome the postoperative pain and adverse outcomes that may be associated with surgical crown lengthening. One of the most popular choices among clinicians is using different types of lasers in different techniques to overcome those adverse effects. Treatment effectiveness can be monitored non-invasively through salivary levels of Leukocyte Esterase enzyme and the stability clinical outcomes.
Interventions
- Procedure laser assissted crown lengthening
laser-assissted flapless crown lengthening and laser-assissted tunneled flap approach - Procedure surgical esthetic crown lengthening
surgical crown lengthening using scalpels and rotary instruments. - Procedure Laser-assisted tunneled flap approach
In this approach, the gingival margin will be tunneled to provide visibility for the operator during bone removal using laser.
Primary outcome measures
- leukocyte esterase enzyme assessment using Periomonitor [Time frame: 1 month]
- Clinical outcome stability [Time frame: 6 months]
- PROM [Time frame: 1 week]
Secondary outcome measures (1)
- Marginal bone loss evaluated using CBCT [Time frame: 6 months]
Eligibility criteria
Inclusion criteria
- Patients with an excessive gingival display of at least 3 mm
- Age >21 years
- At least six anterior maxillary teeth requiring ECL
- Healthy periodontal status, indicated by a full-mouth plaque index and bleeding on probing index scores of <15%.
- Patients with thick gingival phenotype
Exclusion criteria
- Treatment sites with probing depths more than 3 mm
- Patients with a history of smoking
- Patients with a history of mucogingival surgery in the intended treatment area
- Systemic conditions that could hinder tissue healing (e.g., uncontrolled diabetes and autoimmune diseases)
- Patients undergoing active orthodontic treatment
- Presence of any cause of excessive gingival display other than altered passive eruption
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Alexandria University — Alexandria
Identifiers
NCT: NCT07649226 · 9296348