Air-polishing versus manual root cleaning during gum recession surgery
Official title: Impact of Root Surface Conditioning With Erythritol Air Polishing Versus Hand Instrumentation on Recession Coverage Using the Modified Tunnel Technique and Subepithelial Connective Tissue Graft: A Randomized Clinical Trial
Run by Medical University of Warsaw · NCT07403006 · Data updated 2026-11-12
We will test if using erythritol air-polishing instead of manual root instrumentation during gum recession surgery helps cover exposed roots in adults with multiple RT1/RT2 recessions.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Medical University of Warsaw Academic / other |
| Locations | 1 site (Warsaw, Mazowsze) |
| Status | Recruiting |
| Started | March 9, 2026 |
| Main results expected | June 2027 |
| Study ends | July 2027 |
| Registry record updated | October 2, 2026 |
| Trial ID | NCT07403006 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with multiple symmetric bilateral RT1 or RT2 gingival recessions, good plaque and bleeding scores (<15% FMPS and FMBOP), and a detectable CEJ are ideal candidates.
✕Probably not a fit
Patients with RT3 recessions, recessions on second or third molars, active periodontitis, uncontrolled systemic conditions affecting healing, or cervical lesions that obscure the CEJ are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults with multiple symmetrical bilateral RT1 or RT2 gingival recessions and good oral hygiene will undergo recession coverage using a modified tunnel technique with a subepithelial connective tissue graft. Root surfaces on one side will be conditioned with erythritol air-polishing and the contralateral side with standard manual root instrumentation to allow a within-patient comparison. Outcomes will focus on recession coverage and surgical healing to see whether the less invasive air-polishing method yields comparable or better results. The protocol requires detectable cemento-enamel junction and excludes conditions that impair wound healing.
Why it matters
Potential benefit: If successful, using erythritol air-polishing could make root preparation less invasive and reduce tissue trauma while achieving similar or better recession coverage.
How similar studies have gone: Some preliminary clinical and laboratory work supports erythritol air-polishing for biofilm removal, but robust clinical evidence showing superior root coverage outcomes compared with manual instrumentation is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Multiple RT1 and/or RT2 gingival recessions, symmetrical and bilateral, with a minimum height of ≥ 1 mm * Full-mouth plaque score (FMPS) \< 15% (assessed on four surfaces per tooth) * Full-mouth bleeding on probing (FMBOP) \< 15% (assessed on four surfaces per tooth) * Detectable cemento-enamel junction (CEJ) * Age ≥ 18 years Exclusion Criteria: * RT3 gingival recessions * Gingival recessions affecting second and third molars * Systemic or infectious diseases that may impair wound healing, including active malignancy, diabetes mellitus with HbA1c \> 7.0%, history of head and neck radiotherapy, true xerostomia, and HIV/AIDS * Cervical caries, non-carious cervical lesions, or Class V restorations interfering with the CEJ * Active periodontitis * Use of medications affecting periodontal tissues or wound healing, including systemic corticosteroids, immunosuppressants, isotretinoin, bisphosphonates, and monoclonal antibodies with immunosuppressive, antiresorptive, or antiangiogenic effects * Smoking * Pregnancy or breastfeeding
Where it's running
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Department of Periodontology and Oral Mucosa Diseases, Medical University of Warsaw, Warsaw
Warsaw, Mazowsze, Poland Recruiting
Study contacts
- Study coordinator: Magdalena Latkowska - Wiśniewska
- Email: magda.latko@gmail.com
- Phone: +48691470290
Similar studies
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This trial will try a new 3D tunneling surgical technique versus a modified coronally advanced tunnel with connective tissue graft to improve root coverage in adults who have multiple RT2 gingival recessions.
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.