Comparing two surgical methods for treating periodontitis

Modified Widman Flap (MWF) vs Fibre Retention Osseous Resective Surgery (FibReORS): A Randomized, Controlled, Clinical Trial.

This study tests which of two surgical methods works better for people with periodontitis who still have deep pockets around their teeth after initial treatment.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 36 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: University of Florence (Academic / other)
• Locations: 1 site (Florence, FI)
• Trial ID: NCT06123000 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the effectiveness of two surgical approaches, Modified Widman Flap and Fiber Retention Osseous Resective Surgery, in treating periodontitis. The study focuses on patients with residual periodontal pockets after initial treatment steps, aiming to reduce the risk of disease progression and tooth loss. Participants will undergo one of the two surgical interventions to assess which method yields better outcomes in terms of pocket depth and overall periodontal health.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with periodontitis and specific residual pockets that meet the study criteria.

Not a fit: Patients with severe periodontal conditions or those requiring extensive prior treatments may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical techniques for managing periodontitis, potentially reducing tooth loss and enhancing oral health.

How similar studies have performed: Previous studies have shown varying success with surgical interventions for periodontitis, but this specific comparison is novel.

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).

Where this trial is running

Florence, FI

• Università degli Studi di Firenze — Florence, Fi, Italy (Recruiting)

Study contacts

• Study coordinator: Luigi Barbato, Dr.

Conditions Periodontitis; Periodontal Pocket; Periodontal Attachment Loss