Microneedling with coronally advanced flap for thin gingival tissue in RT1 recession
Official title: Patient-Centered And Clinical Outcomes Of Microneedling With Coronally Advanced Flap For Management of RT1 Gingival Recession In Thin Gingival Phenotype : A Randomized Controlled Clinical Trial
Run by Postgraduate Institute of Dental Sciences Rohtak · NCT06988839 · Data updated 2026-11-12
This study tests whether adding microneedling before a coronally advanced flap can provide similar root coverage to the standard flap with connective tissue graft in people with thin gingival tissue and RT1 gingival recession.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 50 Years |
| Sex | All |
| Enrollment | 36 (estimated) |
| Sponsor | Postgraduate Institute of Dental Sciences Rohtak Academic / other |
| Locations | 1 site (Rohtak, Haryana) |
| Status | Recruiting |
| Started | June 26, 2025 |
| Main results expected | October 2026 |
| Study ends | December 2026 |
| Registry record updated | June 12, 2026 |
| Trial ID | NCT06988839 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 20–50 with isolated RT1 buccal maxillary gingival recession and a gingival thickness of 1 mm or less, seeking esthetic improvement and with good oral hygiene.
✕Probably not a fit
Patients with non-RT1 recession, thicker gingiva, systemic conditions affecting healing, or poor compliance may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two surgical approaches for isolated RT1 gingival recession in adults with thin gingival phenotype. One group receives microneedling sessions followed by coronally advanced flap, and the other group receives coronally advanced flap with a connective tissue graft. The trial aims to see if the non-invasive microneedling approach can achieve comparable root coverage and esthetic outcomes to the traditional grafted technique. Participants are systemically healthy and meet specific recession, gingival thickness, and hygiene criteria. Follow-up assessments will monitor root coverage, tissue thickness, and patient satisfaction over time.
Why it matters
Potential benefit: If successful, microneedling could provide a less invasive option with good root coverage and improved gingival thickness for patients with thin phenotype recession.
How similar studies have gone: Previous approaches using connective tissue grafts improve predictability in thin phenotypes, while microneedling is explored as a less invasive alternative with limited, though growing, evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Presence of isolated RT1 buccal maxillary gingival recessions in esthetic zone with thin gingival phenotype (Gingival thickness≤1mm) associated with esthetic complaints and/or dental sensitivity and otherwise systemically healthy. * Gingival Recession ≥2mm , Keratinized tissue width≥2mm and clinically identifiable cementoenamel junction * Age 20years-50 years * Patient demonstrating compliance for maintaining good oral hygiene after Phase 1 therapy Plaque index (PI) \<1, Gingival Index (GI) \<1 * Providing a written and verbal informed consent. Exclusion Criteria: * Patient with systemic disease that can influence the outcome of therapy. * Pregnant females or on oral contraceptive pills or hormone replacement therapy. * Smokers and patients undergoing orthodontic therapy * Physically and mentally impaired patients. * Non vital, malpositioned tooth * Presence of cervical abrasions or restorations in the area * Previous history of periodontal surgery on the involved sites.
Where it's running
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Department of Periodontology, Post Graduate Institute of Dental Sciences
Rohtak, Haryana, India Recruiting
Study contacts
- Study coordinator: Nishi Tanwar, MDS
- Email: nsh_tanwar@yahoo.co.in
- Phone: 8368126310
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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.