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Clinical Comparison of Full and Partial Double Pedicle Flaps with Connective Tissue Grafts for Treatment of Gingival Recession

机译:完全和部分双蒂皮瓣与结缔组织移植物治疗牙龈萎缩的临床比较

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Statement of the Problem: Gingival recession has been considered as the most challenging issue in the field of periodontal plastic surgery. Purpose: The purpose of this study was to evaluate the clinical efficacy of root coverage procedures by using partial thickness double pedicle graft and compare it with full thickness double pedicle graft. Materials and Method: Eight patients, aged 15 to 58 years including 6 females and 2 males with 20 paired (mirror image) defects with class I and II gingival recession were randomly assigned into two groups. Clinical parameters such as recession depth, recession width, clinical attachment level, probing depth, and width of keratinized tissue were measured at the baseline and 6 months post-surgery. A mucosal double papillary flap was elevated and the respective root was thoroughly planed. The connective tissue graft was harvested from the palate, and then adapted over the root. The pedicle flap was secured over the connective tissue graft and sutured. The surgical technique was similar in the control group except for the prepared double pedicle graft which was full thickness. Results: The mean root coverage was 88.14% (2.83 mm) in the test group and 85.7% (2.75 mm) in the control group. No statistical differences were found in the mean reduction of vertical recession, width of recession, or probing depth between the test and control groups. In both procedures, the width of keratinized tissue increased after three months and the difference between the two groups was not statistically significant in this respect. Conclusion: Connective tissue with partial and full thickness double pedicle grafts can be successfully used for treatment of marginal gingival recession.
机译:问题陈述:牙龈退缩被认为是牙周整形外科领域中最具挑战性的问题。目的:本研究的目的是通过使用部分厚度的双椎弓根移植物评估根覆盖程序的临床疗效,并将其与完整厚度的双椎弓根移植物进行比较。材料与方法:将8例年龄在15至58岁之间的患者(包括6名女性和2名男性,具有20对成对(镜面图像)的I级和II级牙龈退缩缺陷)随机分为两组。在基线和手术后6个月测量临床参数,例如后退深度,后退宽度,临床依从水平,探查深度和角化组织的宽度。粘膜双乳头状皮瓣抬高,并彻底刨平各自的根。从上颚收获结缔组织移植物,然后在根部进行适应。蒂皮瓣固定在结缔组织移植物上并缝合。对照组的手术技术相似,只是准备好的全蒂双蒂移植物。结果:试验组的平均根覆盖率为88.14%(2.83 mm),对照组为85.7%(2.75 mm)。在测试组和对照组之间,垂直后退,后退幅度或探查深度的平均减少量没有统计学差异。在这两个过程中,三个月后角质化组织的宽度均增加,并且在这方面两组之间的差异在统计学上无统计学意义。结论:结缔组织部分和全厚度双蒂移植可以成功治疗边缘性牙龈退缩。

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