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首页> 外文期刊>Journal of Indian Society of Periodontology >A novel soft tissue cone-beam computed tomography study in the evaluation of gingival thickness associated with subepithelial connective tissue graft versus acellular dermal matrix in the management of gingival recession: A clinical study
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A novel soft tissue cone-beam computed tomography study in the evaluation of gingival thickness associated with subepithelial connective tissue graft versus acellular dermal matrix in the management of gingival recession: A clinical study

机译:一种新型软组织锥形光束计算断层摄影研究,评价龈上厚度与龈上结缔组织移植物与牙龈衰退管理中的无细胞皮肤基质相关:临床研究

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Background: Dental esthetic awareness among patients led the clinicians to introduce newer materials and predictable techniques that satisfy the patients' esthetic demands. Aim: To evaluate and compare the efficacy of subepithelial connective tissue graft (SECTG) and acellular dermal matrix (ACDM) allograft in the treatment of Millers Class I or Class II recession with the determination of gingival thickness using an impertinent method, soft tissue cone-beam computed tomography (ST-CBCT). Materials and Methods: A split-mouth study with a total of ten patients with bilateral Millers class I or class II recession is randomly assigned by a coin toss method as Group I (SECTG) and Group II (ACDM) along with coronally advanced flap. Clinical parameters including recession height (RH), recession width (RW), probing depth, clinical attachment level (CAL), and height of keratinized tissue (HKT) were evaluated at baseline, 90th day, and 180th day for both groups. The thickness of keratinized tissue (TKT) was determined by most reliable, predictable and noninvasive method called ST-CBCT. Results: Statistically significant reduction in RH and RW, gain in CAL, and increase in HKT and TKT in both Group I and Group II were seen in 90th day and 180th day. However, when both Group I and Group II were compared between 0 and 180th day, the change in RH and RW, gain in CAL, and increase in HKT and TKT did not show any statistically significant change. Conclusion: The present study suggested that root coverage with both SECTG and ACDM is very predictable procedure and it is stable for 6 months. ST-CBCT is a newer dimension in periodontal imaging and will certainly aid clinicians in the execution of various treatment modalities with increased predictability.
机译:背景:患者的牙科审美意识导致临床医生引进较新的材料和可预测的技术,满足患者的美学需求。目的:为了评估和比较耻骨结缔组织移植(截面)和无细胞皮质基质(ACDM)同种异体移植治疗米勒类I或II级经济衰退的疗效与使用无局部方法,软组织锥体测定牙龈厚度的疗效光束计算机断层扫描(ST-CBCT)。材料和方法:分裂性研究,共有10名双侧米勒级别I或II级经济衰退的患者由古金(截图)和第II族(ACDM)以及勇敢先进的襟翼随机分配。在基线,第90天和第180天评估包括衰退高度(RH),衰减宽度(RW),衰减宽度(RW),探测深度,临床附着水平(CAL)和角化组织(HKT)的高度。角膜化组织(TKT)的厚度通过称为ST-CBCT的最可靠,可预测和非侵入性的方法来确定。结果:第90天和第180天,统计上显着减少RH和RW,CAR中的rw,CAR中的增益和HKT和TKT。然而,当第I组和第II组进行比较0到180天之间时,RH和RW的变化,CAR的增益和HKT和TKT的增加并没有显示出任何统计上显着的变化。结论:本研究表明,截面和ACDM的根覆盖是非常可预测的程序,它稳定6个月。 ST-CBCT是牙周成像的较新的维度,肯定会援助临床医生,以增加各种治疗方式,可预测性增加。

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