Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants
Identifieur interne : 002521 ( Main/Exploration ); précédent : 002520; suivant : 002522Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants
Auteurs : Vineela Katam Reddy ; Harinath Parthasarathy ; Priya LochanaSource :
- Contemporary Clinical Dentistry [ 0976-237X ] ; 2013.
Abstract
Dental implants though a successful treatment modality there exists controversies regarding the relationship between the adequacy of the keratinized gingiva (KG) and peri-implant health. The presence of an adequate amount of peri-implant KG reduces gingival inflammation and hence soft-tissue augmentation should be frequently considered. Among the various periodontal plastic surgical procedures, the apically displaced flap increases the width of keratinized tissue with reduced patient morbidity. The current study aims at evaluating the esthetic improvement in KG around dental implants applying apically positioned flap (APF) technique.
A total of 10 endosseous dental implants were placed in eight systemically healthy patients. APF surgery was performed at the implant site on the buccal aspect either at the time of implant placement (one stage surgical protocol) or during the implant recovery stage (two stage surgical protocols) for increasing the width of KG and reviewed until 12 weeks post-operatively. The width of KG was evaluated at baseline and at the end of 12 weeks after surgery. Paired
The mean width of KG at baseline was 1.47 mm and 12 weeks post-operatively was 5.42 mm. The gain in KG from baseline was 3.95 mm with the
The technique of APF yielded a significant improvement in keratinized tissue, which is both functionally and esthetically acceptable.
Url:
DOI: 10.4103/0976-237X.118378
PubMed: 24124297
PubMed Central: 3793552
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 002B43
- to stream Pmc, to step Curation: 002B43
- to stream Pmc, to step Checkpoint: 001A37
- to stream Ncbi, to step Merge: 004A44
- to stream Ncbi, to step Curation: 004A44
- to stream Ncbi, to step Checkpoint: 004A44
- to stream Main, to step Merge: 002532
- to stream Main, to step Curation: 002521
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants</title><author><name sortKey="Reddy, Vineela Katam" sort="Reddy, Vineela Katam" uniqKey="Reddy V" first="Vineela Katam" last="Reddy">Vineela Katam Reddy</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Parthasarathy, Harinath" sort="Parthasarathy, Harinath" uniqKey="Parthasarathy H" first="Harinath" last="Parthasarathy">Harinath Parthasarathy</name><affiliation><nlm:aff id="aff2"><italic>Department of Periodontology, SRM Dental College, Ramapuram, Chennai, Tamil Nadu, India</italic></nlm:aff></affiliation></author><author><name sortKey="Lochana, Priya" sort="Lochana, Priya" uniqKey="Lochana P" first="Priya" last="Lochana">Priya Lochana</name><affiliation><nlm:aff id="aff2"><italic>Department of Periodontology, SRM Dental College, Ramapuram, Chennai, Tamil Nadu, India</italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24124297</idno><idno type="pmc">3793552</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793552</idno><idno type="RBID">PMC:3793552</idno><idno type="doi">10.4103/0976-237X.118378</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">002B43</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002B43</idno><idno type="wicri:Area/Pmc/Curation">002B43</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002B43</idno><idno type="wicri:Area/Pmc/Checkpoint">001A37</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001A37</idno><idno type="wicri:Area/Ncbi/Merge">004A44</idno><idno type="wicri:Area/Ncbi/Curation">004A44</idno><idno type="wicri:Area/Ncbi/Checkpoint">004A44</idno><idno type="wicri:doubleKey">0976-237X:2013:Reddy V:evaluating:the:clinical</idno><idno type="wicri:Area/Main/Merge">002532</idno><idno type="wicri:Area/Main/Curation">002521</idno><idno type="wicri:Area/Main/Exploration">002521</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants</title><author><name sortKey="Reddy, Vineela Katam" sort="Reddy, Vineela Katam" uniqKey="Reddy V" first="Vineela Katam" last="Reddy">Vineela Katam Reddy</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Parthasarathy, Harinath" sort="Parthasarathy, Harinath" uniqKey="Parthasarathy H" first="Harinath" last="Parthasarathy">Harinath Parthasarathy</name><affiliation><nlm:aff id="aff2"><italic>Department of Periodontology, SRM Dental College, Ramapuram, Chennai, Tamil Nadu, India</italic></nlm:aff></affiliation></author><author><name sortKey="Lochana, Priya" sort="Lochana, Priya" uniqKey="Lochana P" first="Priya" last="Lochana">Priya Lochana</name><affiliation><nlm:aff id="aff2"><italic>Department of Periodontology, SRM Dental College, Ramapuram, Chennai, Tamil Nadu, India</italic></nlm:aff></affiliation></author></analytic><series><title level="j">Contemporary Clinical Dentistry</title><idno type="ISSN">0976-237X</idno><idno type="eISSN">0976-2361</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title><p>Dental implants though a successful treatment modality there exists controversies regarding the relationship between the adequacy of the keratinized gingiva (KG) and peri-implant health. The presence of an adequate amount of peri-implant KG reduces gingival inflammation and hence soft-tissue augmentation should be frequently considered. Among the various periodontal plastic surgical procedures, the apically displaced flap increases the width of keratinized tissue with reduced patient morbidity. The current study aims at evaluating the esthetic improvement in KG around dental implants applying apically positioned flap (APF) technique.</p></sec><sec id="st2"><title>Materials and Methods:</title><p>A total of 10 endosseous dental implants were placed in eight systemically healthy patients. APF surgery was performed at the implant site on the buccal aspect either at the time of implant placement (one stage surgical protocol) or during the implant recovery stage (two stage surgical protocols) for increasing the width of KG and reviewed until 12 weeks post-operatively. The width of KG was evaluated at baseline and at the end of 12 weeks after surgery. Paired <italic>t</italic>-test was performed to evaluate the changes in the width of KG at baseline and at 12 weeks post-operatively. In addition, soft-tissue esthetic outcome was assessed by using visual analog scale (VAS).</p></sec><sec id="st3"><title>Results:</title><p>The mean width of KG at baseline was 1.47 mm and 12 weeks post-operatively was 5.42 mm. The gain in KG from baseline was 3.95 mm with the <italic>P</italic> value of 0.000, which was highly statistically significant. The assessment of esthetic outcome using VAS gave an average score of 7.1 indicating good esthetics.</p></sec><sec id="st4"><title>Conclusion:</title><p>The technique of APF yielded a significant improvement in keratinized tissue, which is both functionally and esthetically acceptable.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Cate, At" uniqKey="Cate A">AT Cate</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author><author><name sortKey="Loe, H" uniqKey="Loe H">H Löe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Trey, E" uniqKey="De Trey E">E de Trey</name></author><author><name sortKey="Bernimoulin, Jp" uniqKey="Bernimoulin J">JP Bernimoulin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hall, Wb" uniqKey="Hall W">WB Hall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wennstrom, Jl" uniqKey="Wennstrom J">JL Wennström</name></author><author><name sortKey="Bengazi, F" uniqKey="Bengazi F">F Bengazi</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mericske Stern, R" uniqKey="Mericske Stern R">R Mericske-Stern</name></author><author><name sortKey="Steinlin, Schaffner T" uniqKey="Steinlin S">Schaffner T Steinlin</name></author><author><name sortKey="Marti, P" uniqKey="Marti P">P Marti</name></author><author><name sortKey="Geering, Ah" uniqKey="Geering A">AH Geering</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J Lindhe</name></author><author><name sortKey="Eriksson, B" uniqKey="Eriksson B">B Eriksson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Lindhe, J" uniqKey="Lindhe J">J Lindhe</name></author><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author><author><name sortKey="Eriksson, B" uniqKey="Eriksson B">B Eriksson</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schou, S" uniqKey="Schou S">S Schou</name></author><author><name sortKey="Holmstrup, P" uniqKey="Holmstrup P">P Holmstrup</name></author><author><name sortKey="Hj Rting Hansen, E" uniqKey="Hj Rting Hansen E">E Hjørting-Hansen</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schroeder, A" uniqKey="Schroeder A">A Schroeder</name></author><author><name sortKey="Van Der Zypen, E" uniqKey="Van Der Zypen E">E van der Zypen</name></author><author><name sortKey="Stich, H" uniqKey="Stich H">H Stich</name></author><author><name sortKey="Sutter, F" uniqKey="Sutter F">F Sutter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kirsch, A" uniqKey="Kirsch A">A Kirsch</name></author><author><name sortKey="Ackermann, Kl" uniqKey="Ackermann K">KL Ackermann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Warrer, K" uniqKey="Warrer K">K Warrer</name></author><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author><author><name sortKey="Karring, T" uniqKey="Karring T">T Karring</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zarb, Ga" uniqKey="Zarb G">GA Zarb</name></author><author><name sortKey="Schmitt, A" uniqKey="Schmitt A">A Schmitt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adell, R" uniqKey="Adell R">R Adell</name></author><author><name sortKey="Lekholm, U" uniqKey="Lekholm U">U Lekholm</name></author><author><name sortKey="Rockler, B" uniqKey="Rockler B">B Rockler</name></author><author><name sortKey="Br Nemark, Pi" uniqKey="Br Nemark P">PI Brånemark</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buser, D" uniqKey="Buser D">D Buser</name></author><author><name sortKey="Weber, Hp" uniqKey="Weber H">HP Weber</name></author><author><name sortKey="Lang, Np" uniqKey="Lang N">NP Lang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Block, Ms" uniqKey="Block M">MS Block</name></author><author><name sortKey="Kent, Jn" uniqKey="Kent J">JN Kent</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Artzi, Z" uniqKey="Artzi Z">Z Artzi</name></author><author><name sortKey="Tal, H" uniqKey="Tal H">H Tal</name></author><author><name sortKey="Moses, O" uniqKey="Moses O">O Moses</name></author><author><name sortKey="Kozlovsky, A" uniqKey="Kozlovsky A">A Kozlovsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ainamo, A" uniqKey="Ainamo A">A Ainamo</name></author><author><name sortKey="Bergenholtz, A" uniqKey="Bergenholtz A">A Bergenholtz</name></author><author><name sortKey="Hugoson, A" uniqKey="Hugoson A">A Hugoson</name></author><author><name sortKey="Ainamo, J" uniqKey="Ainamo J">J Ainamo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carranza, Fa" uniqKey="Carranza F">FA Carranza</name></author><author><name sortKey="Newman, Mg" uniqKey="Newman M">MG Newman</name></author><author><name sortKey="Takei, Hh" uniqKey="Takei H">HH Takei</name></author><author><name sortKey="Klokkevold, Pr" uniqKey="Klokkevold P">PR Klokkevold</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Martins, Tm" uniqKey="Martins T">TM Martins</name></author><author><name sortKey="Fernandes, La" uniqKey="Fernandes L">LA Fernandes</name></author><author><name sortKey="Mestrener, Sr" uniqKey="Mestrener S">SR Mestrener</name></author><author><name sortKey="Saito, Ct" uniqKey="Saito C">CT Saito</name></author><author><name sortKey="De Oliveiranobrega, Fj" uniqKey="De Oliveiranobrega F">FJ de Oliveiranobrega</name></author><author><name sortKey="Bosco, Af" uniqKey="Bosco A">AF Bosco</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Rj" uniqKey="Harris R">RJ Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcguire, Mk" uniqKey="Mcguire M">MK McGuire</name></author><author><name sortKey="Nunn, Me" uniqKey="Nunn M">ME Nunn</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mcguire, Mk" uniqKey="Mcguire M">MK McGuire</name></author><author><name sortKey="Scheyer, Et" uniqKey="Scheyer E">ET Scheyer</name></author><author><name sortKey="Nunn, Me" uniqKey="Nunn M">ME Nunn</name></author><author><name sortKey="Lavin, Pt" uniqKey="Lavin P">PT Lavin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mohammadi, M" uniqKey="Mohammadi M">M Mohammadi</name></author><author><name sortKey="Shokrgozar, Ma" uniqKey="Shokrgozar M">MA Shokrgozar</name></author><author><name sortKey="Mofid, R" uniqKey="Mofid R">R Mofid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Park, Jc" uniqKey="Park J">JC Park</name></author><author><name sortKey="Yang, Kb" uniqKey="Yang K">KB Yang</name></author><author><name sortKey="Choi, Y" uniqKey="Choi Y">Y Choi</name></author><author><name sortKey="Kim, Yt" uniqKey="Kim Y">YT Kim</name></author><author><name sortKey="Jung, Uw" uniqKey="Jung U">UW Jung</name></author><author><name sortKey="Kim, Cs" uniqKey="Kim C">CS Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gordon, Hp" uniqKey="Gordon H">HP Gordon</name></author><author><name sortKey="Sullivan, Hc" uniqKey="Sullivan H">HC Sullivan</name></author><author><name sortKey="Atkins, Jh" uniqKey="Atkins J">JH Atkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cochran, D" uniqKey="Cochran D">D Cochran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chung, Dm" uniqKey="Chung D">DM Chung</name></author><author><name sortKey="Oh, Tj" uniqKey="Oh T">TJ Oh</name></author><author><name sortKey="Shotwell, Jl" uniqKey="Shotwell J">JL Shotwell</name></author><author><name sortKey="Misch, Ce" uniqKey="Misch C">CE Misch</name></author><author><name sortKey="Wang, Hl" uniqKey="Wang H">HL Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bouri, A" uniqKey="Bouri A">A Bouri</name></author><author><name sortKey="Bissada, N" uniqKey="Bissada N">N Bissada</name></author><author><name sortKey="Al Zahrani, Ms" uniqKey="Al Zahrani M">MS Al-Zahrani</name></author><author><name sortKey="Faddoul, F" uniqKey="Faddoul F">F Faddoul</name></author><author><name sortKey="Nouneh, I" uniqKey="Nouneh I">I Nouneh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Bs" uniqKey="Kim B">BS Kim</name></author><author><name sortKey="Kim, Yk" uniqKey="Kim Y">YK Kim</name></author><author><name sortKey="Yun, Py" uniqKey="Yun P">PY Yun</name></author><author><name sortKey="Yi, Yj" uniqKey="Yi Y">YJ Yi</name></author><author><name sortKey="Lee, Hj" uniqKey="Lee H">HJ Lee</name></author><author><name sortKey="Kim, Sg" uniqKey="Kim S">SG Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schrott, Ar" uniqKey="Schrott A">AR Schrott</name></author><author><name sortKey="Jimenez, M" uniqKey="Jimenez M">M Jimenez</name></author><author><name sortKey="Hwang, Jw" uniqKey="Hwang J">JW Hwang</name></author><author><name sortKey="Fiorellini, J" uniqKey="Fiorellini J">J Fiorellini</name></author><author><name sortKey="Weber, Hp" uniqKey="Weber H">HP Weber</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nemcovsky, Ce" uniqKey="Nemcovsky C">CE Nemcovsky</name></author><author><name sortKey="Moses, O" uniqKey="Moses O">O Moses</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Simons, Am" uniqKey="Simons A">AM Simons</name></author><author><name sortKey="Darany, Dg" uniqKey="Darany D">DG Darany</name></author><author><name sortKey="Giordano, Jr" uniqKey="Giordano J">JR Giordano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Phillips, K" uniqKey="Phillips K">K Phillips</name></author><author><name sortKey="Kois, Jc" uniqKey="Kois J">JC Kois</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Misch, Ce" uniqKey="Misch C">CE Misch</name></author><author><name sortKey="Al Shammari, Kf" uniqKey="Al Shammari K">KF Al-Shammari</name></author><author><name sortKey="Wang, Hl" uniqKey="Wang H">HL Wang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kan, Jy" uniqKey="Kan J">JY Kan</name></author><author><name sortKey="Rungcharassaeng, K" uniqKey="Rungcharassaeng K">K Rungcharassaeng</name></author><author><name sortKey="Umezu, K" uniqKey="Umezu K">K Umezu</name></author><author><name sortKey="Kois, Jc" uniqKey="Kois J">JC Kois</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Lochana, Priya" sort="Lochana, Priya" uniqKey="Lochana P" first="Priya" last="Lochana">Priya Lochana</name><name sortKey="Parthasarathy, Harinath" sort="Parthasarathy, Harinath" uniqKey="Parthasarathy H" first="Harinath" last="Parthasarathy">Harinath Parthasarathy</name><name sortKey="Reddy, Vineela Katam" sort="Reddy, Vineela Katam" uniqKey="Reddy V" first="Vineela Katam" last="Reddy">Vineela Katam Reddy</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002521 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 002521 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= EdenteV2
|flux= Main
|étape= Exploration
|type= RBID
|clé= PMC:3793552
|texte= Evaluating the clinical and esthetic outcome of apically positioned flap technique in augmentation of keratinized gingiva around dental implants
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:24124297" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a EdenteV2
| This area was generated with Dilib version V0.6.32. |  |