Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.
Identifieur interne : 011592 ( Main/Exploration ); précédent : 011591; suivant : 011593Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.
Auteurs : Jochen Tunkel [Allemagne] ; Luca De Stavola ; Fouad KhourySource :
- The International journal of periodontics & restorative dentistry [ 1945-3388 ]
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autogreffes (transplantation), Femelle, Gencive (anatomopathologie), Gencive (transplantation), Gingivoplastie (), Humains, Implants dentaires, Jeune adulte, Lambeaux chirurgicaux (), Lambeaux chirurgicaux (transplantation), Maxillaire (), Mâchoire partiellement édentée (), Mâchoire édentée (), Mâle, Résultat thérapeutique, Sujet âgé, Tissu conjonctif (transplantation), Études de suivi.
- MESH :
- anatomopathologie : Gencive.
- Adulte, Adulte d'âge moyen, Autogreffes, Femelle, Gencive, Gingivoplastie, Humains, Implants dentaires, Jeune adulte, Lambeaux chirurgicaux, Maxillaire, Mâchoire partiellement édentée, Mâchoire édentée, Mâle, Résultat thérapeutique, Sujet âgé, Tissu conjonctif, Études de suivi.
English descriptors
- KwdEn :
- Adult, Aged, Autografts (transplantation), Connective Tissue (transplantation), Dental Implants, Female, Follow-Up Studies, Gingiva (pathology), Gingiva (transplantation), Gingivoplasty (methods), Humans, Jaw, Edentulous (surgery), Jaw, Edentulous, Partially (surgery), Male, Maxilla (surgery), Middle Aged, Surgical Flaps (surgery), Surgical Flaps (transplantation), Treatment Outcome, Young Adult.
- MESH :
- chemical : Dental Implants.
- methods : Gingivoplasty.
- pathology : Gingiva.
- surgery : Jaw, Edentulous, Jaw, Edentulous, Partially, Maxilla, Surgical Flaps.
- transplantation : Autografts, Connective Tissue, Gingiva, Surgical Flaps.
- Adult, Aged, Female, Follow-Up Studies, Humans, Male, Middle Aged, Treatment Outcome, Young Adult.
Abstract
The aim of this case series report is to compare the results of the increase in keratinized mucosa using three different techniques of stage-two surgery. Thirty-two patients with one to eight dental implants who received prosthetic rehabilitation of the maxilla were included. Patients were divided into three groups based on preoperative anatomical considerations. Stage-two surgery was performed using either the apically repositioned flap (ARF; n = 14), the roll flap (RF; n = 10), or an apically repositioned flap combined with a connective tissue graft (ARFCT; n = 8). The height of the keratinized mucosa and relative tissue thickness were measured preoperatively and postoperatively at 2 weeks and 3, 6, and 12 months after surgery. The mean gains of keratinized mucosa and tissue thickness were calculated from these measurements. After 1 year, the mean gains in tissue thickness and keratinized tissue were 1.37 and 4.63 mm in the ARF group, 2.41 and 1.35 mm in the RF group, and 3.10 and 4.10 mm in the ARFCT group, respectively. There was no significant statistical difference between the 12-month and postoperative measurements (P > .05). In patients with deficient tissue thickness, a roll flap or an apically repositioned flap should be performed, while a lack of keratinized mucosa indicates the use of an apically repositioned flap with or without a connective tissue graft. When an increase in both keratinized mucosa and tissue thickness is necessary, an apically repositioned flap combined with a free connective tissue graft can be recommended. After a 12-month healing period, the obtained results showed excellent stability.
PubMed: 23820699
Affiliations:
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Stavola L" first="Luca" last="De Stavola">Luca De Stavola</name></author><author><name sortKey="Khoury, Fouad" sort="Khoury, Fouad" uniqKey="Khoury F" first="Fouad" last="Khoury">Fouad Khoury</name></author></analytic><series><title level="j">The International journal of periodontics & restorative dentistry</title><idno type="eISSN">1945-3388</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Autografts (transplantation)</term><term>Connective Tissue (transplantation)</term><term>Dental Implants</term><term>Female</term><term>Follow-Up Studies</term><term>Gingiva (pathology)</term><term>Gingiva (transplantation)</term><term>Gingivoplasty (methods)</term><term>Humans</term><term>Jaw, Edentulous (surgery)</term><term>Jaw, Edentulous, Partially (surgery)</term><term>Male</term><term>Maxilla (surgery)</term><term>Middle Aged</term><term>Surgical Flaps (surgery)</term><term>Surgical 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qualifier="methods" xml:lang="en"><term>Gingivoplasty</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Gingiva</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous</term><term>Jaw, Edentulous, Partially</term><term>Maxilla</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term><term>Connective Tissue</term><term>Gingiva</term><term>Surgical Flaps</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Treatment Outcome</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autogreffes</term><term>Femelle</term><term>Gencive</term><term>Gingivoplastie</term><term>Humains</term><term>Implants dentaires</term><term>Jeune adulte</term><term>Lambeaux chirurgicaux</term><term>Maxillaire</term><term>Mâchoire partiellement édentée</term><term>Mâchoire édentée</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Tissu conjonctif</term><term>Études de suivi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The aim of this case series report is to compare the results of the increase in keratinized mucosa using three different techniques of stage-two surgery. Thirty-two patients with one to eight dental implants who received prosthetic rehabilitation of the maxilla were included. Patients were divided into three groups based on preoperative anatomical considerations. Stage-two surgery was performed using either the apically repositioned flap (ARF; n = 14), the roll flap (RF; n = 10), or an apically repositioned flap combined with a connective tissue graft (ARFCT; n = 8). The height of the keratinized mucosa and relative tissue thickness were measured preoperatively and postoperatively at 2 weeks and 3, 6, and 12 months after surgery. The mean gains of keratinized mucosa and tissue thickness were calculated from these measurements. After 1 year, the mean gains in tissue thickness and keratinized tissue were 1.37 and 4.63 mm in the ARF group, 2.41 and 1.35 mm in the RF group, and 3.10 and 4.10 mm in the ARFCT group, respectively. There was no significant statistical difference between the 12-month and postoperative measurements (P > .05). In patients with deficient tissue thickness, a roll flap or an apically repositioned flap should be performed, while a lack of keratinized mucosa indicates the use of an apically repositioned flap with or without a connective tissue graft. When an increase in both keratinized mucosa and tissue thickness is necessary, an apically repositioned flap combined with a free connective tissue graft can be recommended. After a 12-month healing period, the obtained results showed excellent stability.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><noCountry><name sortKey="De Stavola, Luca" sort="De Stavola, Luca" uniqKey="De Stavola L" first="Luca" last="De Stavola">Luca De Stavola</name><name sortKey="Khoury, Fouad" sort="Khoury, Fouad" uniqKey="Khoury F" first="Fouad" last="Khoury">Fouad Khoury</name></noCountry><country name="Allemagne"><noRegion><name sortKey="Tunkel, Jochen" sort="Tunkel, Jochen" uniqKey="Tunkel J" first="Jochen" last="Tunkel">Jochen Tunkel</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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