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Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.

Identifieur interne : 000C33 ( PubMed/Corpus ); précédent : 000C32; suivant : 000C34

Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.

Auteurs : Jochen Tunkel ; Luca De Stavola ; Fouad Khoury

Source :

The International journal of periodontics & restorative dentistry [ 1945-3388 ]

RBID : pubmed:23820699

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

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pubmed:23820699

Le document en format XML

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<author><name sortKey="Tunkel, Jochen" sort="Tunkel, Jochen" uniqKey="Tunkel J" first="Jochen" last="Tunkel">Jochen Tunkel</name>
<affiliation><nlm:affiliation>Department of Periodontology, University Clinic Muenster, Germany. j.tunkel@fachzahnarzt-praxis.de</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="De Stavola, Luca" sort="De Stavola, Luca" uniqKey="De Stavola L" first="Luca" last="De Stavola">Luca De Stavola</name>
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<author><name sortKey="Khoury, Fouad" sort="Khoury, Fouad" uniqKey="Khoury F" first="Fouad" last="Khoury">Fouad Khoury</name>
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<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>
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<term>Surgical Flaps (surgery)</term>
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<term>Jaw, Edentulous, Partially</term>
<term>Maxilla</term>
<term>Surgical Flaps</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term>
<term>Connective Tissue</term>
<term>Gingiva</term>
<term>Surgical Flaps</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<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>
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<DateRevised><Year>2013</Year>
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<Title>The International journal of periodontics & restorative dentistry</Title>
<ISOAbbreviation>Int J Periodontics Restorative Dent</ISOAbbreviation>
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<ArticleTitle>Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.</ArticleTitle>
<Pagination><MedlinePgn>411-8</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.11607/prd.0616</ELocationID>
<Abstract><AbstractText>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.</AbstractText>
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Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.

Changes in soft tissue dimensions following three different techniques of stage-two surgery: a case series report.

Source :

English descriptors

Abstract

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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