Long-Term Follow-up on Root Coverage with a Double Pedicle Flap and Connective Tissue Graft
| Autor: | Jan Cosyn, Aryan Eghbali, Sam De Roose, Retief Wessels, Stijn Vervaeke, Thomas De Bruyckere |
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| Přispěvatelé: | Surgical clinical sciences, Oral Health, Faculty of Medicine and Pharmacy |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male transplants medicine.medical_specialty Visual analogue scale medicine.medical_treatment Gingiva Connective tissue Physical examination surgical flaps 03 medical and health sciences 0302 clinical medicine medicine Humans Gingival Recession Tooth Root Surgical Flaps Gingival recession Reduction (orthopedic surgery) connective tissue Medicine(all) medicine.diagnostic_test Periodontist business.industry 030206 dentistry Surgery Treatment Outcome medicine.anatomical_structure Private practice Periodontics Female Oral Surgery medicine.symptom business Follow-Up Studies |
| Zdroj: | The International Journal of Periodontics & Restorative Dentistry. 39:829-835 |
| ISSN: | 0198-7569 |
| DOI: | 10.11607/prd.4297 |
| Popis: | Partial-thickness double pedicle flap and connective tissue graft (CTG) is a procedure to treat single gingival recession in the anterior mandible. However, long-term data have not been reported. Patients who had been treated by the same periodontist in a private practice in Belgium between 2002 and 2009 were invited to return for a clinical examination in 2017. Seventeen patients (15 females, 2 males; mean age: 34.6 years) with a total of 23 treated single recessions were reexamined after 8 to 15 years of follow-up. Between 1 and 8 to 15 years of follow-up, mean and complete root coverage did not differ and amounted to 75% and 44% at study termination, respectively (P = .204). The esthetic outcome was mediocre, given a final mean root coverage esthetic score of 6.52. The Mucosal Scarring Index demonstrated a significant reduction in scarring between 1 and 8 to 15 years of follow-up; however, 31% of the cases still demonstrated some scarring in the end. Patients were less critical than clinicians, as they expressed high esthetic (mean: 81) and low scarring (mean 14) scores on visual analog scales. Partial-thickness double pedicle flap and CTG is an effective root-coverage procedure. However, alternative techniques may need to be considered for esthetically demanding patients. |
| Databáze: | OpenAIRE |
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