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DİŞETİ ÇEKİLMELERİNİN TEDAVİSİNDE "KOLLAJEN BARİYER MEMBRAN İLE YÖNLENDİRİLMİŞ DOKU REJENERASYONU" VE "BAĞDOKUSU İLE YARIM KALINLIK ÇİFT SAPLI GREFT" OPERASYONLARININ KARŞILAŞTIRILMASI

A COMPARATIVE STUDY OF ROOT COVERAGE OBTAINED WITH GUIDED TISSUE REGENERATION UTILIZING A COLLAGEN BARIER MEMBRANE VERSUS THE CONNECTIVE TISSUE WITH PARTİAL-THİCKNESS DOUBLE PEDICLE GRAFT

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Obtaining predictable root coverage has become an important part of periodontal therapy. The purpose of this study was to compare two techniques of obtaining root coverage. The two techniques were connective tissue with partial thickness double pedicle graft and guided tissue regeneration with a bioabsorbable collagen barrier membrane. The connective tissue with partial-thickness double pedicle graft had a mean of root coverage of 53.6 % and guided tissue regeneration procedure produced a mean root coverage of 44.3 %. This difference was not statistically significant. Pocket depth was slightly reduced in connective tissue with partial-thickness double pedicle graft and guided tissue regeneration with a bioabsorbable collagen membrane, respectively 0.7 mm and 0.4 mm. The connective tissue with partial-thickness double pedicle graft produced a 1.3 mm increase in keratinized tissue, while the guided tissue regeneration technique resulted in a 0.5 mm decrease in keratinized tissue. This difference is not statistically significant. The mean reduction in sensivity was not statitistically different. The results of this study demonstrate that root coverage is possible with both procedures.
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Abstract (Original Language): 
Dişeti çekilmelerinin tedavisi periodontal terapinin en önemli kısımlarındandır. Bu araştırmanın amacı kök kapanması amacıyla iki tekniği karşılaştırmaktır. Bağdokusu ile yarım kalınlık çift saplı greft ve kollajen bariyer membran ile yönlendirilmiş doku rejenerasyonu uygulanan tekniklerdir. Bağdokusu ile yarım kalınlık çift saplı greftte elde edilen ortalama kök kapanma yüzdesi % 53.6 ve kollajen bariyer membran ile yönlendirilmiş doku rejenerasyonunda % 44.3'dü. Farklılık istatistiksel olarak anlamsızdı. Sondalama cep derinliği bağdokusu ile yarım kalınlık çift saplı greftte ve kollajen bariyer membran ile yönlendirilmiş doku rejenerasyonunda sırasıyla 0.7mm ve 0.4 mm.'ydi. Bağdokusu ile yarım kalınlık çift saplı greftte keratinize doku artışı 1.3 mm. iken, kollajen bariyer membran ile yönlendirilmiş doku rejenerasyonunda 0.5 mm. olarak elde edildi. Farklılık istatistiksel olarak önemsizdi. Hassasiyetteki ortalama azalma anlamlı değildi. Bu araştırmanın sonuçlan her iki tekniğin de kök kapanması amacıyla kullanılabileceğini göstermiştir.
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PDF icon arastirmax-diseti-cekilmelerinin-tedavisinde-kollajen-bariyer-membran-ile-yonlendirilmis-doku-rejenerasyonu-bagdokusu-ile-yarim-kalinlik-cift-sapli-greft-operasyonlarinin.pdf
  • 1
5-14
  • Turkish

REFERENCES

References: 

1. Allen EP, Miller PD. Coronal positioning of existing gingiva: Short term results in the treatment of shallow marginal tissue recession. J Periodontol 1989;60: 316-19.
2. Blumenthal N, Steinberg J. The use of collagen membrane barriers in conjunction with combined demineralized bone-collagen gel implants in human infrabony defects. J Periodontol 1990,61: 319-27.
3. Borgehetti A, Gardella I. Thick gingival autograft for the root coverage of gingival recession. A clinical evaluation. Int J Periodontics Restorative Dent 1990;10: 217.
4. Bouchard P, Etienne D, Ouhayoun J, Niveus R. Subepithelial connective tissue grafts iin the treatment of gingival recessions. A comparative study of 2 procedures. J Periodontol 1994;65:929-36.
5. Chen CC, Wang H-L, Smith F Glickman J, Shyr Y, OfNeal R. Evaluation of a collagen membran with and without bone grafts in treating periodontal infrabony defects. J Periodontol 1995;66: 838-47.
6. Cortellini P, Clauser C, Pini Prato G. Histologic assessment of new attachment following the treatment following the treatment of a human buccal recession by means of a guided tissue regeneration procedure. J Periodontol 1993;64: 387-91.
7. Cortellini P, DeSanctis M, Pini Prato G, Baldi C, Clauser C. Guided tissue regeneration procedure using a fibrin-fibronectin system in surgically induced recession in dogs. Int J Periodontics Restorative Dent 1991; 11:150-63.
8. Cortellini P, Pini Prato G, DeSanctis M, Baldi, C, Clauser C. Guided tissue regeneration procedure in the treatment of a bone dehiscence associated with a gingival recession: A case report. Int J Periodontics Restorative Dent 1991;11:460-67.
9. De Waal H, Kon S, Ruben M. The laterally positioned flap. Dent Clin N Amer 1988;32: 267.
10. Edel A. Clinical evaluation of free connective tissue grafts used to increase the width of keratinized gingiva. J Clin Periodontol 1974;1: 185.
11. Genon P, Genon-Romagna C, Gottlow J. Treatment of gingival recessions with guided tissue regeneration: A bioabsorbable barrier. J Periodontol
Atatürk Üniv.Diş Hek.Fak.Derg.
Ci!t:9, Sayı:l, Sayfa:5-14,1999
ALPTEKİN, GÖZLÜ
Implantol
1994
; 13: 289-96.
12. Gottlovv J, Nyman S, Karring T, Lindhe J. Treatment of localized gingival recessions with coronally displaced flaps and citric acit. An experimental study in the dog. J Clin Periodontol 1986; 13: 57-63.
13. Grupe H, Warren R. Repair of gingival defects by a sliding flap operation. J Periodontol 1956; 27:92-9.
14. Guinard EA, Caffesse RG. Treatment of localized gingival recessions. Part I. Lateral sliding flap. J Periodontol 1978;49: 351-6.
15. Haney JM, Nilveus RE, McMillan PJ, Wikesjo UME. Periodontal repair in dogs: Experimental polytetraflouroethylene membranes support wound stabilization and enhance bone regeneration. J Periodontol 1993;64: 883-90.
16. Harris RJ. A comparative study of root coverage obtained with guided tissue regeneration utilizing a bioabsorbable membrane versus the connective tissue with partial-thickness double pedicle graft. J Periodontol 1997;68: 779-90.
17. Harrir RJ. A comparison of two techniques of obtaining a corrective tissue graft from the palate. Int J Periodontics R< lorative Dent 1997;17:261-72.
18. Harr R.I. The connective tissue and partial thickness doub.e pedicle graft: A predictable method of root coverage. J Periodontol 1992;63: 447-86.
19. Harris RJ. The connective tissue with partial thickness double pedicle graft. The results of 100 consecutively treated defects. J Periodontol 1994;65: 448-61.
20. Holbrock T, Oschsenbein C. Complete coverage of the denuded root surface with a one-stage gingival graft. Int J Periodontics Restorative Dent 1983;3: 8-27.
21. Ibbott C, Oles R, Laverty W. Effects of citric acid on autogenous free graft coverage of localized recession. J Perioodntol 1985;56:662.
22. Johns LP, Merritt K, Agarwal S, Ceravolo FJ. Immunogenicity of bovine collagen membrane in guided tissue regeneration. J Dent Res. 1992;71 (spec.issue): 298 (Abstr 1538)
23. Langer B, Langer L. Subepitelial connective tissue graft technique for root coverage. J Periodontol 1985;56:715-20.
24. Löe H. The gingival index, the plaque index, and retention index systems. J Periodontol 1967;38: (Suppl): 610-16.
25. Miller PD. A clasification of marginal tissue recession. Int J Periodontics Restorative Dent 1985; 5: 9-14.
26. Miller PD. Root coverage using the free soft tissue autograft following citric acid application. III. A successful and predictable procedure in areas of deep-wide recession. Int J Periodontics Restorative Dent 1985;2:15-37.
27. Miller PD. Root coverage using the free tissue autograft citric acit application. III. A sucessful and predictable procedure in deep-wide recession. Int J Periodontics Restorative Dent 1985;5: 15.
28. Nelson S. The subpedicle connective tissue graft, a bilaminar reconstructive procedure for root coverage of denuded root surfaces. J Periodontol 1987; 58: 95.
29. Nyman S, Gottlow J, Lindhe J, Karring T, Wennstrom J. New attachment formation by guided tissue regeneration. J Periodont Res 1987;22: 252-4.
30. Pini Prato G, Clauser C, Magnani C, Cortellini P. Resorbable membranes in the treatment of human buccal recession: A nine-case report. Int J Periodontics Restorative Dent 1995; 15: 258-267.
31. Pini Prato G, Tinti C, Vincenzi G, Magnani C, Cortellini P, Clauser C. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 1992;63: 919-28.
32. Pitaru S, Soldinger M, Noff M. Collagen membranes prevent apical migration of epithelium and support new connective tissue attachment during periodontal wound healing in dogs. J Periodont Res 1989;24: 247-53.
33. Pitaru S, Tal H, Soldinger M, Grosskopf A, Noff M. Partial regeneration of periodontal tissues using collagen bariers. Initial observations in the canine. J Periodontol 1987;59: 380-86.
34. Postlethwaitc AE, Sever JM, Kang AH. Chemotactic attraction of human fibroblasts to type I, II and III collagens and collagen-derived peptides. Proc Natl Acad Sci 1978;75: 871-75.
35. Roccuzzo M, Lungo M, Corrente G, Gandolfo S. Comparative study of a biabsorbale and non-absorbable membrane in the treatment of human gingival recessions. J Periodontol 1996;67:7-14.
36. Shieh A-T, Wang H-L, OINeal R, Glickman GN, MacNeil RL. Development and clinical evaluation of a root coverage procedure using a collagen barier membrane. .1 Periodontol 1997;68:770-78.
37. Silness J, Löe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121-135.
38. Sullivan HC, Atkins JH. Free autogenous gingival grafts. III. Utilization of grafts in the treatment of gingival recession. Periodontics 1968; 152-60.
39. Tinti C, Vincenzi G, Cortellini P, Pini Prato G, Clauser C. Guided tissue regeneration in the treatment of human facial recession. A 12-case report. J Periodontol 1992;63:554-60.
40. Tinti C, Vincenzi P. Expanded polytctraflouroct hylen membranes for regeneration of mucogingival recession defects. A 12 case report. J Periodontol 1994;65: 1088-94.
41. Tolmie PN, Rubins RP, Buck GS, Vagianos V, Lanz JC. The predictability of root coverage by way of free gingival autografts and citric acid appliction: An evaluation by multiple clinicans. Int J Periodontics Restorative Dent 1991 ;11: 261-71.
42. Trombelli L, Schincaglia GP, Scapoli C, Calura G. Healing response of human buccal gingival recessions treated with expanded polytetraflouroethylene membranes. A respective report. J Periodontol 1995 ;66:14-22.
43. Wang HL, OfNeal RB, Thomas CL. Evaluation of an absorbable collagen membrane in treating class II furcation defects. J Periodontol 1994;65:1029-36.
44. Wikesjo UME, Nilveus RE, Selvig KA. Significance of early healing events on periodontal repair. A review. J Periodontol 1992;63: 158-165.
45. Wildermen MN, Wentz FM. Repair of a dentogingival defect with a pedicle flap. J Periodontol 1965;35: 218-31.

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