You are here

Home » Content

ENDODONTİK CERRAHİDE İKİ FARKLI İNSİZYONLA HAZIRLANAN DÖRT KÖŞELİ FLEPLERİN KARŞILAŞTIRILMASI

COMPARISON OF FOUR CORNERED FLAPS PREPARED BY TWO DIFFERENT INCISIONS IN ENDODONTIC SURGERY

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2007
Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The aim of this study was to compare the effects of four-cornered (laps prepared by two different incisions, which are frequently used in endodontic surgery, on periodontal health of the related teeth and patient comfort. Thirty two. systemically and periodontally healthy patients were included in this study. All of the patients had a periapical lesion in one maxillary tooth with a diameter of 0.5-1 cm radiologically. Following the root-canal treatment performed preoperatively on the day of surgery, the following parameters were measured to compare with the postoperative relevant measurements: thickness and width of attached gingiva, attachment loss and depth of periodontal pocket. Patients were divided into 2 groups: sulcular incision was used for group I while submarginal scalloped incision was used for group 2 for the preparation of a four cornered Hap. Immediately postoperatively and on the 7'1' postoperative day. visual analogue scale (VAS) (between 0 and 10) scorings of pain, speaking and chewing abilities were recorded. The gathered data was statistically analyzed using paired samples t lest. There was no statistically significant difference in VAS scores between the two groups. Group 1 had significantly higher attachment loss and gingival recession measurements when compared with group 2. There is no difference in four cornered flaps prepared either by sulcular or submarginal scalloped incisions when patient comfort following endodontic surgery is taken into consideration, however: submarginal scalloped incision may be advantageous especially in esthetic regions since it does not yield to attachment loss and gingival regression.
Bookmark/Search this post with
Abstract (Original Language): 
Bu çalışmanın amacı endodontik cerrahide sıklıkla kullanılmakla olan iki farklı insizyon ile hazırlanan dörtgen llehin hasta konforuna ve ilgili dişlerin periodontal sağlıklarına yönelik etkilerini karşılaştırmaktır. Sistemik ve periodontal açıdan sağlıklı, üst çene ön dişlerinin sadece bir tanesinde radyolojik olarak 0.5-1 cm çapında kök ucu lezyonu olan 32 hasta çalışmaya dahil edildi. İşlem günü preoperatif kanal tedavisini lakihen operasyona alınan hastaların ilgili diş bölgesindeki bukkal dişeti kalınlığı ve genişliği, dişeti çekilmesi, periodontal cep derinliği posiopcratif değerlerle karşılaştırmak üzere ölçüldü. Hastalar uygulanacak insizyona göre 2 gruba ayrıldı: birinci gruba siliktiler insizyonla. ikinci gruba ise submarjinal insizyonla dörtgen llcp hazırlandı. İşlemden hemen sonra ve 7. postoperatif günde hastalara ağrı. konuşabilire ve çiğneycbilme durumları ile ilgili 0-10 arasında derecelendirilen görsel ölçeklendirme değerlendirmesi (VAS) yapıldı, filde edilen veriler bağımlı örnekler için t testi ile değerlendirildi. İki grup arasında görsel ölçeklendirme değerlendirmesi bulgularına göre istatistiksel olarak fark bulunamadı Birinci grupta 2. gruba göre işlemden 5 halta sonra istatistiksel olarak anlamlı derecede ataşman kaybı ve dişeti çekilmesi gerçekleştiği görüldü. Hndodonlik cerrahi amaçlı yapılan girişimlerde postoperatif hasta konforu açısından sulkuler veya submarjinal insizyonla hazırlanan dörtgen Heplerin birbirlerine üstünlüklerinin olmadığı ancak ataşman kaybı ve dişeti çekilmesine neden olmaması nedeniyle özellikle estetik bölgede yapılacak işlemlerde submarjinal insizvonun daha avantajlı olabileceği görüldü.
FULL TEXT (PDF): 
PDF icon arastirmax-endodontik-cerrahide-iki-farkli-insizyonla-hazirlanan-dort-koseli-fleplerin-karsilastirilmasi.pdf
  • 3
25
30
  • Turkish

REFERENCES

References: 

1. Velvart P, Peters C. Soft tissue management in endodontic surgery. J Endod 20(15: 31: 4-16.
2. Blatz MR. HUrzeler MB. Strub .IK. Reconstruction of the lost interproximal papilla-presentation of surgical and nonsurgical approaches. Inl .1 Periodontics Restorative Dent 1999: 19: 395-406.
3. Jansson L. Sandstedt P. Laftman AC, Skoglund A. Relationship between apical and marginal healing in periradicular surgery. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997: S3: 596-601.
4. Velvart P. Surgical retreatment. In: Bergenholt/ G, Horsted-Bindslev P. Reit C. eds. Textbook of endodontology. Oxford: Blackwell Munksgaard. 2003. p. 312-26.
.5. Carr G. Bentkover S. Surgical Endodontics. In: Cohen S. Burns R. eds. Pathways of the pulp. St Louis: MO Mosby; 199S. p.608-56.
6. Caudill RF, Oringer R.I. Langer L, Langer B, Bahat O. Handelsman M. Esthetic periodontics (periodontal plastic surgery). In: Wilson T. Kornmann K. eds. Fundamentals of periodontics. Carol Stream. IL: Quintessence Publishing Co; 2003. p.540-61.
7. Wadhwani KK. Garg A. Healing of soft tissue alter different types of Hep designs used in periapical surgery. Endodontol 2004: 16: 19-22.
8. Gutmann J, Harrison J. Success, failure, and prognosis in periradicular surgery. In: Gutmann J. Harrison J, eds. Surgical endodontics. Oxford: Blackwell Scientific Publications; 1991. p. 338-84.
9. Zuolo ML. Ferreira MO. Gutmann JL. Prognosis in periradieulai surgery: a clinical prospective study. Int Endod .1 2000; 33: 91-8.
10. Vreeland DL. Tidwell E. Flep design for surgical endodontics. Oral Surg Oral Med Oral Pathol 1982;54:461-5.
1 1. Velvart P. Papilla base incision: a new approach to recession free healing of the interdental papilla after endodontic surgery. Int Endo J 2002; 35: 453-60.
12. Takei III I. Carranza FA. The periodontal flap. In: Newman MG. Takei I 111. Carranza FA. (2002). Carranza's Clinical Petiodontology. 9,h Ed. W.B. Saunders Company, New York. 2002. p.762-73
13. Yaltirik M. Dedeoglu K. Bilgiç B, et al. Comparison of four different suture materials in soft tissues of rats. Oral His 2003; 9: 284-6.
14. Mönnann W. Meier C. Firestone A. Gingival blood circulation after experimental wounds in man. .1 Clin Periodontol 1979: 6: 417-24.
15. Peters LB. Wesselink PR. Soft tissue management in endodontic surgery. Dent Clin North Am 1997; 41: 513-28.
30
16. Mörmann W, Ciancio SG. Blood supply of human gingiva following periodontal surgery. A fluorescein angiographic siudy. J Periodontol 1977;48:681-92.
17. Harrison J. Jurosky K. Wound healing in the tissues of the periodontium following periradicular surgery. 2. The disseetional wound. J Endod 1991; 17: 544-52.
Yakup
ÜSTÜN
, Onur ÖZÇELİK
18. Harrison J, Jurosky K. Wound healing in the tissues of the periodontium following periradicular surgery. I. The incisional wound. .1 Endod 1991; 17: 425-35.
19. Harrison JW. Healing of surgical wounds in oral mueoperiosteal tissues. .1 Endod 1991; 17: 401-8.

Thank you for copying data from http://www.arastirmax.com