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腭侧阻生尖牙手术中边缘瓣与旁边缘瓣的牙周愈合:一项前瞻性研究。

Periodontal healing of marginal flap versus paramarginal flap in palatally impacted canine surgery: a prospective study.

作者信息

Köşger Hüseyin, Polat Hidayet B, Demirer Serhat, Ozdemir Hakan, Ay Sinan

机构信息

Department of Oral and Maxillofacial Surgery, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey.

出版信息

J Oral Maxillofac Surg. 2009 Sep;67(9):1826-31. doi: 10.1016/j.joms.2009.04.023.

Abstract

PURPOSE

The aim of the present study was to compare the influence of 2 mucoperiosteal flaps, marginal and paramarginal, on the periodontal healing of adjacent maxillary teeth after extraction of palatally impacted canines.

PATIENTS AND METHODS

Marginal (15 patients) and paramarginal (16 patients) techniques were used to remove palatally impacted canines. The periodontal examination of the adjacent teeth included evaluation of the plaque index, gingival index, probing depth, and clinical crown length preoperatively and at the first, third, and sixth months postoperatively using an individual acrylic stent.

RESULTS

No significant differences between the marginal and paramarginal flaps were found with respect to plaque index, gingival index, labial and palatal probing depth, and labial and palatal clinical crown length at all follow-up points.

CONCLUSION

The results of our study have shown that the paramarginal flap design is a good alternative to the marginal flap design.

摘要

目的

本研究的目的是比较两种黏骨膜瓣,即边缘瓣和旁边缘瓣,对上颌腭侧阻生尖牙拔除后相邻牙齿牙周愈合的影响。

患者与方法

采用边缘瓣技术(15例患者)和旁边缘瓣技术(16例患者)拔除上颌腭侧阻生尖牙。使用个体丙烯酸支架,在术前以及术后第1、3和6个月对相邻牙齿进行牙周检查,包括菌斑指数、牙龈指数、探诊深度和临床冠长度的评估。

结果

在所有随访时间点,边缘瓣和旁边缘瓣在菌斑指数、牙龈指数、唇侧和腭侧探诊深度以及唇侧和腭侧临床冠长度方面均未发现显著差异。

结论

我们的研究结果表明,旁边缘瓣设计是边缘瓣设计的良好替代方案。

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