Köşger Hüseyin, Polat Hidayet B, Demirer Serhat, Ozdemir Hakan, Ay Sinan
Department of Oral and Maxillofacial Surgery, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey.
J Oral Maxillofac Surg. 2009 Sep;67(9):1826-31. doi: 10.1016/j.joms.2009.04.023.
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.
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.
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.
The results of our study have shown that the paramarginal flap design is a good alternative to the marginal flap design.
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。
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。
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。
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。
