Monika K, Sunkala Lokesh, Sandeep N, Keerthi K, Bharathi B Vimal, Madhav Gajula Venu
Private Practitioner, Department of Periodontics, Panineeniya Institute of Dental Sciences, Hyderabad, India.
Department of Prosthodontics Crown and Bridge, Army College of Dental Sciences, Secunderabad, Telangana, India.
J Family Med Prim Care. 2020 Mar 26;9(3):1656-1661. doi: 10.4103/jfmpc.jfmpc_1104_19. eCollection 2020 Mar.
Gingival recession (GR) is a common clinical feature of periodontal disease and is an undesirable condition. More than 50% of the population has one or more sites with GR ≥ 1 mm.
In this study 15 subjects were subjected to initial periodontal therapy such as ultrasonic scaling and root planning with hand instruments and curettes. Patient is motivated for home care. The buccal fat pad is harvested and sutured in the gingival recession area and followed up for 6 months and root coverage was calculated.
At baseline mean recession of 5.60 ± 1.18 mm, probing depth of 0.73 ± 0.59 mm, clinical attachment loss of 6.40 ± 1.18 mm were recorded. At the end of 6 months, the mean recession was reduced from 5.60 ± 1.18 mm to 2.87 ± 0.74 mm, probing depth was increased from 0.73 ± 0.59 mm to 1.73 ± 0.70 mm and clinical attachment loss was decreased from 6.40 ± 1.18 mm to 4.53 ± 0.83 mm.The difference between baseline score and six months score for all three parameters are statistically significant.
Buccal fat pad is a predictable procedure to cover Miller's class III and class IV gingival recession defects. There was a definitive improvement in clinical parameters (reduction in gingival recession, increased probing depth, gain in clinical attachment) after 6 months. There was 46.78% improvement in root coverage which was statistically significant.
牙龈退缩（GR）是牙周疾病的常见临床特征，是一种不良状况。超过50%的人群有一个或多个部位的牙龈退缩≥1毫米。
在本研究中，15名受试者接受了初始牙周治疗，如超声洁治以及使用手持器械和刮治器进行根面平整。鼓励患者进行家庭护理。采集颊脂垫并缝合于牙龈退缩区域，随访6个月并计算牙根覆盖情况。
基线时记录的平均退缩为5.60±1.18毫米，探诊深度为0.73±0.59毫米，临床附着丧失为6.40±1.18毫米。6个月末，平均退缩从5.60±1.18毫米降至2.87±0.74毫米，探诊深度从0.73±0.59毫米增至1.73±0.70毫米，临床附着丧失从6.40±1.18毫米降至4.53±0.83毫米。所有三个参数的基线评分与6个月评分之间的差异具有统计学意义。
颊脂垫移植术是覆盖米勒III类和IV类牙龈退缩缺损的一种可预测的手术方法。6个月后临床参数有明确改善（牙龈退缩减少、探诊深度增加、临床附着增加）。牙根覆盖改善了46.78%，具有统计学意义。
