Parihar Anuj Singh, Manas Abhigyan, Gopinath P V, Moin Ahmed Muzammil, Ibrahim Mathar Mohammed, Chauhan Meghna, Bhuvaneshwari S
Department of Periodontics, Peoples Dental Academy, Bhopal, Madhya Pradesh, India.
Senior Resident, Department of Dentistry, UP University of Medical Sciences, Saifai, Utter Pradesh- 206130, India.
J Pharm Bioallied Sci. 2022 Jul;14(Suppl 1):S236-S238. doi: 10.4103/jpbs.jpbs_115_22. Epub 2022 Jul 13.
To assess papilla level using different techniques in a second stage dental implant surgery.
Thirty patients who received 45 dental implants were equally divided into 3 groups of 10 each. Group I patients were operated with a scalpel with mid-crestal incision. In group II, dental implants were exposed with a gallium-aluminum-arsenide diode laser. In group III, dental implants were exposed with I shaped incision using a scalpel. Assessment of modified gingival index (mGI), modified plaque index (mPI), and Jemt index were performed at baseline, 3 months, and 6 months. The measurement of FAJI, FAJAdj, ST height, and CP Bone crest was performed.
A significant difference in crestal bone level of FAJ- I, FAJ- adj, ST height, and CP Bone crest was recorded at baseline, 3 months, and 6 months among groups I, II, and III ( < 0.05). At 6 months, both groups II and III exhibited >60% of papilla fill as compared to group I.
Diode laser offers maximum papillary fill and resulted in less crestal bone loss as compared to mid-crestal and I shaped incision during a second stage surgery.
在二期牙种植手术中使用不同技术评估乳头水平。
30例接受45颗牙种植体的患者被平均分为3组，每组10例。第一组患者采用正中切口手术刀进行手术。第二组，使用砷化镓铝二极管激光暴露牙种植体。第三组，使用手术刀作I形切口暴露牙种植体。在基线、3个月和6个月时进行改良牙龈指数（mGI）、改良菌斑指数（mPI）和耶姆特指数评估。进行FAJI、FAJAdj、ST高度和CP骨嵴的测量。
在基线、3个月和6个月时，第一、二、三组之间FAJ - I、FAJ - adj、ST高度和CP骨嵴的嵴顶骨水平存在显著差异（P<0.05）。在6个月时，与第一组相比，第二组和第三组均表现出>60%的乳头填充。
在二期手术中，与正中切口和I形切口相比，二极管激光可提供最大程度的乳头填充，且导致的嵴顶骨吸收更少。
