LOKALİZE DİŞETİ ÇEKİLMELERİN TEDAVİSİNDE PALATAL GREFT İLE GİNGİVAL ÜNİTENİN KARŞILAŞTIRILMASI

Year 2024, Volume: 13 Issue: 1, 10 - 18, 26.01.2024

Dilek Özkan Şen Fatma Ucan Yarkac Elif Öncü

https://doi.org/10.54617/adoklinikbilimler.1129401

Abstract

Amaç:Bu çalışmanın amacı lokalize dişeti çekilmesi bulunan hastalarda serbest dişeti greftinde gingival ünite ve geleneksel yöntemin objektif ve subjektif estetik sonuçlarını ve başarısını değerlendirmektir.
Gereç ve Yöntem:Miller I-II çekilme defekti olan 26 hasta dahil edildi.Dişeti çekilmeleri serbest dişeti grefti operasyonu ile tedavi edildi ve iki gruba ayrıldı: Grup 1;palatal greft ile (n=12), Grup 2;gingival ünite grefti ile tedavi edilen bireyler (n=14).Dişeti çekilmesi, keratinize doku genişliği, klinik ataşman seviyesi, plak indeksi, gingival indeks, cep derinliği gibi klinik periodontal parametreler başlangıçta ve 6 ay sonra ölçüldü.Hastaların memnuniyet ve hastaların ve hekimlerinin estetik algı puanları başlangıçta ve 6 ay sonra kaydedildi.
Bulgular:Başlangıçta dişeti çekilme derinliği grup 2'de grup 1'e göre daha yüksekti.Tedavi sonrası tüm gruplarda dişeti çekilme derinliğinde azalma ve keratinize doku genişliğinde artış görüldü (p<0.05).Tedavi sonrası her iki grupta da hastaların memnuniyet algısı arttı.Toplam hasta memnuniyeti skorları karşılaştırıldığında, başlangıçta gruplar arasında anlamlı bir fark bulunmadı.Ayrıca tedavi sonrası hasta ve hekimlerin estetik algı puanları grup 2'de grup 1'e göre daha yüksekti(p <0.05).
Sonuç:Bu çalışmada, her iki yöntemin de çekilme derinliğini azalttığı, keratinize doku miktarını ve hastaların memnuniyet algılarını artırdığı görüldü.

Keywords

DİŞETİ ÇEKİLMESİ, TRANSPLANTASYON, PERİODONTAL PLASTİK CERRAHİ

Comparison of Different Treatments in Gingival Recessions

Abstract

Aim:The aim of this study is to evaluate the objective and subjective aesthetic results and success of the gingival unit and traditional method in free gingival graft in patients with localized gingival recession.
Material method:26 patients with Miller I-II defect were included.The individuals were treated and divided into two groups:Group1; with palatal graft(n=12),Group2;individuals treated with gingival unit grafts(n=14).Clinical parameters such as gingival recession, keratinized tissue,, clinical attachment level, plaque index, gingival index, pocket depth were measured at baseline and 6 months after surgery.Patients' perception of satisfaction and aesthetic scores of patients and dentists were evaluated at baseline and 6 months.
Results:At baseline, the depth of recession was higher in group2 than in group1.After treatment, a decrease in recession and an increase in keratinized tissue were observed in all groups.After the treatment, the satisfaction of the patients increased in both groups.When patient satisfaction scores were compared, there was no significant difference between the groups at baseline.Aesthetic scores of patients and dentists after treatment were higher in group2 than in group1.
Conclusion:In this study, it was observed that both methods decreased the depth of retraction, increased the amount of keratinized tissue and satisfaction of the patients.

Keywords

gingival recession, periodontal plastic surgery, transplantation

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