Miller I. Sınıf Diş Eti Çekilmeleri Olan Hastalarda Kuronale Kaydırılan Flep ile Birlikte Kullanılan Trombositten Zengin Plazma Tedavisinin Klinik Parametrelerle Değerlendirilmesi

Year 2024, Volume: 13 Issue: 2, 278 - 287, 20.05.2024

Mete Hanzade Duygu Ilhan

https://doi.org/10.54617/adoklinikbilimler.1299224

Abstract

Amaç: Bu çalışmada kuronale kaydırılan flep (KKF) ile birlikte kullanılan trombositten zengin plazma (TZP)’nin klinik parametrelere etkileri incelenmiştir.
Gereç ve Yöntem: Araştırmamız, Miller I. sınıf diş eti çekilmesi tanısı konulan 15 bireyin 70 defekt bölgesinde çalışma (KKF+TZP) ve kontrol (KKF) grupları üzerinde yürütülmüştür. Tedavi öncesi çalışma grubundan alınan kanlardan TZP hazırlanmış, defektlerdeki kök yüzeylerine uygulanmıştır. Tüm gruplarda tedavi öncesi, 10. gün, 6. hafta, 3. ve 6. ayda sondalanabilir cep derinliği, klinik ataşman seviyesi, dikey yönde diş eti çekilmesi, diş eti çekilmesi genişliği, kök yüzeyi örtme yüzdesi, keratinize diş eti dikey boyutu, keratinize diş eti kalınlığı klinik ölçümleri yapılmıştır.
Bulgular: Çalışma ve kontrol grupları arasında sondalanabilir cep derinliği değerlerinde yalnızca çalışma grubunda operasyon öncesi ve 6. ay arasında azalma saptanmıştır (p<0.05). Çalışma ve kontrol grubu operasyon öncesi diş eti çekilmesi genişliği ölçümleri,3.550.88, 3.370.78 mm’dir. Operasyon sonrası 6. ay ise sırasıyla bu değerler 1.131.24 ve 1.391.23 mm’dir. Her iki grupta da 6. ayda diş eti çekilmesi genişliği azalmıştır (p<0.01). Operasyon sonrası 6. ay kök yüzeyi örtme oranları, her iki grupta sırasıyla %85.7517.25 ve %82.4521.88’ di ve fark anlamlı bulunmadı (p>0.05).
Sonuç: Araştırmamızda, gruplar arasında parametrelerde fark saptanmamasına rağmen TZP’deki büyüme faktörlerinin doku rejenerasyonundaki etkileri nedeniyle mukogingival cerrahi ile birlikte kullanılması faydalı olabilir.

Keywords

Dişeti Çekilmesi, kuronale kaydırılan flep, trombositten zengin plazma, Kök yüzeyi örtme

Supporting Institution

İstanbul Üniversitesi Bilimsel Araştırma Projeleri Birimi

Project Number

Proje No: 479

Evaluation of Platelet-Rich Plasma Treatment with Coronally Advanced Flap in Patients with Miller Class I Recessions in Terms of Clinical Parameters

Abstract

Aim: In this study, the effects of platelet-rich plasma (PRP) used together with coronally advanced flap (CAF) with platelet-rich plasma (PRP) on clinical parameters have been examined.
Materials and Method: Our study was carried out on study (CAF + PRP) and control (CAF) groups in 70 defect regions of 15 individuals diagnosed with Miller Class I. gingival recession. PRP was prepared from the blood drawn from the study group before the treatment and applied to root surfaces of the defects. Clinical measurements; probing depth, clinical attachment level, vertical gingival recession, recession width, percentage of root coverage, width of keratinized tissue, keratinized tissue thickness were determined in all groups before treatment, at 10 days, 6 weeks, 3 and 6 months .
Results: A decrease in probing pocket depth values between the study and control groups was detected only in the study group between the preoperative period and the 6th month (p<0.05). Preoperative recession width measurements in the study and control groups were 3.550.88, 3.370.78 mm, respectively. At the 6th month after the surgery, these values were 1.131.24 and 1.391.23 mm, respectively. The recession width was reduced at 6 months in both groups (p<0.01). The 6th month postoperative root coverage rates were determined as 85.7517.25% and 82.4521.88% in the study and control groups, respectively and the difference between the groups was not significant (p>0.05).
Conclusion: Despite no difference was detected in the parameters between the groups in our study, it may be beneficial to use the growth factors in PRP together with mucogingival surgery due to their effects on tissue regeneration.

Keywords

Coronally advanced flap, gingival recession, platelet rich plasma, root coverage

Project Number

Proje No: 479

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