Efficacy of Collagen Matrix (Mucograft® and Mucoderm®) Versus Free Gingival Graft to Enhance the Width of Keratinized Tissue Around Implants

Yıl 2021, Cilt: 10 Sayı: 2, 77 - 84, 25.05.2021

Dilara Kesim Özkan Özkoçer , Ahu Uraz , Mehmet Yalım

Öz

Amaç: Keratinize dişeti dokusu yetersizliği implantın sağlığı için önemli faktörlerden biridir. Bu çalışmanın amacı, serbest dişeti grefti (SDG) ile karşılaştırıldığında diş implantlarının etrafındaki keratinize dokuyu arttırmayı amaçlayan kolajen matriks türevlerini (Mucograft® ve Mucoderm®) test etmektir.
Gereç ve Yöntem: Çalışmaya 36 implant ve 18 hasta dahil edildi. Katılımcılar rastgele üç gruba ayrıldı, SDG kontrol grubuna (CG), Mucograft® test grubu 1’e (TG1) ve Mucoderm® test grubu 2'ye (TG2) uygulandı. Plak indeksi (PI), gingival indeks (GI), sondlamada kanama (BoP), cep derinliği (PD), keratinize mukozanın genişliği (KMW) ve keratinize mukoza kalınlığı (KMT) ölçüldü. Tam ağız PI, GI, PD değerleri elde edildi. Bu ölçümler başlangıçta, ameliyattan sonra 1., 3. ve 6. aylarda kaydedildi.
Bulgular: Grup içi ve gruplar arası ogmentasyon alanı için klinik parametreler açısından; Operasyon bölgesinin PI, GI, BoP, KMW, başlangıç değerleri ile 1., 3. ve 6. aylardaki değerler arasında istatistiksel olarak anlamlı fark görüldü (p <0.05). Başlangıç PI, GI, BoP değerleri 1., 3. ve 6. aylara göre anlamlı derecede yüksek olduğu görüldü. Bu durum tüm gruplar için geçerlidir. Tüm gruplar için, başlangıç KMW değerleri 1., 3. ve 6. aylara göre anlamlı derecede düşük bulundu. KMT açısından gruplar arasında istatistiksel olarak anlamlı bir fark yoktur.
Sonuç: Farklı greft alternatifleri ile yapılan yumuşak doku ogmentasyonlarında peri-implant keratinize diş eti genişliği değerleri başlangıca göre artmıştır. Otojen greft (FGG) ve domuz kaynaklı kollajen greft materyalleri (Mucograft ve Mucoderm) arasında büyük farklar gözlenmedi. Keratinize diş eti kazancının diş eti sağlığı üzerindeki olumlu etkisi gözlendi.

Anahtar Kelimeler

implant, Keratinize diş eti, kollajen matriks, periodontal cerrahi

Destekleyen Kurum

Gazi Üniversitesi Bilimsel Araştırma Projeleri Destek Birimi

Proje Numarası

03/2013-04

Efficacy of Collagen Matrix (Mucograft® and Mucoderm®) Versus Free Gingival Graft to Enhance the Width of Keratinized Tissue Around Implants

Öz

Aim: Keratinized gingival tissue insufficiency is one of the important factors for implant survival. The purposed of this study was to test collagen matrices (Mucograft® and Mucoderm®) aimed to increase keratinized tissue around dental implants when compared with free gingival graft (FGG).
Material and Method: Eighteen patients with 36 implants were included in the study. Participants were divided randomly into three groups, FGG were applied to the control group (CG), Mucograft® was applied test group 1 (TG1) and Mucoderm® was applied the test group 2 (TG2). Plaque index (PI), gingival index (GI), bleeding on probing (BoP), Probing depth (PD), the width of the keratinized mucosa (KMW) and thickness of keratinized mucosa (KMT) at augmentation site were measured. PI, GI, PD values of full mouth were obtained. These measurements were recorded at baseline, 1st, 3rd and 6th months after surgery.
Results: In the terms of clinical parameters for augmentation area within and between groups; There is a statistically significant difference between the PI, GI, BoP, KMW, baseline values of the augmentation site and the values at the 1st, 3rd and 6th months (p <0.05). Baseline PI, GI, BoP values were found to be significantly higher than at 1st, 3rd and 6th months. This situation is valid for all groups. For all groups, baseline KMW values were found to be significantly lower than at 1st, 3rd and 6th months. There is no statistically significant difference between groups, in term of KMT.
Conclusions: In soft tissue augmentations made with different graft alternatives, the peri-implant keratinized gingiva width values increased compared to the beginning. No major differences were observed between autogenous graft (FGG) and porcine collagen graft materials (Mucograft and Mucoderm). The positive effect of this keratinized gingiva gain on gingival health was observed.

Anahtar Kelimeler

dental implant, keratinized gingiva, periodontal surgery, porcine collagen matrix

Proje Numarası

03/2013-04

Kaynakça

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