CLINICAL EVALUATION OF FREE GINGIVAL GRAFT SHRINKAGE IN HORIZONTAL AND VERTICAL DIMENSIONS

Year 2015, Volume: 49 Issue: 3, 11 - 16, 30.04.2015

Emine Çifçibaşı , Volkan Karabey , Cenker Koyuncuoğlu , Ezgi Düzağaç Emrah Genceli Kamber Kasalı Serdar Çintan

https://doi.org/10.17096/jiufd.58759

Abstract

Purpose: To assess the shrinkage of Free Gingival
Graft (FGG) in horizontal and vertical dimensions
and calculate the changes in the surface area
of the transplanted tissue in a 3 months period.
Materials and Methods: A total of 30 FGG were placed
aiming to increase attached gingiva around recession
sites. Vertical recessions, horizontal recessions,
surface area, plaque index, gingival index, periodontal
probing depth and clinical attachment level were
assesed at baseline, 1 and 3 months postoperatively.
Results: Graft shrinkage between baseline and
1 month was more evident than 1 to 3 months in
either dimensions. Both horizontal and vertical
dimensions were significantly decreased (p<0.001)
at 1 and 3 months post operatively. There was
no significant change in PI and GI scores
postoperatively compared to baseline (p>0.05). .
Conclusion: The shrinkage of vertical and horizontal
dimensions of the grafts were almost equal unlike the
literature. In addition, the different dimensional changes
observed in individual level deserve further research.

Keywords

Free gingival graft; shrinkage; surface area; individuality

clınıcal EValUaTıOn OF FREE GınGıVal GRaFT SHRınKaGE ın HORıZOnTal anD VERTıcal DıMEnSıOnS Serbest Dişeti Greftinin Yatay ve Dikey Boyutlardaki Büzülmesinin Klinik Olarak Değerlendirilmesi

Abstract

Amaç: Serbest Dişeti Grefti (SDG) operasyonu sonrası ilk 3 aylık süre zarfında meydana gelebilecek horizontal ve vertikal büzülmenin değerlendirilmesi, ayrıca toplam yüzey alanındaki değişimin hesaplanmasıdır. Gereç ve Yöntem: Dişeti çekilmesi olan bölgelerde keratinize dişeti dikey boyutunu artırmak amacıyla 30 adet SDG yerleştirilmiştir. Başlangıç ve operasyon sonrası 1. ve 3. aylarda dikey yöndeki dişeti çekilmesi, yatay yöndeki dişeti çekilmesi, greftin toplam yüzey alanı, plak indeksi (PI), gingival indeks (GI), periodontal sondalama derinliği ve klinik ataşman seviyesi ölçülmüştür. Bulgular: Birinci ve 3. aylar arasında meydana gelen büzülmeye oranla, başlangıç ve 1. ay arasında daha belirgin greft büzülmesi gözlenmiştir. Horizontal ve vertikal greft boyutları 1. ve 3. aylarda anlamlı oranda azalmıştır (p<0.001). PI ve GI skorlarında başlangıca göre anlamlı bir değişim meydana gelmemiştir (p>0.05). Sonuç: Greft boyutlarında meydana gelen büzülmedeki bireysel farklılıklar daha ileri düzeyde araştırılmalıdır

Keywords

Büzülme; serbest dişeti grefti; yüzey alanı

References

• Armitage GC. Development of a classification
• system for periodontal diseases and conditions.
• Ann Periodontol 1999;4(1):1-6.
• CL. N. Repositioning the attached gingiva. J
• Periodontol 1954;25(1):38-39.
• Lang NP, Loe H. The relationship between the
• width of keratinized gingiva and gingival health.
• J Periodontol 1972;43(10):623-627.
• Dorfman HS, Kennedy JE, Bird WC. Longitudinal
• evaluation of free autogenous gingival grafts. A
• four year report. J Periodontol 1982;53(6):349-
• -
• Wennstrom J, Lindhe J. Role of attached gingiva
• for maintenance of periodontal health. Healing
• following excisional and grafting procedures in
• dogs. J Clin Periodontol 1983;10(2):206-221.
• H. B. Free transplantation of gingiva propria. .
• Swed Dent J 1963;22(684-689.
• Agudio G, Nieri M, Rotundo R, Cortellini P,
• Pini Prato G. Free gingival grafts to increase
• keratinized tissue: A retrospective long-term
• evaluation (10 to 25 years) of outcomes. J
• Periodontol 2008;79(4):587-594.
• Sullivan HC, Atkins JH. Free autogenous
• gingival grafts. I. Principles of successful
• grafting. Periodontics 1968;6(3):121-129.
• Hatipoglu H, Keceli HG, Guncu GN, Sengun D,
• Tozum TF. Vertical and horizontal dimensional
• evaluation of free gingival grafts in the anterior
• mandible: A case report series. Clin Oral Investig
• ;11(2):107-113.
• Ericsson I, Lindhe J. Recession in sites with
• inadequate width of the keratinized gingiva. An
• experimental study in the dog. J Clin Periodontol
• ;11(2):95-103.
• Herbert F. Wolf TMHCAoDH, 1st edition.
• Stuttgart: Thieme, 2006. 161 p.
• Miller PD, Jr. A classification of marginal tissue
• recession. Int J Periodontics Restorative Dent
• ;5(2):8-13.
• Baker DL, Seymour GJ. The possible
• pathogenesis of gingival recession. A histological
• study of induced recession in the rat. J Clin
• Periodontol 1976;3(4):208-219.
• Silness J, Loe H. Periodontal disease in
• pregnancy. Ii. Correlation between oral hygiene
• and periodontal condtion. Acta Odontol Scand
• ;22(121-135.
• Loe H, Silness J. Periodontal disease in
• pregnancy. I. Prevalence and severity. Acta
• Odontol Scand 1963;21(533-551.
• Silva CO, Ribeiro Edel P, Sallum AW, Tatakis
• DN. Free gingival grafts: Graft shrinkage and
• donor-site healing in smokers and non-smokers.
• J Periodontol 2010;81(5):692-701.
• Goldman H SS, Fox L, Cohen DW. Periodontal
• Therapy, 3rd edition. St. Louis: The CV. Mosby
• Co; 1964. 560 p.
• James WC, McFall WT, Jr. Placement of free
• gingival grafts on denuded alveolar bone.
• Part i: Clinical evaluations. J Periodontol
• ;49(6):283-290.
• Barbosa FI, Correa DS, Zenobio EG, Costa FO,
• Shibli JA. Dimensional changes between free
• gingival grafts fixed with ethyl cyanoacrylate
• and silk sutures. J Int Acad Periodontol
• ;11(2):170-176.
• Ward VJ. A clinical assessment of the use of
• the free gingival graft for correcting localized
• recession associated with frenal pull. J
• Periodontol 1974;45(2):78-83.
• Guncu GN KH, Ercan E, Hatipoglu H, Ilhan D,
• Tozum TF. . Vertical and horizontal dimensional
• evaluation of sutureless free gingival grafts.