Kuronale Kaydırılan Flep ve Bağ Doku Grefti ile Tedavi Edilen Dişeti Çekilmelerinin Retrospektif Analizi

Öz

Amaç: Bu retrospektif çalışmanın amacı dişeti çekilmelerinin tedavisinde kuronale kaydırılan flep ve bağ doku greftinin (KKF+BDG) etkinliğinin değerlendirilmesidir.

Yöntem: Çalışmada KKF+BDG ile tedavi edilen tekli ve çoklu 32 dişetine çekilmesine sahip 11 hastanın periodontal kayıtları incelendi. Cairo sınıflamasına göre tip 1 dişeti çekilmeleri çalışmaya dahil edildi. Çekilme derinliği (ÇD), cep derinliği (CD) ve klinik ataşman seviyesi (KAS) ölçümleri başlangıç ve takip randevularında yapıldı. Ortalama kök yüzeyi kapanması (OKK) ve tam kök yüzeyi kapanması (TKK) değerlendirildi. Aynı zamanda hastaların destekleyici periodontal tedaviye (DPT) uyumluluğu da belirlendi.

Bulgular: On bir hastanın yaş ortalaması 29.6±4.4 yıl olarak saptandı. Otuz iki dişeti çekilmesinin ortalama gözlem süresi 37.6±24.2 ay olarak belirlendi. Son takip randevularında yapılan ölçümlerde tüm klinik parametrelerde başlangıç değerlere göre olumlu yönde değişiklik gözlendi. Kuronale kaydırılan flep ve bağ doku grefti ile tedavi edilen dişeti çekilmelerinde OKK %92.6±13.1 ve TKK %75 olarak saptandı. Destekleyici periodontal tedaviye uyumluluk oranı %83.3 hesaplandı.

Sonuç: Cairo tip 1 dişeti çekilmelerinin KKF+BDG ile tedavisinde ortalama üç yıldan fazla takibinde tüm klinik parametreler ve TKK açısından pozitif sonuçlar elde edildi. Bu çalışmanın bulguları KKF+BDG’nin dişeti çekilmelerinin tedavisinde altın standart olarak kullanılmasını destekler niteliktedir.

Anahtar Kelimeler

• Bağ doku
• kök yüzeyi kapama
• diş eti çekilmesi

Treatment of Gingival Recessions Using Coronally Advanced Flap and Connective Tissue Graft: A Retrospective Analysis

Öz

Aim: The aim of this retrospective study was to evaluate the effectiveness of coronally advanced flap and connective tissue graft (CAF+CTG) in the treatment of gingival recessions (GR).

Method: Periodontal records of 32 single and multiple GR in 11 patients treated with CAF+CTG were selected for the study. According to Cairo’s classification, recession type 1 defects were included. Recession depth (RD), probing depth (PD) and clinical attachment level (CAL) were assessed at baseline and follow-ups. Mean root coverage (MRC) and complete root coverage (CRC) were evaluated. Compliance with supportive periodontal therapy (SPT) was also determined.

Results: Mean age of 11 patients was 29.6±4.4 years. The mean observation time of 32 recessions was 37.6±24.2 months. All clinical parameters showed an improvement between baseline and the latest follow-up. After treatment with CAF+CTG, MRC was 92.6±13.1% and CRC was achieved in 75% of the recessions. Compliance to SPT was calculated at 83.3%.

Conclusion: The use of CAF+CTG yielded positive outcomes in terms of all clinical parameters and complete root coverage in Cairo recession type 1 defects with a mean observation period of >3 years. The results of the present study confirm the use of CAF+CTG as a gold standard for the treatment of gingival recessions.

Anahtar Kelimeler

• Connective tissue
• root coverage
• gingival recession

Kaynakça

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