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

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

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