Diş Eti Çekilmesi Tedavisinde Tünel Tekniği ile Birlikte Çift Çapraz Sütur Uygulaması: Olgu Serisi

Öz

Diş eti çekilmesi (DÇ) tedavi edilirken birçok tekniğin başarısından söz etmek mümkündür. Bu tekniklerden özellikle minimal invaziv bir teknik olan tünel tekniği, post-operatif olarak daha ağrısız, morbiditesi daha az ve başarılı bir tekniktir. Bununla birlikte tünel operasyonu sırasında kök yüzeyi kapanmasının sağlanabilmesi için serbestleştirilen flep koronale yer değiştirmelidir. Bu noktada sütur tekniği de son derece önemlidir. Özellikle hem greftin stabilizasyonunu sağlamak hem de flebi koronale ilerletmek için çift-çapraz sütur tekniği başarılı bir yöntemdir. Bu olgu serisinin amacı; tünel operasyonları sırasında çift-çapraz sütur tekniği uygulanmasının kısa dönem etkinliğinin araştırılmasıdır. Cairo DÇ tip 1 ve 2 DÇ’ye sahip sistemik olarak sağlıklı üç hastada tünel tekniği uygulanırken palatinal sahadan de-epitelize serbest diş eti grefti elde edilmiş ve serbestleştirilen flep içerisine yerleştirilmiştir. Yerleştirilen greft çiftçapraz sütur tekniği ile hem flebe sabitlenmiş hem de koronale ilerletilmiştir. Hastalar iki ay takip edilmiştir. Bu vaka serisinde DÇ’lerin tedavisinde post-operatif ağrı minimal düzeyde olmuştur. Uygulanan teknik ile hastaların estetik beklentileri karşılanmıştır. Bu sütur tekniği ile papil bütünlüğünün bozulmadığı görülmüş ve dokunun beslenmesi sırasında erken dönemde bir komplikasyonla karşılaşılmamıştır. Bu vaka sersinin sonuçları dahilinde çift-çapraz sütur tekniğiyle uygulanan tünel operasyonu ile DÇ tedavisinde etkili sonuçlar verdiği söylenebilir.

Anahtar Kelimeler

• Bağ dokusu grefti
• diş eti çekilmesi
• sütur tekniği

Application of Double Cross Suture with Tunnel Technique in the Treatment of Gingival Recession: Case Series

Öz

It’s possible to talk about the success of many techniques when treating gingival recession (GR). The tunnel technique, which is a minimally invasive technique, is a more painless, less morbid and successful post-operative technique. However, the released flap must be coronally displaced to ensure root surface closure during tunnel operation. At this point, the suture technique is also extremely important. In particular, the double-cross suture technique (DCST) is a successful method for both stabilizing the graft and advancing the flap coronally. The aim of this case series is; the aim of this study is to investigate the short-term effectiveness of applying the DCST during tunnel operations. While performing the tunnel technique in three systemically healthy patients with Cairo type 1-2 GR, a de-epithelialized free gingival graft was obtained from the palatal area and placed in the liberated flap. The implanted graft was both fixed to the flap and advanced coronally with the DCST. The patients were followed for two months. Post-operative pain was minimal in the treatment of GR in this case series. The aesthetic expectations of the patients were met with the applied technique. With this suture technique, it’s observed that the integrity of the papilla wasn’t impaired and no early complications were encountered during the feeding of the tissue. Within the results of this case series, it can be said that the tunnel operation applied with the DCST gives effective results in the treatment of GR.

Anahtar Kelimeler

• Connective tissue graft
• gingival recession
• suture technique

Kaynakça

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