Comparison of Free Gingival Graft and Modified Apical Repositioning Flap Techniques to Create Attached Gingiva: A Long-Term (2 Year) Retrospective Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Periodontal Diseases
- Sponsor
- Istanbul Medipol University Hospital
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Attached gingiva width
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
Attached gingiva, a crucial component of the keratinized tissue, plays a vital role in preserving periodontal health. The free gingival graft (FGG) and modified apically repositioned flap (MARF) techniques are frequently used for addressing issues related to insufficient attached gingiva. The aim of this study was to compare the efficiency of the FGG and the MARF increasing the zone of attached gingiva in 2-year posttreatment.
Detailed Description
The study included 15 participants who were both systemically and periodontally healthy, and these participants had a total of 21 teeth (10 for SDG and 11 for MARF). All included teeth had an attached gingiva width ranging from 0.5 mm to 1.5 mm and showed no signs of bone dehiscence. SDG and MARF methods were selected randomly (coin-to-coin). Clinical parameters recorded at baseline, third month, at first and second years were plaque index (PI), pocket probing depth (PPD), keratinized tissue width (KTW), attached gingiva width (AGW), bleeding on probing (BOP), gingival recession (GR) and clinical attachment level (CAL).
Investigators
Nur Balci, DDs, PhD
Associate Prof Dr
Istanbul Medipol University Hospital
Eligibility Criteria
Inclusion Criteria
- •having ≥15 permanent teeth excluding third molars,
- •not using any orthodontic appliance,
- •not being pregnant or breastfeeding,
- •not having any uncontrolled chronic and/or auto-immune disease,
- •not smoking.
Exclusion Criteria
- •having chronic and/or auto-immune disease
Outcomes
Primary Outcomes
Attached gingiva width
Time Frame: Baseline, third month, first year and second years.
The width of the attached gingiva was calculated by measuring the distance from the crest of the gingival margin to the mucogingival junction and then subtracting the probing depth of the gingival sulcus from this distance on the particular tooth.
Keratinized tissue width
Time Frame: Baseline, third month, first year and second years.
The width of the keratinized tissue was calculated by measuring the distance from the crest of the gingival margin to the mucogingival junction
Secondary Outcomes
- Pocket probing depth(Baseline, third month, first year and second years.)