Track topics on Twitter Track topics that are important to you
Several techniques have been proposed to maintain full papillary form and preserve soft tissue during periodontal surgical access. However, very little evidence of long-term results is available. The aim of the present paper is to report the 15- to 20-year follow-up outcomes of a case series study of papillae preservation flap surgery in esthetic areas. Twenty-two patients (10 women, 12 men; mean age: 41.3 years) with moderate to advanced generalized periodontitis were included in this study carried out in a private office from 1994 to 1996. In each patient, nonsurgical therapy with scaling and root planing was performed. Following this initial phase of therapy and the periodontal re-evalutaion, a papillae preservation flap surgery was performed in the anterior maxillary area in each subject. Full-mouth Plaque Index (FMPI), Gingival Index (GI), full-mouth Bleeding Score (FMBS), probing depth (PD), bleeding on probing (BOP), clinical attachment level (CAL), gingival recession (GR), and papilla height (PH) were assessed at the baseline and at each year of the follow-up. GI and BOP decreased with a statistical difference after surgery (P < .05) and remained low over the entire observation period. At the end of the follow-up period, PD and CAL decreased significantly (P < .05) compared to baseline (PD from 7.18 ± 0.91 mm to 2.98 ± 0.49 mm; CAL from 8.06 ± 1.2 mm to 4.01 ± 0.28 mm). Gingival recession and papilla height did not change significantly after surgery compared to baseline (GR from 0.88 ± 0.42 mm to 0.92 ± 0.36 mm; PH from 5.6 ± 1.1 mm to 4.2 ± 0.8 mm) and remained stable over the 15 to 20 years of the study (GR = 1.12 ± 0.36 mm; PH = 4.9 ± 0.9 mm) (P > .05). Results of the present long-term study show that the papillae preservation flap procedure may be applied successfully to the treatment of periodontal pockets in the maxillary anterior region.
This article was published in the following journal.
Name: The International journal of periodontics & restorative dentistry
Vascularized osteocutaneous free flaps have seen increasing use in foot and ankle surgery for the repair of bony defects secondary to chronic nonunion, osteomyelitis, and fractures. One example is the...
Vascular occlusion after free flap surgery has become a rare complication but still poses a major challenge. It necessitates urgent re-exploration, but the logistic challenge to provide sufficient ...
To evaluate the technique and the long-term outcomes after autologous internal limiting membrane flap surgery for refractory macular holes.
The deep inferior epigastric perforator (DIEP) flap may be associated with less long-term donor-site morbidity compared with free muscle-sparing transverse rectus abdominis myocutaneous flap (MS-TRAM)...
Composite anterolateral thigh (ALT) flap with vascularized fascia lata can reconstitute patellar tendon integrity and knee soft tissue coverage in one stage. However, long-term evidence of outcomes is...
The amount of hard tissue resorption following tooth extraction involves prosthetically driven implant placement; therefore, the development of ridge preservation techniques that result in...
Ridge Preservation Comparing the Clinical and Histologic Healing of Flap vs. Flapless Approach to Grafting
Twenty-nine patients needing single tooth replacement in aesthetic area were treated by extraction and socket preservation with saddle connective tissue graft between September 2009 and Fe...
This is a single centre, randomised, single-blind, parallel-group clinical trial that aims at evaluating the use of imaging (2D and 3D) in obtaining geometric and thermometric changes of p...
This study will assess the long-term safety and tolerability of ACZ885 in patients with rheumatoid arthritis, as well as long-term efficacy, long-term preservation and/or improvement of jo...
Endonucleases that remove 5' DNA sequences from a DNA structure called a DNA flap. The DNA flap structure occurs in double-stranded DNA containing a single-stranded break where the 5' portion of the downstream strand is too long and overlaps the 3' end of the upstream strand. Flap endonucleases cleave the downstream strand of the overlap flap structure precisely after the first base-paired nucleotide, creating a ligatable nick.
Temporary storage of information for a few seconds to hours, as opposed to long-term memory which refers to material stored for days, years, or a lifetime.
Remembrance of information from 3 or more years previously.
A surgical procedure to correct MYOPIA by CORNEAL STROMA subtraction. It involves the use of a microkeratome to make a lamellar dissection of the CORNEA creating a flap with intact CORNEAL EPITHELIUM. After the flap is lifted, the underlying midstroma is reshaped with an EXCIMER LASER and the flap is returned to its original position.
Health insurance to provide full or partial coverage for long-term home care services or for long-term nursing care provided in a residential facility such as a nursing home.
Surgery is a technology consisting of a physical intervention on tissues. All forms of surgery are considered invasive procedures; so-called "noninvasive surgery" usually refers to an excision that does not penetrate the structure being exci...
Women's Health - key topics include breast cancer, pregnancy, menopause, stroke Follow and track Women's Health News on BioPortfolio: Women's Health News RSS Women'...