2 research outputs found

    The Evaluatıon Of The Treatment Of Gıngıval Recessıon Assocıated Wıth Non-Carıous Cervıcal Lesıons Wıth Dıfferent Restoratıve Materıals Plus Subepıthelıal Connectıve Tıssue Grafts Or Concenrated Growth Factor

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    Bu çalışmanın amacı, çürüksüz servikal lezyon (ÇSL) ile ilişkili çoklu dişeti çekilmelerinin tedavisinde, lezyonların 3 farklı restoratif materyallerle restorasyonunun ardından modifiye kuronale kaydırılan fleple (MKKF) birlikte uygulanan Subepitelyal bağ dokusu grefti (SBDG) ve Konsantre büyüme faktörü (KBF) membranının etkinliklerinin değerlendirilmesidir. Çalışmaya, Gazi Üniversitesi Diş Hekimliği Fakültesi Periodontoloji Anabilim Dalı Kliniğine özellikle hassasiyet ve estetik şikayetleri ile başvuran yaşları 28 ile 59 arasında (ortalama 45  9,5) değişen 9 u kadın 5 i erkek 14 hasta dahil edilmiştir. Servikal lezyona sahip yan yana 3 dişi içeren çoklu dişeti çekilme bölgelerinde, her bir dişe rastgele olarak seçilen restoratif materyallerden biri uygulanmıştır. Kompozit rezinin uygulandığı dişler Grup 1, RMCĠS uygulanan dişler Grup 2 ve giomerin uygulandığı dişler Grup 3 olarak gruplandırılmıştır. Dişlerin restorasyonunu takiben 2 hafta sonra mukogingival cerrahi işlemler gerçekleştirilmiştir. Çenelerinde bilateral benzer defekti bulunan çoklu dişeti çekilme bölgesine sahip 14 hastada ise bir bölgesine MKKF + SBDG uygulanırken diğer tarafa MKKF + KBF uygulanmıştır. Operasyon öncesi, 3. ve 6. aylarda plak indeksi (PĠ), gingival indeks (GĠ), sondlamada kanama (SK), cep derinliği (CD), çekilme derinliği (ÇD), servikal lezyon yüksekliği (SLY), klinik ataşman seviyesi (KAS), keratinize dişeti genişliği (KDG) ve kalınlığı (KDK), kök kapanma yüzdesi (KKY), servikal lezyon kapanma yüzdesi (SLKY) klinik verileri kaydedilmiştir. Hassasiyet ve estetik, hasta merkezli olarak yatay bir skala (VAS) ile değerlendirilmiştir. Operasyondan 6 ay sonra elde edilen sonuçlar bağımsız bir uzman tarafından ‗estetik skor ile değerlendirilmiştir. Restoratif materyallerin karşılaştırılmasında tüm zamanlarda gruplar arasında PĠ, SK, CD, ÇD, KAS kazancı, KDG ve KDK değerlerinde istatistiksel olarak anlamlı farklılık görülmemiştir. Operasyon sonrası 6. ayda KKY grup 1 de %84,3  15,8, grup 2 de %81,5  16,3 ve grup 3 de %77,1  16,1 olarak bulunmuştur. Cerrahi yöntemlerin karşılaştırılmasında KDG ve KDK değerlerinde SBDG lehine istatistiksel olarak anlamlı farklılık görülmüştür. Operasyon sonrası 6. ayda KKY, SBDG yönteminde %80,7  9,9, KBF yönteminde %78,3 17,1 olarak bulunmuştur. ÇSL ile ilişkili dişeti çekilmelerinin periodontal/restoratif kombine tedavisi ile estetiğin ve fonksiyonun yeniden sağlandığı başarılı sonuçlar elde edilmiştirThe aim of this study, the evaluation of the treatment of gingival recessions associated with noncarious cervical lesions (NCCL) with 3 different reastorative materials plus modified coronally advanced flap (MCAF) in combination with subepithelial connective tissue grafts (SCTG) or concentrated growth factor (CGF). The subjects were selected from the group of patients referred for hypersensitivity and esthetic compliance to the Clinic of Gazi University, Department of Periodontology, to participate in this study. Fourteen patients, 9 females and 5 males, aged 28-59 years (mean age 45  9,5), were included. The subjects who were positive for the presence of three cervical lesions associated with multiple gingival recessions in three different adjacent teeth were enrolled in the study. The NCCL were each restored prior to surgery by using one of three different materials: composite resin (group 1), resin modified glass ionomer cement (group 2) or giomer (group 3). Two weeks after the restorative appointment, the patients underwent mucogingival procedures. Subjects who have multiple gingival recessions of similar extent on both sides of the mouth, were treated with MCAF+SCTG and MCAF+CGF. Clinical measurements, including plaque index (PI), gingival index (GI), bleeding on probing (BOP), relative recession height (rRH), probing depth (PD), cervical lesion height (CLH), clinical attachment level gain (CALG), keratinized tissue height (KTH), keratinized tissue thickness (KTT), percentage of root coverage (RC), percentage of cervical lesion height coverage (CLHC) were measured at baseline and at 3 and 6 months post-surgery. Patient satisfaction with hypersensitivity and esthetic outcome were evaluated based on visual analog scale (VAS). There are no statistically significant differences in PI, BOP, PD, RH, CAL, KTH and KTT at any time between the restorative materials. The percentage of RC was 84,3  15,8% for group 1, 81,5  16,3% for group 2 and 77,1  16,1% for group 3 at 6 months postoperatively. There are statistically significant differences in KTH and KTT in favour of SCTG. The percentage of RC was 80,7  9,9% for SCTG and 78,3 17,1% for CGF at 6 months postoperatively. Successful results were obtained with the combined periodontal/restorative treatments for NCCL associated with gingival recessions in this stud

    Evalution Of the Patiens Oral Health Related Quality of Life After Harvesting Free Gingival Graft

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    Objectives: Oral Health Related Quality of Life is the individual's perception of how oral health affects the quality of life and general health. Periodontal plastic surgery procedures have been reported to negatively affect the quality of life of patients after the operations. The aim of this study was to evaluate the effects of different treatment procedures applied for wound healing of the donor palate site after free gingival graft (FGG) operations on the quality of life.Materials and Methods: After FGG harvesting, 60 patients’ palatal donor sites were randomly assigned one of the six groups, giving 10 participants per group. Palatal wounds were treated with platelet-rich fibrin (PRF), essix retainer, ozone therapy, low-level laser therapy (LLLT) or collagen fleece. As a control group, palatal donor sites were left to secondary healing without any of the treatment procedures. After the postoperative procedures, The Oral Health Impact Profile (OHIP-14) questions were asked to patients to evaluate their quality of life, whereas parameters in relation to postoperative morbidity were analyzed by using Visual Analogue Scale (VAS).Results: Regarding to the questions belonging Turkish version of OHIP-14 (OHIP-14 TR), there were statistically significant relationships between the group categorical variables and the categorical results of question 7 and 10 (p=0.002 and p=0.015). For these questions, the lowest scores were mostly given in the LLLT group. No statistically significant difference was observed between the study groups and total OHIP scores (TOHIP) and the means of 7 subscales of OHIP-14 (p>0.05). Significant differences were found between PRF-ozone groups on the 5th day (p=0.011) for mean VAS scores exhibiting postoperative pain.Conclusions: It has been observed that applying LLLT procedures to the donor wound area following FGG operations may have positive effects on the quality of life and PRF treatments may be more effective in terms of patient comfort after operation
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