Long-Term Assessment of Periodontal Tissues after Corticotomy-Assisted Orthodontic Arch Expansion

Objectives: The aim of the study was the long-term assessment of the condition of periodontal tissues after corticotomy-assisted orthodontic expansion in patients with transverse maxillary deficiency. Materials and Methods: The study included a group of 18 adults (9 women, 9 men) aged between 24 and 40 years who were at least 5 years post treatment. The following parameters were assessed: the full mouth plaque index (FMPI), full mouth bleeding on probing (FMBOP), probing depth (PD), clinical attachment level (CAL), gingival recession height (GR), recession width (RW), papilla height (PH), papilla width (PW), bone sounding (BS), phenotype, and KT. Results: During examination performed at least 5 years after the completion of orthodontic treatment, the values of PD and CAL were found to be considerably decreased compared to the examination one year post treatment (PD: −0.23; 95% Cl: −0.29, −0.16) (CAL: −0.04; 95% Cl: −0.17, 0.10). The other parameters—FMPI, FMBOP, GR, RW, PH, PW, BS, phenotype, and KT—did not change significantly. Conclusions: Corticotomy-assisted orthodontic arch expansion does not have a negative effect on the periodontium in long-term observations. Clinical Relevance: Orthodontic arch expansion can lead to bone dehiscence and gingival recession. Long-term observations revealed that corticotomy-assisted orthodontic expansion of the upper arch is not followed by negative changes in periodontal status.

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Surgical Treatment of Periodontal Intrabony Defects with Calcium Sulphate in Combination with Beta Tricalcium Phosphate – A 12-Month Retrospective Clinical Evaluation

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2016.82 ◽

2010 ◽

Vol 53 (4) ◽

pp. 229-234 ◽

Cited By ~ 4

Author(s):

Sujith Sukumar ◽

Ivo Dřízhal ◽

Josef Bukač ◽

Vladimíra Paulusová ◽

Shriharsha Pilathadka

Keyword(s):

Tissue Regeneration ◽

Tricalcium Phosphate ◽

Gingival Recession ◽

Calcium Sulphate ◽

Intrabony Defects ◽

Clinical Attachment Level ◽

Beta Tricalcium Phosphate ◽

Probing Depth ◽

One Year ◽

Attachment Level

Alloplastic bone graft materials are widely been used in combination with barrier membranes to achieve guided tissue regeneration in the treatment of periodontal intrabony defects. This study was designed to evaluate the clinical outcome of a composite material, beta tricalcium phosphate in combination with calcium sulphate in the treatment of periodontal intrabony defects. The combination of these materials is believed to aid in guided tissue regeneration owing to their properties. Thirty nine intrabony defects in 21 patients were treated with Fortoss® Vital (Biocomposites, Staffordshire, UK). Clinical parameters were evaluated including changes in probing depth, clinical attachment level/loss and gingival recession at baseline and one year postoperatively. The mean differences in measurements between the baseline and one year postoperatively are a reduction of 1.98±1.16 mm (p=0.000) in case of probing depth and a gain of 1.68±1.12 mm (p=0.000) in clinical attachment level and an increase of 0.31±0.67 mm (p=0.009) in gingival recession measurements. The study results show that the treatment with a combination of beta tricalcium phosphate and calcium sulphate led to a significantly favorable clinical improvement in periodontal intrabony defects one year postoperatively.

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Coronally repositioned flap in gingival recession therapy

Stomatoloski glasnik Srbije ◽

10.2298/sgs0303144s ◽

2003 ◽

Vol 50 (3) ◽

pp. 144-149 ◽

Cited By ~ 1

Author(s):

Ruzica Stevanovic ◽

Obrad Zelic

Keyword(s):

Dental Plaque ◽

Gingival Recession ◽

Gingival Inflammation ◽

Clinical Attachment Level ◽

Periodontal Tissues ◽

One Year ◽

Attachment Level ◽

Root Surfaces ◽

Positive Effect

The aim of this study was to evaluate surgical therapy of coronally repositioned flap (CRF) in solving the problem of gingival recession. Research involved 10 patients and CRP was used to cover denuded surfaces of 21 teeth. The success of the operation was evaluated through the measurement of the denuded root surfaces (DRS) and the estimation of the condition of the periodontal tissues measuring: clinical attachment level (CAL) clinical gingival level (CGL), keratinized gingival width (KGW), vestibulum depth (VD) and hygiene standards (PI and GI). The results obtained by this study indicate that on average 68% of denuded root surfaces are covered with CRF one year after the operation. Significantly more coronally dislocation of the CAL 2,68 mm and the CGL (2.02) mm were registered one year after the therapy. KGW has not significantly changed except at the first follow-up, when more narrow keratinized gingiva was registered (p<0,05). Measurement of the vestibulum depth (VD) ascertained a significant reduction of the value of this parametar at all follow-ups (p<0.001) and one year after the operation (p<0.05). The coverage of denuded teeth surfaces enables adequate maintenance of oral hygiene, which has a positive effect on the decrement of the amount of dental plaque (PI p<0.001) and mitigates gingival inflammation (GI p<0.001) in the postoperatiave period.

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Treatment of Intrabony Defects with a Combination of Hyaluronic Acid and Deproteinized Porcine Bone Mineral

Materials ◽

10.3390/ma14226795 ◽

2021 ◽

Vol 14 (22) ◽

pp. 6795

Author(s):

Darko Božić ◽

Ivan Ćatović ◽

Ana Badovinac ◽

Larisa Musić ◽

Matej Par ◽

...

Keyword(s):

Hyaluronic Acid ◽

Bone Mineral ◽

Gingival Recession ◽

Intrabony Defects ◽

Clinical Attachment Level ◽

New Approach ◽

Novel Approach ◽

Probing Depth ◽

Baseline Values ◽

Attachment Level

Background: this study evaluates the clinical outcomes of a novel approach in treating deep intrabony defects utilizing papilla preservation techniques with a combination of hyaluronic acid (HA) and deproteinized porcine bone mineral. Methods: 23 patients with 27 intrabony defects were treated with a combination of HA and deproteinized porcine bone mineral. Clinical attachment level (CAL), pocket probing depth (PPD), gingival recession (REC) were recorded at baseline and 6 months after the surgery. Results: At 6 months, there was a significant CAL gain of 3.65 ± 1.67 mm (p < 0.001) with a PPD reduction of 4.54 ± 1.65 mm (p < 0.001), which was associated with an increase in gingival recession (0.89 ± 0.59 mm, p < 0.001). The percentage of pocket resolution based on a PPD ≤4 mm was 92.6% and the failure rate based on a PPD of 5 mm was 7.4%. Conclusions: the present findings indicate that applying a combined HA and xenograft approach in deep intrabony defects provides clinically relevant CAL gains and PPD reductions compared to baseline values and is a valid new approach in treating intrabony defects.

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Aspectos clínicos, microbiológicos e tratamento periodontal em pacientes fumantes portadores de doença periodontal crônica: revisão da literatura

Revista Brasileira de Odontologia ◽

10.18363/rbo.v73n4.p.325 ◽

2016 ◽

Vol 73 (4) ◽

pp. 325

Author(s):

Gabriela Alessandra Da C. Galhardo Camargo ◽

Mariana Gouvea Latini Abreu ◽

Renata Dos Santos ◽

Marcio Alves Crespo ◽

Leticia De Faria Wenderoscky

Keyword(s):

Gingival Recession ◽

Periodontal Therapy ◽

Clinical Aspects ◽

Gingival Index ◽

Periodontal Pathogens ◽

Clinical Attachment Level ◽

Qualitative And Quantitative ◽

Probing Depth ◽

Microbiological Parameters ◽

Attachment Level

Objective: the aim of this study was to evaluate, through literature review, clinical aspects (plaque index, gingival index, probing depth, gingival recession and clinical attachment level) and microbiological (qualitative and quantitative presence of periodontal pathogens) in smokers patients and the response to periodontal therapy. Material and Methods: it was selected scientific articles published between the years 1978 and 2014. We were selected scientific articles from MEDLINE, PUBMED and LILACS databases. Results: there are controversies between tobacco and clinical and microbiological parameters. Conclusion: based on the evaluated studies we can conclude that there are significant clinical and microbiological differences in smoking patients and impaired response to periodontal therapy.

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Possibilities of modern procedures in gingival recession therapy

Stomatoloski glasnik Srbije ◽

10.2298/sgs0301018j ◽

2003 ◽

Vol 50 (1) ◽

pp. 18-23 ◽

Cited By ~ 2

Author(s):

Sasa Jankovic ◽

Bozidar Dimitrijevic

Keyword(s):

Connective Tissue ◽

Gingival Recession ◽

Clinical Attachment Level ◽

Treatment Groups ◽

Coronally Advanced Flap ◽

Connective Tissue Graft ◽

Tissue Graft ◽

Keratinized Tissue ◽

Probing Depth ◽

Attachment Level

This study was designed to compare the effectiveness and predictability of GTR and connective tissue graft in the treatment of gingival recession. 15 recessions Miller class II and III were treated with bioabsorbable barrier and coronally advanced flap. The same number of defects was treated with connective tissue graft in combination with coronally advanced flap. Clinical recordings included hygiene standards and recession depth (RD) probing depth (PD), clinical attachment level (CAL) and keratinized tissue width (KT) Mean (RD) was statistically significant decreased from 5,47mm presurgery to 0.73mm with GTR (87,76%) and from 5,93mm to 0.60 with CTG (89.9%). Prevalence of complete root coverage was 40% for the GTR and 46,66% for CTG group. No statistically significant differences between treatment groups were observed in this study Treatment of gingival recessions with CTG and GTR present effective and highly predictable mucogingival plastic surgical procedures.

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Clinical Evaluation of Intrabony Defects in Localized Aggressive Periodontitis Patients with and without Bioglass- An In-vivo Study

Kathmandu University Medical Journal ◽

10.3126/kumj.v10i1.6906 ◽

2012 ◽

Vol 10 (1) ◽

pp. 7-10

Author(s):

KV Satyanarayana ◽

BR Anuradha ◽

G Srikanth ◽

P Mohan Chandra ◽

T Anupama ◽

...

Keyword(s):

Bioactive Glass ◽

Test Group ◽

Gingival Recession ◽

Aggressive Periodontitis ◽

Control Group ◽

Defect Depth ◽

Clinical Attachment Level ◽

Probing Depth ◽

Localized Aggressive Periodontitis ◽

Attachment Level

Background Aggressive periodontitis is a specific type of periodontitis with clearly identifiable clinical characteristics such as “rapid attachment loss, bone destruction” and “familial aggregation”. Regeneration of mineralized tissues affected by aggressive periodontitis comprises a major scientific and clinical challenge. In recent years some evidence has been provided that bioactive glass is also capable of supporting the regenerative healing of periodontal lesions. Objective The aim of this clinical and radiological prospective study was to evaluate the efficacy of bioactive glass in the treatment of intra-bony defects in patients with localized aggressive periodontitis. Methods Twelve localized aggressive periodontitis patients with bilaterally located three-walled intra-bony defect depth ? 2 mm, preoperative probing depths ? 5 mm were randomly treated either with the bioactive glass or without the bioactive glass. The clinical parameters plaque index, gingival index, probing depth, gingival recession, clinical attachment level, and mobility were recorded prior to surgery as well as 12 months after surgery. Intraoral radiographs were digitized to evaluate the bone defect depth at baseline and 12 months after the surgery. Results After 12 months, a reduction in probing depth of 3.92 + 0.313 mm (P <0.001) and a gain in clinical attachment level of 4.42+0358mm (P <0.001) were registered in the test group. In the control group, a reduction in probing depth of 2.5 +0.230mm (P <0.001) and a gain in clinical attachment level of 2.58 + 0.149 mm (P<0.001) was recorded. Radiographically, the defects were found to be filled by 2.587 + 0.218 mm (P <0.001) in the test group and by 0.1792 + 0.031mm (P <0.001) in the control group. Changes in gingival recession showed no significant differences. . Conclusion Highly significant improvements in the parameters Probing depth, Clinical attachment level, and Bone defect depth were recorded after 12 months, with regenerative material. KATHMANDU UNIVERSITY MEDICAL JOURNAL VOL.10 | NO. 1 | ISSUE 37 | JAN - MAR 2012 | 11-15 DOI: http://dx.doi.org/10.3126/kumj.v10i1.6906

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Effects of Mixture of Fibrin-Fibronectin Sealant System and Calcium Carbonate in Periodontal Intrabony Defects

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.309-311.1397 ◽

2006 ◽

Vol 309-311 ◽

pp. 1397-1400

Author(s):

Ui Won Jung ◽

S.J. Chang ◽

Seong Ho Choi ◽

C.S. Kim ◽

Jung Kiu Chai

Keyword(s):

Calcium Carbonate ◽

Gingival Recession ◽

Control Group ◽

Intrabony Defects ◽

Clinical Attachment Level ◽

Intrabony Defect ◽

Probing Depth ◽

Group 2 ◽

Attachment Level ◽

Experimental Group

This study evaluated the effects of mixture of fibrin-fibronectin sealant system(FFSS) and calcium carbonate(CC) in periodontal intrabony defects. Thirty six sites with two or three wall intrabony defect were used. 14 defects treated with periodontal flap surgery were assigned as the control group. 11 defects treated with CC implantation were designed as experimental group 1 and 11 defects, treated with CC and FFSS implantation as experimental group 2. The control and experimental groups all achieved statistically significant improvements in probing depth and clinical attachment level from the baseline (P<0.01). In mean postsurgery probing depth and gingival recession reduction, there were no statiscally significant differences between the experimental groups and the controls. However, mean postsurgery clinical attachment levels of both experimental groups improved significantly more than that of the controls. As a result, we suggest that mixture of FFSS and CC can be used effectively in intrabony defect as osteoconductive materials.

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Single flap approach with or without enamel matrix derivative in the treatment of severe supraosseous defects: a retrospective study

Clinical Oral Investigations ◽

10.1007/s00784-021-03941-5 ◽

2021 ◽

Author(s):

Anna Simonelli ◽

Luigi Minenna ◽

Leonardo Trombelli ◽

Roberto Farina

Keyword(s):

Clinical Effectiveness ◽

Gingival Recession ◽

Enamel Matrix Derivative ◽

Enamel Matrix ◽

Clinical Attachment Level ◽

Post Surgery ◽

Probing Depth ◽

Deep Pockets ◽

Attachment Level ◽

Matrix Derivative

Abstract Aim To comparatively evaluate the clinical effectiveness of the single flap approach (SFA) with and without enamel matrix derivative (EMD) in the treatment of supraosseous defects (SDs) associated with deep pockets. Materials and methods Twenty patients, each contributing one SD associated with a deep (≥ 6 mm) pocket and treated with buccal SFA either alone (SFA group; n = 10) or in combination with EMD (SFA+EMD group; n =10), were retrospectively selected. Clinical parameters (probing depth, PD; clinical attachment level, CAL; gingival recession, REC) had been assessed at pre-surgery and 12 months post-surgery. Results Complete wound closure was observed in 70% and 80% of defects treated with SFA and SFA+EMD, respectively. Treatments resulted in a significant PD reduction of 3.1±1.0 mm (p=0.005). In SFA+EMD group, 100% of closed pockets was obtained, while 90% of closed pockets was observed in SFA group. Both treatments resulted in a significant CAL gain of 2.1±0.9 mm and 1.9±1.7 mm in SFA and SFA+EMD group, respectively (p= 0.465). In both groups, REC significantly increased 1.0±1.1 mm in SFA group and 1.1±1.1 mm in SFA+EMD group (p= 0.722). Conclusions Within their limits, the findings of present study suggest that SFA may represent a valuable option for the surgical treatment of SDs associated with deep pockets. EMD did not result in a significant clinical benefit to the procedure. Clinical relevance SFA may represent a valuable option in obtaining pocket closure when treating SDs associated with deep residual pockets.

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Platelet-Rich Fibrin in Coverage of Gingival Recession: A Systematic Review and Meta-Analysis

European Journal of Dentistry ◽

10.1055/s-0040-1701907 ◽

2020 ◽

Vol 14 (02) ◽

pp. 315-326

Author(s):

Miguel Augusto Riquelme Rodas ◽

Bruna Luísa de Paula ◽

Victor Fabrizio Cabrera Pazmiño ◽

Flávia Ferraz dos Santos Lot Vieira ◽

Joel Ferreira Santiago Junior ◽

...

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Gingival Recession ◽

Class I ◽

Clinical Attachment Level ◽

Platelet Rich Fibrin ◽

Probing Depth ◽

Significant Difference ◽

Keratinized Mucosa ◽

Attachment Level

AbstractThis systematic review and meta-analysis sought to evaluate the efficacy of platelet-rich fibrin (PRF) membranes versus subepithelial connective tissue grafts (SCTGs) in the coverage of Miller class I and II gingival recessions. After the inclusion and exclusion criteria were applied, the quality of seven articles (Cohen’s Kappa = 0.9) was evaluated using the Jadad scale. The MEDLINE/PubMed, Cochrane, and Web of Science databases were consulted, and manual searches were performed in the most popular periodontics journals. The studies included considered a total of 122 patients, 203 surgical fields on which SCTGs were used, and 205 surgical fields on which PRF was used. The parameters analyzed were probing depth, clinical attachment level, gingival recession, and keratinized mucosa. The minimum follow-up period accepted was 6 months. A statistically significant difference between the SCTG and PRF groups was found only in the case of keratinized mucosa. However, gingival recession, clinical attachment level, and probing depth parameters in the PRF group were found to be statistically equal to those of the SCTG group (the gold standard) (p ≥0.05). PRF membranes were determined to be a promising alternative to autogenous gingival grafts in the treatment of Miller class I and II gingival recessions.

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Evaluation of the effect of smokeless tobacco on periodontal health and oral hygiene status

Journal of Health and Allied Sciences NU ◽

10.1055/s-0040-1708696 ◽

2017 ◽

Vol 07 (01) ◽

pp. 052-056

Author(s):

Madhura Ramnath ◽

Nina Shenoy ◽

Reema M. Rao ◽

Roshni Jaiswal

Keyword(s):

Smokeless Tobacco ◽

Oral Hygiene ◽

Gingival Recession ◽

Gingival Index ◽

Periodontal Health ◽

Clinical Attachment Level ◽

Number Of Teeth ◽

Probing Depth ◽

Study Population ◽

Attachment Level

Abstract Background and objectives: Studies on effects of smokeless tobacco (ST) use on the periodontium are limited and have, received less attention. The aim of the present split mouth study is to evaluate the periodontal parameters and oral hygiene status of sites associated with smokeless tobacco (ST) placement and compares the corresponding parameters on the contralateral site, where smokeless tobacco is not placed (NST). Methods: Study population: 25 subjects were selected from A.B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore. Written informed consent was taken from all the participants. Oral cavity of each subject was divided into two sites Smokeless tobacco (ST) site and Non-smokeless tobacco (NST) site.Screening examination included: Clinical examination of ST keratosis: the location, size, and specific teeth adjacent to the ST keratosis were recorded. Simplified Oral Hygiene Index (OHI-S), Gingival Index. Periodontal parameters-Probing depth (PD), Clinical attachment level, total number of teeth present in the mouth and number of teeth with attrition were recorded. Results: Of the 25 subjects, mean OHI-S and gingival index was 2.76 and 1.36 respectively. Mean clinical attachment level was 2.78 (p- <0.001), number of teeth with recession and attrition was 3.36 and 3.04 respectively, all in favour of the ST site. Interpretation and Conclusion: The smokeless tobacco site showed significantly greater gingival recession, attachment loss and periodontal deterioration when compared to nonsmokeless tobacco site.

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