A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term

Purpose: Within this context, this pilot study aimed to evaluate the healing dynamics process of the hard palate after free gingival graft harvesting in the short term (3 months), utilizing digital imaging technology and tridimensional analysis software. Furthermore, assessing the results found to v...

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Main Authors: Tiago Marques, Sara Ramos, Nuno Bernardo Malta dos Santos, Tiago Borges, Javier Montero, André Correia, Gustavo Vicentis de Oliveira Fernandes
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/10/6/109
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author Tiago Marques
Sara Ramos
Nuno Bernardo Malta dos Santos
Tiago Borges
Javier Montero
André Correia
Gustavo Vicentis de Oliveira Fernandes
author_facet Tiago Marques
Sara Ramos
Nuno Bernardo Malta dos Santos
Tiago Borges
Javier Montero
André Correia
Gustavo Vicentis de Oliveira Fernandes
author_sort Tiago Marques
collection DOAJ
description Purpose: Within this context, this pilot study aimed to evaluate the healing dynamics process of the hard palate after free gingival graft harvesting in the short term (3 months), utilizing digital imaging technology and tridimensional analysis software. Furthermore, assessing the results found to verify the existence of a relationship between gender or age with tissue loss. Materials and Methods: For connective-tissue harvesting, fifteen patients with gingival recessions type (RT) 1 and RT2 were selected. On the surgery day (before the procedure) and after three months, palatal impressions were taken in all patients, and cast models were done for posterior model scanning. The following variables were analyzed: mean thickness alterations (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mover accent="true"><mi>x</mi><mo>¯</mo></mover></mrow></semantics></math></inline-formula> TA), maximum thickness loss (MTL), mean maximum thickness loss (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mover accent="true"><mi>x</mi><mo>¯</mo></mover></mrow></semantics></math></inline-formula> MTL), and volume alterations (VA). A descriptive and bivariate analysis of the data was done. The data were submitted for statistical evaluation and were significant if <i>p</i> < 0.05. Results: Fifteen patients were analyzed, 11 females (73.3%) and four males (26.7%). The patients’ average age was 28 ± 8.52 years (ranging between 16 and 48 years old). The palatal wound region’s mean thickness and volume changes were −0.26 mm (±0.31) and 46.99 mm<sup>3</sup> (±47.47 mm<sup>3</sup>) at three months. There was no statistically significant result correlating age/gender with any variable evaluated. Conclusions: Connective tissue graft harvesting promoted changes with a standard volume and thickness loss of palatal soft tissue. A 3D digital evaluation was a non-invasive method with a reproducible technique for measuring thickness or volume after connective tissue is collected. There was no relationship between age/gender and any variables analyzed.
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spelling doaj.art-3bc85b4147254fe0a88bca8851c8a0be2023-11-23T16:15:09ZengMDPI AGDentistry Journal2304-67672022-06-0110610910.3390/dj10060109A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short TermTiago Marques0Sara Ramos1Nuno Bernardo Malta dos Santos2Tiago Borges3Javier Montero4André Correia5Gustavo Vicentis de Oliveira Fernandes6Faculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, PortugalFaculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, PortugalFaculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, PortugalFaculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, PortugalDepartment of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, SpainFaculty of Dental Medicine, Universidade Católica Portuguesa, 3504-505 Viseu, PortugalPeriodontics and Oral Medicine Department, University of Michigan School of Dentistry, Ann Arbor, MI 48109-1078, USAPurpose: Within this context, this pilot study aimed to evaluate the healing dynamics process of the hard palate after free gingival graft harvesting in the short term (3 months), utilizing digital imaging technology and tridimensional analysis software. Furthermore, assessing the results found to verify the existence of a relationship between gender or age with tissue loss. Materials and Methods: For connective-tissue harvesting, fifteen patients with gingival recessions type (RT) 1 and RT2 were selected. On the surgery day (before the procedure) and after three months, palatal impressions were taken in all patients, and cast models were done for posterior model scanning. The following variables were analyzed: mean thickness alterations (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mover accent="true"><mi>x</mi><mo>¯</mo></mover></mrow></semantics></math></inline-formula> TA), maximum thickness loss (MTL), mean maximum thickness loss (<inline-formula><math xmlns="http://www.w3.org/1998/Math/MathML" display="inline"><semantics><mrow><mover accent="true"><mi>x</mi><mo>¯</mo></mover></mrow></semantics></math></inline-formula> MTL), and volume alterations (VA). A descriptive and bivariate analysis of the data was done. The data were submitted for statistical evaluation and were significant if <i>p</i> < 0.05. Results: Fifteen patients were analyzed, 11 females (73.3%) and four males (26.7%). The patients’ average age was 28 ± 8.52 years (ranging between 16 and 48 years old). The palatal wound region’s mean thickness and volume changes were −0.26 mm (±0.31) and 46.99 mm<sup>3</sup> (±47.47 mm<sup>3</sup>) at three months. There was no statistically significant result correlating age/gender with any variable evaluated. Conclusions: Connective tissue graft harvesting promoted changes with a standard volume and thickness loss of palatal soft tissue. A 3D digital evaluation was a non-invasive method with a reproducible technique for measuring thickness or volume after connective tissue is collected. There was no relationship between age/gender and any variables analyzed.https://www.mdpi.com/2304-6767/10/6/109connective tissuewound healingplastic surgerydigital technology
spellingShingle Tiago Marques
Sara Ramos
Nuno Bernardo Malta dos Santos
Tiago Borges
Javier Montero
André Correia
Gustavo Vicentis de Oliveira Fernandes
A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term
Dentistry Journal
connective tissue
wound healing
plastic surgery
digital technology
title A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term
title_full A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term
title_fullStr A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term
title_full_unstemmed A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term
title_short A 3D Digital Analysis of the Hard Palate Wound Healing after Free Gingival Graft Harvest: A Pilot Study in the Short Term
title_sort 3d digital analysis of the hard palate wound healing after free gingival graft harvest a pilot study in the short term
topic connective tissue
wound healing
plastic surgery
digital technology
url https://www.mdpi.com/2304-6767/10/6/109
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