Application of apically positioned flap technique on keratinized gingiva reconstruction in implant
Objective To explore the method of apically positioned flap technique (APFT) on buccal keratinized gingiva reconstruction around dental implants and evaluate its clinical outcomes and technical characters. Methods 13 patients, who were insufficient of buccal keratinized gingiva around dental impla...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | zho |
| Published: |
Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases
2017-03-01
|
| Series: | 口腔疾病防治 |
| Subjects: | |
| Online Access: | http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2017.03.007 |
| _version_ | 1818856141455622144 |
|---|---|
| author | PENG Wen⁃jun ZHANG Hai⁃yan HAO Rui QIN Hong⁃xia |
| author_facet | PENG Wen⁃jun ZHANG Hai⁃yan HAO Rui QIN Hong⁃xia |
| author_sort | PENG Wen⁃jun |
| collection | DOAJ |
| description | Objective To explore the method of apically positioned flap technique (APFT) on buccal keratinized
gingiva reconstruction around dental implants and evaluate its clinical outcomes and technical characters. Methods
13 patients, who were insufficient of buccal keratinized gingiva around dental implants but sufficient with alveolar ridge
crest tissue or palatal tissue at posterior maxillar, were enrolled in this study. APFT was operated during the phase Ⅱ
surgery, by which some tissues were transferred from the alveolar ridge crest or palatal side to the original site of kera⁃
tinized gingiva. Before APFT surgery and 1, 6 and 12 months after crown restoration, the width and thickness of trans⁃
ferred tissues were measured, gingival index (GI) and bleeding on probing (BOP) were also detected. The results were
applied to comparative t⁃test statistical analysis. Results Transferred tissues by APFT showed healthy one month after
crown restoration and exhibited characters of keratinized gingiva compared with the adjacent teeth at 6 and 12 months
after restoration. Mean value of width of transferred tissue were respectively (3.25 ± 0.40) mm, (3.04 ± 0.34) mm and
(2.97 ± 0.32) mm, meanwhile the thickness were respectively (2.05 ± 0.20) mm, (1.91 ± 0.23) mm and (1.84 ± 0.25)
mm. The value of width and thickness of the adjacent teeth gingiva were (3.19 ± 0.42) mm and (1.96 ± 0.23) mm respec⁃
tively. No significant differences were found between transferred tissue and adjacent teeth gingiva on width and thick⁃ness (P＞0.05). Observation results of GI and positive rate of BOP of transferred tissue were also similar to which of gin⁃
giva of the adjacent teeth. Conclusion Technique of apically positioned flap is an effective measure on buccal keratin⁃
ized gingiva reconstruction. |
| first_indexed | 2024-12-19T08:19:47Z |
| format | Article |
| id | doaj.art-ade854e0f6f342d28f1a0021837fe492 |
| institution | Directory Open Access Journal |
| issn | 2096-1456 2096-1456 |
| language | zho |
| last_indexed | 2024-12-19T08:19:47Z |
| publishDate | 2017-03-01 |
| publisher | Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases |
| record_format | Article |
| series | 口腔疾病防治 |
| spelling | doaj.art-ade854e0f6f342d28f1a0021837fe4922022-12-21T20:29:26ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562096-14562017-03-0125317617910.12016/j.issn.2096⁃1456.2017.03.007Application of apically positioned flap technique on keratinized gingiva reconstruction in implantPENG Wen⁃jun0ZHANG Hai⁃yan1 HAO Rui2 QIN Hong⁃xia3Department of Oral Implantology, Zhengzhou Stomatological HospitalDepartment of Oral Implantology, Zhengzhou Stomatological HospitalDepartment of Oral Implantology, Zhengzhou Stomatological HospitalThe First Affiliated Hospital of Zhengzhou UniversityObjective To explore the method of apically positioned flap technique (APFT) on buccal keratinized gingiva reconstruction around dental implants and evaluate its clinical outcomes and technical characters. Methods 13 patients, who were insufficient of buccal keratinized gingiva around dental implants but sufficient with alveolar ridge crest tissue or palatal tissue at posterior maxillar, were enrolled in this study. APFT was operated during the phase Ⅱ surgery, by which some tissues were transferred from the alveolar ridge crest or palatal side to the original site of kera⁃ tinized gingiva. Before APFT surgery and 1, 6 and 12 months after crown restoration, the width and thickness of trans⁃ ferred tissues were measured, gingival index (GI) and bleeding on probing (BOP) were also detected. The results were applied to comparative t⁃test statistical analysis. Results Transferred tissues by APFT showed healthy one month after crown restoration and exhibited characters of keratinized gingiva compared with the adjacent teeth at 6 and 12 months after restoration. Mean value of width of transferred tissue were respectively (3.25 ± 0.40) mm, (3.04 ± 0.34) mm and (2.97 ± 0.32) mm, meanwhile the thickness were respectively (2.05 ± 0.20) mm, (1.91 ± 0.23) mm and (1.84 ± 0.25) mm. The value of width and thickness of the adjacent teeth gingiva were (3.19 ± 0.42) mm and (1.96 ± 0.23) mm respec⁃ tively. No significant differences were found between transferred tissue and adjacent teeth gingiva on width and thick⁃ness (P＞0.05). Observation results of GI and positive rate of BOP of transferred tissue were also similar to which of gin⁃ giva of the adjacent teeth. Conclusion Technique of apically positioned flap is an effective measure on buccal keratin⁃ ized gingiva reconstruction.http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2017.03.007Keratinized gingivaApically positioned flapAttatched gingvaDental implantSoft tissue management |
| spellingShingle | PENG Wen⁃jun ZHANG Hai⁃yan HAO Rui QIN Hong⁃xia Application of apically positioned flap technique on keratinized gingiva reconstruction in implant 口腔疾病防治 Keratinized gingiva Apically positioned flap Attatched gingva Dental implant Soft tissue management |
| title | Application of apically positioned flap technique on keratinized gingiva reconstruction in implant |
| title_full | Application of apically positioned flap technique on keratinized gingiva reconstruction in implant |
| title_fullStr | Application of apically positioned flap technique on keratinized gingiva reconstruction in implant |
| title_full_unstemmed | Application of apically positioned flap technique on keratinized gingiva reconstruction in implant |
| title_short | Application of apically positioned flap technique on keratinized gingiva reconstruction in implant |
| title_sort | application of apically positioned flap technique on keratinized gingiva reconstruction in implant |
| topic | Keratinized gingiva Apically positioned flap Attatched gingva Dental implant Soft tissue management |
| url | http://www.kqjbfz.com/EN/10.12016/j.issn.2096-1456.2017.03.007 |
| work_keys_str_mv | AT pengwenjun applicationofapicallypositionedflaptechniqueonkeratinizedgingivareconstructioninimplant AT zhanghaiyan applicationofapicallypositionedflaptechniqueonkeratinizedgingivareconstructioninimplant AT haorui applicationofapicallypositionedflaptechniqueonkeratinizedgingivareconstructioninimplant AT qinhongxia applicationofapicallypositionedflaptechniqueonkeratinizedgingivareconstructioninimplant |