Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial
Aims: The aim of this study was to compare outcomes of lateral osteoperiosteal flap (OPF) and lateral pedicle flap (LPF) in the treatment of Miller's Class III gingival recession. Materials and Methods: Twenty-two anterior maxillary and mandibular sites from 16 participants requiring mucogingiv...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Indian Society of Periodontology |
| Subjects: | |
| Online Access: | http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=5;spage=454;epage=460;aulast=Chakravarthy |
| _version_ | 1818891376724541440 |
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| author | Yarabham Chakravarthy Rampalli Viswa Chandra Aileni Amarender Reddy Gollapalle Prabhandh Reddy |
| author_facet | Yarabham Chakravarthy Rampalli Viswa Chandra Aileni Amarender Reddy Gollapalle Prabhandh Reddy |
| author_sort | Yarabham Chakravarthy |
| collection | DOAJ |
| description | Aims: The aim of this study was to compare outcomes of lateral osteoperiosteal flap (OPF) and lateral pedicle flap (LPF) in the treatment of Miller's Class III gingival recession. Materials and Methods: Twenty-two anterior maxillary and mandibular sites from 16 participants requiring mucogingival surgery for Miller's Class III gingival recession were included in the study. Eleven sites each were assigned to two groups. OPF: sites treated with lateral OPF and LPF: sites treated with LPF. Recession depth (RD) and bone level (BL) were the primary outcome variables, and probing pocket depth, clinical attachment level (CAL), and keratinized tissue width (KTW) were the secondary variables. All the variables were recorded at baseline (on the day of surgery), 3 months, and 6 months postsurgery. Results: OPF and LPF resulted in similar reduction in RD at the end of the study period (P ≤ 0.001). There was no statistically significant difference in RD between OPF and LPF at 6 months (P = 0.862). OPF-treated sites showed greater gain in BL at 3 months (P = 0.0004) and 6 months (P = 0.0002). No significant differences were seen between OPF and LPF in measures of PD, CAL, and KTW. Conclusion: Data from this 6-month trial seem to suggest that OPF can be used as an alternative procedure for treating Miller's class III recessions with adjacent edentulous sites or wide interproximal spaces. Long-term effects of OPF on the stability of root coverage outcomes are an exciting direction for future research. |
| first_indexed | 2024-12-19T17:39:50Z |
| format | Article |
| id | doaj.art-c292c84b98ca442090147d63057413af |
| institution | Directory Open Access Journal |
| issn | 0972-124X |
| language | English |
| last_indexed | 2024-12-19T17:39:50Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj.art-c292c84b98ca442090147d63057413af2022-12-21T20:12:15ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2020-01-0124545446010.4103/jisp.jisp_489_19Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trialYarabham ChakravarthyRampalli Viswa ChandraAileni Amarender ReddyGollapalle Prabhandh ReddyAims: The aim of this study was to compare outcomes of lateral osteoperiosteal flap (OPF) and lateral pedicle flap (LPF) in the treatment of Miller's Class III gingival recession. Materials and Methods: Twenty-two anterior maxillary and mandibular sites from 16 participants requiring mucogingival surgery for Miller's Class III gingival recession were included in the study. Eleven sites each were assigned to two groups. OPF: sites treated with lateral OPF and LPF: sites treated with LPF. Recession depth (RD) and bone level (BL) were the primary outcome variables, and probing pocket depth, clinical attachment level (CAL), and keratinized tissue width (KTW) were the secondary variables. All the variables were recorded at baseline (on the day of surgery), 3 months, and 6 months postsurgery. Results: OPF and LPF resulted in similar reduction in RD at the end of the study period (P ≤ 0.001). There was no statistically significant difference in RD between OPF and LPF at 6 months (P = 0.862). OPF-treated sites showed greater gain in BL at 3 months (P = 0.0004) and 6 months (P = 0.0002). No significant differences were seen between OPF and LPF in measures of PD, CAL, and KTW. Conclusion: Data from this 6-month trial seem to suggest that OPF can be used as an alternative procedure for treating Miller's class III recessions with adjacent edentulous sites or wide interproximal spaces. Long-term effects of OPF on the stability of root coverage outcomes are an exciting direction for future research.http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=5;spage=454;epage=460;aulast=Chakravarthyalveolar bone lossgingival recessionperiodontal debridement |
| spellingShingle | Yarabham Chakravarthy Rampalli Viswa Chandra Aileni Amarender Reddy Gollapalle Prabhandh Reddy Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial Journal of Indian Society of Periodontology alveolar bone loss gingival recession periodontal debridement |
| title | Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial |
| title_full | Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial |
| title_fullStr | Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial |
| title_full_unstemmed | Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial |
| title_short | Lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class III gingival recession: A single-center, open-label trial |
| title_sort | lateral osteoperiosteal flap versus lateral pedicle flap in the treatment of class iii gingival recession a single center open label trial |
| topic | alveolar bone loss gingival recession periodontal debridement |
| url | http://www.jisponline.com/article.asp?issn=0972-124X;year=2020;volume=24;issue=5;spage=454;epage=460;aulast=Chakravarthy |
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