Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants
Background. Studies have shown a significant relationship between the width and thickness of keratinized gingiva around the implant and changes in marginal bone level, with a significant effect on the health and esthetic of tissues around the implant, especially in the anterior region of the maxilla...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tabriz University of Medical Sciences
2022-11-01
|
| Series: | Journal of Dental Research, Dental Clinics, Dental Prospects |
| Subjects: | |
| Online Access: | https://joddd.tbzmed.ac.ir/PDF/joddd-16-186.pdf |
| _version_ | 1811160061164126208 |
|---|---|
| author | Mahdi Sadeghi Mohamad Ali Ghavimi Reza Khorshidi Faeze Moini Arezou Ghoreishizadeh |
| author_facet | Mahdi Sadeghi Mohamad Ali Ghavimi Reza Khorshidi Faeze Moini Arezou Ghoreishizadeh |
| author_sort | Mahdi Sadeghi |
| collection | DOAJ |
| description | Background. Studies have shown a significant relationship between the width and thickness of keratinized gingiva around the implant and changes in marginal bone level, with a significant effect on the health and esthetic of tissues around the implant, especially in the anterior region of the maxilla, which is an esthetic area. Methods. Ten patients referring to the Faculty of Dentistry seeking implant placement in the anterior maxilla were included in the study. The connective tissue of the palatal gingiva of the surgical site was folded to the buccal aspect with the buccal base, and the thickness and width of keratinized gingiva around the buccal surface of each implant were measured in three time intervals, including before surgery and 6 and 12 weeks after surgery. Based on the results of the Kolmogorov-Smirnov test, Friedman test and repeated-measures ANOVA were used to analyze the data. Results. The intervention significantly affected changes in the gingival thickness. After the intervention, gingival thickness significantly increased compared to the baseline (P<0.05). The results also showed that the intervention did not significantly affect the width of keratinized gingiva. The width of keratinized gingiva at baseline was not significantly different from the two time intervals after intervention (P>0.05). Conclusion. Buccal-based modified palatal flap in anterior maxillary implants increased the thickness of keratinized gingiva, with no significant effect on the keratinized gingiva width. |
| first_indexed | 2024-04-10T05:52:18Z |
| format | Article |
| id | doaj.art-d8afd71f0c8e415694707a6b26b8c7e8 |
| institution | Directory Open Access Journal |
| issn | 2008-210X 2008-2118 |
| language | English |
| last_indexed | 2024-04-10T05:52:18Z |
| publishDate | 2022-11-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Journal of Dental Research, Dental Clinics, Dental Prospects |
| spelling | doaj.art-d8afd71f0c8e415694707a6b26b8c7e82023-03-04T11:22:36ZengTabriz University of Medical SciencesJournal of Dental Research, Dental Clinics, Dental Prospects2008-210X2008-21182022-11-0116318618910.34172/joddd.2022.031joddd-35370Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implantsMahdi Sadeghi0Mohamad Ali Ghavimi1Reza Khorshidi2Faeze Moini3Arezou Ghoreishizadeh4Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, IranDepartment of Periodontology, Faculty of Dentistry, Ardabil University of Medical Sciences, Ardabil, IranDepartment of Pediatric Dentistry, Faculty of Dentistry, Tabriz University of Medical Science, Tabriz, IranBackground. Studies have shown a significant relationship between the width and thickness of keratinized gingiva around the implant and changes in marginal bone level, with a significant effect on the health and esthetic of tissues around the implant, especially in the anterior region of the maxilla, which is an esthetic area. Methods. Ten patients referring to the Faculty of Dentistry seeking implant placement in the anterior maxilla were included in the study. The connective tissue of the palatal gingiva of the surgical site was folded to the buccal aspect with the buccal base, and the thickness and width of keratinized gingiva around the buccal surface of each implant were measured in three time intervals, including before surgery and 6 and 12 weeks after surgery. Based on the results of the Kolmogorov-Smirnov test, Friedman test and repeated-measures ANOVA were used to analyze the data. Results. The intervention significantly affected changes in the gingival thickness. After the intervention, gingival thickness significantly increased compared to the baseline (P<0.05). The results also showed that the intervention did not significantly affect the width of keratinized gingiva. The width of keratinized gingiva at baseline was not significantly different from the two time intervals after intervention (P>0.05). Conclusion. Buccal-based modified palatal flap in anterior maxillary implants increased the thickness of keratinized gingiva, with no significant effect on the keratinized gingiva width.https://joddd.tbzmed.ac.ir/PDF/joddd-16-186.pdfdental implantgingivaperi-implantitis |
| spellingShingle | Mahdi Sadeghi Mohamad Ali Ghavimi Reza Khorshidi Faeze Moini Arezou Ghoreishizadeh Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants Journal of Dental Research, Dental Clinics, Dental Prospects dental implant gingiva peri-implantitis |
| title | Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants |
| title_full | Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants |
| title_fullStr | Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants |
| title_full_unstemmed | Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants |
| title_short | Evaluation of keratinized gingiva changes with buccal-based modified palatal flap in anterior maxillary implants |
| title_sort | evaluation of keratinized gingiva changes with buccal based modified palatal flap in anterior maxillary implants |
| topic | dental implant gingiva peri-implantitis |
| url | https://joddd.tbzmed.ac.ir/PDF/joddd-16-186.pdf |
| work_keys_str_mv | AT mahdisadeghi evaluationofkeratinizedgingivachangeswithbuccalbasedmodifiedpalatalflapinanteriormaxillaryimplants AT mohamadalighavimi evaluationofkeratinizedgingivachangeswithbuccalbasedmodifiedpalatalflapinanteriormaxillaryimplants AT rezakhorshidi evaluationofkeratinizedgingivachangeswithbuccalbasedmodifiedpalatalflapinanteriormaxillaryimplants AT faezemoini evaluationofkeratinizedgingivachangeswithbuccalbasedmodifiedpalatalflapinanteriormaxillaryimplants AT arezoughoreishizadeh evaluationofkeratinizedgingivachangeswithbuccalbasedmodifiedpalatalflapinanteriormaxillaryimplants |