Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis
Abstract Background The aim of this randomized split-mouth study was to assess the influence of primary flap position on the amount of coronal soft tissue regrowth and keratinized tissue (KT) 6 months after osseous resective surgery with fiber retention technique (FibReORS). Materials and methods Tw...
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| Format: | Article |
| Language: | English |
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BMC
2023-07-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-023-03144-2 |
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| author | Gian Marco Piccoli Federica Romano Marta Giraudi Nicolò La Bruna Filippo Citterio Giulia Maria Mariani Giacomo Baima Mario Aimetti |
| author_facet | Gian Marco Piccoli Federica Romano Marta Giraudi Nicolò La Bruna Filippo Citterio Giulia Maria Mariani Giacomo Baima Mario Aimetti |
| author_sort | Gian Marco Piccoli |
| collection | DOAJ |
| description | Abstract Background The aim of this randomized split-mouth study was to assess the influence of primary flap position on the amount of coronal soft tissue regrowth and keratinized tissue (KT) 6 months after osseous resective surgery with fiber retention technique (FibReORS). Materials and methods Two contralateral posterior sextants in 16 patients were treated with FibReORS and randomly assigned to flap positioning either 2 mm below the bone crest (apical group) or at the level of bone crest (crestal group). Clinical parameters were recorded at 1, 3 and 6 months and patient-related outcomes during the first two post-operative weeks. Results Healing period was uneventful. Patient’s discomfort was similar in both groups. The overall soft tissue rebound was higher in the apical than in the crestal group (2.0 ± 1.3 mm versus 1.3 ± 0.7 mm), but the difference was statistically significant only interproximally (2.2 ± 1.3 mm versus 1.6 ± 0.8 mm). Multilevel analyses showed higher soft tissue rebound in sites with normal compared to thin phenotype (1.5 mm, p < 0.0001) and treated with flap positioned 2 mm apically to the bone crest (0.7 mm, p < 0.001). An additional 0.5 mm KT increase was observed at interdental sites in the apical group. Conclusions Apical flap positioning increases soft tissue rebound and KT width, mainly at the interdental sites, with reduced patient discomfort. Trial registration The trial was registered at ClinicalTrials.gov (ID: NCT05140681, Registration date: 1/12/2021, retrospectively registered). |
| first_indexed | 2024-03-09T14:52:41Z |
| format | Article |
| id | doaj.art-d9e1b468e03146bfb543e4f2c5effdff |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-03-09T14:52:41Z |
| publishDate | 2023-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-d9e1b468e03146bfb543e4f2c5effdff2023-11-26T14:24:42ZengBMCBMC Oral Health1472-68312023-07-0123111110.1186/s12903-023-03144-2Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysisGian Marco Piccoli0Federica Romano1Marta Giraudi2Nicolò La Bruna3Filippo Citterio4Giulia Maria Mariani5Giacomo Baima6Mario Aimetti7Department of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinDepartment of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinDepartment of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinPrivate PracticeDepartment of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinDepartment of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinDepartment of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinDepartment of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of TurinAbstract Background The aim of this randomized split-mouth study was to assess the influence of primary flap position on the amount of coronal soft tissue regrowth and keratinized tissue (KT) 6 months after osseous resective surgery with fiber retention technique (FibReORS). Materials and methods Two contralateral posterior sextants in 16 patients were treated with FibReORS and randomly assigned to flap positioning either 2 mm below the bone crest (apical group) or at the level of bone crest (crestal group). Clinical parameters were recorded at 1, 3 and 6 months and patient-related outcomes during the first two post-operative weeks. Results Healing period was uneventful. Patient’s discomfort was similar in both groups. The overall soft tissue rebound was higher in the apical than in the crestal group (2.0 ± 1.3 mm versus 1.3 ± 0.7 mm), but the difference was statistically significant only interproximally (2.2 ± 1.3 mm versus 1.6 ± 0.8 mm). Multilevel analyses showed higher soft tissue rebound in sites with normal compared to thin phenotype (1.5 mm, p < 0.0001) and treated with flap positioned 2 mm apically to the bone crest (0.7 mm, p < 0.001). An additional 0.5 mm KT increase was observed at interdental sites in the apical group. Conclusions Apical flap positioning increases soft tissue rebound and KT width, mainly at the interdental sites, with reduced patient discomfort. Trial registration The trial was registered at ClinicalTrials.gov (ID: NCT05140681, Registration date: 1/12/2021, retrospectively registered).https://doi.org/10.1186/s12903-023-03144-2Keratinized tissueOsseous resective surgeryPeriodontitisSoft tissue rebound |
| spellingShingle | Gian Marco Piccoli Federica Romano Marta Giraudi Nicolò La Bruna Filippo Citterio Giulia Maria Mariani Giacomo Baima Mario Aimetti Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis BMC Oral Health Keratinized tissue Osseous resective surgery Periodontitis Soft tissue rebound |
| title | Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis |
| title_full | Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis |
| title_fullStr | Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis |
| title_full_unstemmed | Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis |
| title_short | Effect of post-surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery: a 6-month randomized study with multilevel analysis |
| title_sort | effect of post surgical flap position on soft tissue regrowth and keratinized tissue increase following fibre retention osseous resective surgery a 6 month randomized study with multilevel analysis |
| topic | Keratinized tissue Osseous resective surgery Periodontitis Soft tissue rebound |
| url | https://doi.org/10.1186/s12903-023-03144-2 |
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