Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler

Dinç, Memnune; Ozcan, Gonen

Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler

Memnune DİNÇ, (Gazi Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Ankara, Türkiye)

Gönen ÖZCAN (Gazi Üniversitesi, Diş Hekimliği Fakültesi, Periodontoloji Anabilim Dalı, Ankara, Türkiye)

ADO Klinik Bilimler Dergisi (online)

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Yıl: 2021 Cilt: 10 Sayı: 3 Sayfa Aralığı: 207 - 213 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler

Öz:

Dişeti çekilmelerinin tedavisinde günümüze kadar birçok teknik vebiyomateryal kullanılmıştır. Bu tekniklerdeki gelişmelerin devametmesi ve yeni biyomateryaller geliştiriliyor olması; yöntemlerinöngörülebilirliklerinin, klinik başarılarının arttırılma çabası vehastaların estetik beklentilerinin karşılanmak istenmesindenkaynaklanmaktadır. Mukogingival cerrahi teknikleri yapışıkdişeti ve keratinize dişetini içeren çeşitli yumuşak dokudefektlerinin düzeltilmesinde uygulanan tedavi yöntemleriolarak tanımlanmaktadır. Günümüze kadar uygulanmış olanperiodontal plastik cerrahi operasyonlar arasında bağ dokugreftinin (BDG) dişeti çekilmelerinde en iyi sonuçları sağladığı vekök yüzeyi kapanma teknikleri içinde altın standart kabul edildiğibildirilmektedir. Uygulanan tüm tekniklerde hastaya bağlı konakdoku farklılıkları, uygulanan tekniğe ve dişeti çekilme bölgesineait değişken faktörler gibi iyileşmeyi ve başarıyı etkileyen çoksayıda etmen bulunmaktadır. Ayrıca dişeti çekilmesi olan alandakeratinize doku genişliğinin yeterli olması tedavinin uzun dönembaşarısı açısından önemli bir kriter olarak karşımıza çıkmaktadır.

Anahtar Kelime: Dişeti Çekilmesi Yumuşak Doku Defektleri Keratinize Dişeti Mukogingival Cerrahi

The Factors Affecting In Successful Treatment of Gingival Recessions

Öz:

Over the last few years, many techniques and biomaterials have been used in the treatment of gingival recession. The effort to increase the predictability and clinical success of the surgical techniques and to satisfy the aesthetic expectations of the patients; has led to improvements in these techniques and new biomaterials. Mucogingival surgical techniques are defined as the treatment methods applied in the soft tissue defects including attached gingiva and keratinized mucosa. It is reported that connective tissue graft (CTG) provides the best results in gingival recessions among the periodontal plastic surgery operations performed today and is considered the gold standard in root coverage techniques. Among all applied techniques, there are many factors affecting healing and success, such as variations depending on the patient, variables specific to the technique applied, and factors specific to the gingival recession area. In addition, sufficient keratinized tissue width in the area with gingival recession is an important criterion for the long-term success of the treatment.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

1. Tugnait A, Clerehugh V. Gingival recession-its significance and management. J Dent 2001; 29:381-94.
2. Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes. Periodontol 2000 2001; 27:72-96.
3. Chambrone L, Sukekava F, Araujo MG. Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. J Periodontol 2010; 81:452-78.
4. Checchi L, Daprile G, Gatto MR. Gingival recession and toothbrushing in an Italian School of Dentistry: A Pilot Study. J Clin Periodontol 1999; 26:276-80.
5. Jepsen S. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol 2018; 89:237-48.
6. Miller Jr, A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985; 5:8-13.
7. Cairo F, Nieri M, Cincinelli S, Mervelt J, Pagliaro U. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. J Clin Periodontol 2011; 3:661-6.
8. Hirschfeld I. A study of skulls in the American Museum of National History in relation to periodontal disease. J Dent Res 1923; 5:241–8.
9. Goldman HM, Bloom J. A collective review and atlas of dental anomalies and diseases. Oral Surg Oral Med Oral Pathol 1949; 2:874-905.
10. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc 2003; 134:220–5.
11. Morris JW, Campbell PM, Tadlock LP, Boley J, Buschang PH. Prevalence of gingival recession after orthodontic tooth movements. Am J Orthod Dentofacial Orthop 2017;151:851-9.
12. Bouchard P, Malet J, Borghetti A. Decision-making in aesthetics: root coverage revisited. Periodontol 2000 2001; 27:97-120.
13. Pini-Prato G, Baldi C, Pagliaro U, Nieri M, Saletta D, Rotundo R, Cortellini P. Coronally advanced flap procedure for root coverage. Treatment of root surface: root planning versus polishing J Periodontol 1999; 70:1064-76
14. Newman MG, Takei H, Klokkevold PR, Carranza FA. Carranza’s clinical periodontology. Elsevier health sciences; 2011; p. 53.
15. Scheyer E T, Sanz M, Dibart S, Greenwell H, John V, Kim D M, et al. Periodontal soft tissue non-root coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol 2015; 86:73-6
16. Wennström J. L. Mucogingival therapy. Annals of Periodontology. 1996; 1: 671-701.
17. Zuhr O, Hürzeler M. Plastic-Esthetic Periodontal and Implant Surgery. A Microsurgical Approach, Section B Chapter 8, Quintessence Publishing USA 2012; p. 254-258.
18. Cairo F, Rotundo R, Miller P, Pini Prato G. Root coverage esthetic score: a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases J Periodontol 2009; 80:705-10.
19. Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, Townsend C, et al. Oral reconstructive and corrective considerations in periodontal therapy. J Periodontol 2005; 76:1588-600.
20. Carranza F.A, Cochran D.L. Periodontal Plastic and Esthetic Surgery, Clinical Periodontology .11 th ed. USA: Elsevier Saunders, 2012; 11:595-600
21. Carranza FA Jr, Carraro JJ. Mucogingival techniques in periodontal surgery. J Periodontol 1970; 41:294-9.
22. Bernimoulin J P, Lüscher B, Mühlemann H R. Coronally repositioned periodontal flep. Clinic evaluation after one year. J Clin Periodontol 1975; 2:1-3
23. Allen E P, Miller Jr P D. Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. J Periodontol 1989; 60: 316-9.
24. De Sanctis M, Zucchelli G. Coronally advanced flap: A modified surgical approach for isolated recession-type defects: Three-year results. J Clin Periodontol 2007; 34: 262-8.
25. Raetzke PB. Covering localized areas of root exposure employing the “envelope” technique. J Periodontol 1985; 56:397-402.
26. Zucchelli G, Tavelli L, Barootchi S, Stefanini M, Rasperini G, Valles C, et al. The influence of tooth location on the outcomes of multiple adjacent gingival recessions treated with coronally advanced flap: A multicenter re-analysis study. J Periodontol 2019; 90:1244-51.
27. Zucchelli G, Mele M, Mazzotti C, Marzadori M, Montebugnoli L, De Sanctis M. Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: A comparative controlled randomized clinical trial. J Periodontol 2009; 80:1083-94.
28. Zabalegui I, Sicilia A, Cambra J, Gil J, Sanz M. Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. International J Periodontics Restorative Dent 1999; 19:199-206.
29. Langer B, Langer L. Overlapped flap: a surgical modification for implant fixture installation. Int J Periodontics Restorative Dent 1990; 10: 208-15.
30. Tavelli L, Barootchi S, Nguyen T V, Tattan M, Ravidà A, Wang H L. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and metaanalysis. J Periodontol 2018; 89:1075-90.
31. Landi L, Sabatucci D. Plastic surgery at the time of membrane removal around mandibular endosseous implants: a modified technique for implant uncovering. Int J Periodontics Restorative Dent 2001; 21:280-7.
32. Lee K H, Kim B O, Jang H S. Clinical evaluation of a collagen matrix to enhance the width of keratinized gingiva around dental implants. J Periodontal Implant Sci 2010; 40: 96-101.
33. Zigdon H, Machtei E E. The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. Clin Oral Implants Res 2008; 19: 387-92.
34. Stefanini M, Marzadori M, Aroca S, Felice P, Sangiorgi M, Zucchelli G. Decision making in root-coverage procedures for the esthetic outcome. Periodontol 2000 2018; 77:54-64.
35. Cordioli G, Mortarino C, Chierico A, Grusovin M G, Majzoub Z. Comparison of 2 techniques of subepithelial connective tissue graft in the treatment of gingival recessions J Periodontol 2001;72:1470-6.
36. Borghetti A, Louise F. Controlled clinical evaluation of the subpedicle connective tissue graft for the coverage of gingival recession J Periodontol 1994; 65:1107-12.
37. Cueva M, Boltchi F, Hallmon W, Nunn M, Rivera-Hidalgo F, Rees T. A comparative study of coronally advanced flaps with and without the addition of enamel matrix derivative in the treatment of marginal tissue recession J Periodontol 2004; 75:949-56
38. Castellanos A, De la Rosa M, De la Garza M, Caffesse RG. Enamel matrix derivative and coronal flaps to cover marginal tissue recessions. J Periodontol 2006; 77:7-14.
39. De Sanctis M, Zucchelli G. Coronally advanced flap: a modified surgical approach for isolated recession-type defects: three-year results J Clin Periodontol 2007; 34:262-8.
40. Sheilesh D, Van Dyke TE. (Featuring speakers at the 2006 FDI Congress) Point of care. J Can Dent Assoc. 2005; 72:307-15.
41. Shanelec DA, Tibbetts LS. Periodontal microsurgery, continuing education course, 78 th American Academy of Periodontology annual meeting, Orlando, FL Curr Opin Periodontol 1994. p.187-93.
42. Edward S. Cohen. Atlas of cosmetic and reconstructive periodontal surgery, 3rd eds, BC Decker Inc, Hamilton 2007.p. 433-437.
43. Burkhardt R, Lang NP. Coverage of localized gingival recessions: comparison of micro- and macrosurgical techniques. J Clin Periodontol 2005; 32:287-93.
44. Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol 2005; 32: 828–30.
45. Kim D M, Bassir S H, Thomas T, Nguyen T T, Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review J Periodontol 2020; 91:311-338.
46. Baldi C, Pini-Prato G, Pagliaro U. Coronally advanced flap procedure for root coverage. Is flap thickness a relevant predictor to achieve root coverage? A 19- case series. J Periodontol 1999; 70:1077-1084
47. Moore RL, Hill M. Suturing techniques for periodontal plastic surgery. Periodontology 2000 1996; 11: 103-11.
48. Burkhardt R, Lang N P, Coverage of localized gingival recessions: comparison of micro-and macrosurgical techniques. J Clin Periodontol 2005; 32:287-93
49. Pini-Prato GP, Cairo F, Nieri M, Franceschi D, Rotundo R, Cortellini P. Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: a split-mouth study with a 5-year follow-up. J Clin Periodontol 2010; 37:644-50.
50. Karam PS, Sant’Ana AC, De Rezende M L, Greghi S L, Damante C A, Zangrando M S. Root surface modifiers and subepithelial connective tissue graft for treatment of gingival recessions: a systematic review. J Periodontal Res 2016; 51:175-85.

APA	Dinç M, Ozcan G (2021). Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. , 207 - 213.
Chicago	Dinç Memnune,Ozcan Gonen Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. (2021): 207 - 213.
MLA	Dinç Memnune,Ozcan Gonen Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. , 2021, ss.207 - 213.
AMA	Dinç M,Ozcan G Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. . 2021; 207 - 213.
Vancouver	Dinç M,Ozcan G Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. . 2021; 207 - 213.
IEEE	Dinç M,Ozcan G "Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler." , ss.207 - 213, 2021.
ISNAD	Dinç, Memnune - Ozcan, Gonen. "Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler". (2021), 207-213.

APA	Dinç M, Ozcan G (2021). Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. ADO Klinik Bilimler Dergisi (online), 10(3), 207 - 213.
Chicago	Dinç Memnune,Ozcan Gonen Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. ADO Klinik Bilimler Dergisi (online) 10, no.3 (2021): 207 - 213.
MLA	Dinç Memnune,Ozcan Gonen Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. ADO Klinik Bilimler Dergisi (online), vol.10, no.3, 2021, ss.207 - 213.
AMA	Dinç M,Ozcan G Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. ADO Klinik Bilimler Dergisi (online). 2021; 10(3): 207 - 213.
Vancouver	Dinç M,Ozcan G Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler. ADO Klinik Bilimler Dergisi (online). 2021; 10(3): 207 - 213.
IEEE	Dinç M,Ozcan G "Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler." ADO Klinik Bilimler Dergisi (online), 10, ss.207 - 213, 2021.
ISNAD	Dinç, Memnune - Ozcan, Gonen. "Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler". ADO Klinik Bilimler Dergisi (online) 10/3 (2021), 207-213.