Dişeti Çekilmelerinin Tedavisinde Başarıyı Etkileyen Faktörler

Year 2021, Volume: 10 Issue: 3, 207 - 213, 20.09.2021

Memnune Dinç , Gönen Özcan

Abstract

Dişeti çekilmelerinin tedavisinde günümüze kadar birçok teknik ve biyomateryal kullanılmıştır. Bu tekniklerdeki gelişmelerin devam etmesi ve yeni biyomateryaller deneniyor olması; yöntemlerin öngörülebilirliklerinin, klinik başarılarının arttırılma çabası ve hastaların estetik beklentilerinin karşılanmak istenmesinden kaynaklanmaktadır. Mukogingival cerrahi teknikleri yapışık dişeti ve keratinize dişetini içeren çeşitli yumuşak doku defektlerinin düzeltilmesinde uygulanan tedavi yöntemleri olarak tanımlanmaktadır. Günümüze kadar uygulanmış olan periodontal plastik cerrahi operasyonlar arasında bağ doku greftinin (BDG) dişeti çekilmelerinde en iyi sonuçları sağladığı ve kök yüzeyi kapanma teknikleri içinde altın standart kabul edildiği bildirilmektedir. Uygulanan tüm tekniklerde hastaya bağlı konak doku farklılıkları, uygulanan tekniğe ve dişeti çekilme bölgesine ait değişken faktörler gibi iyileşmeyi ve başarıyı etkileyen çok sayıda etmen bulunmaktadır. Ayrıca dişeti çekilmesi olan alanda keratinize doku genişliğinin yeterli olması tedavinin uzun dönem başarısı açısından önemli bir kriter olarak karşımıza çıkmaktadır.

Keywords

Dişeti Çekilmesi, Yumuşak Doku Defektleri, Keratinize Dişeti, Mukogingival Cerrahi

References

• Referans1. Tugnait A, Clerehugh V. Gingival recession-its significance and management. J Dent 2001;29(6):381-394.
• Referans2. Camargo PM, Melnick PR, Kenney EB. The use of free gingival grafts for aesthetic purposes. Periodontol 2000 2001;27:72-96.
• Referans3. 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(4):452-478.
• Referans4. Checchi L, Daprile G, Gatto MR. Gingival recession and toothbrushing in an Italian School of Dentistry: a pilot study. J Clin Periodontol 1999; 26(5):276-280.
• Referans5. 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. ournal of clinical periodontology, 2018; 89(1), 237-248.
• Referans6. Miller Jr, A classification of marginal tissue recession. The International Journal of Periodontics & Restorative Dentistry, 1985; 5(2), 8.
• Referans7. 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. Journal of Clinical Periodontology, 2011; 38(7), 661-666.
• Referans8. Bass C. A demonstrable line on extracted teeth indicating the location of the outer borderof the epithelial attachment. J Dent Res. 1946;(25):401–403.68
• Referans9. Goldman HM. Periodontia. Mosby Co, St. Louis, 1949.
• Referans10. Kassab MM, Cohen RE. The etiology and prevalence of gingival recession. J Am Dent Assoc. 2003 ;(134):220–225.
• Referans11. Morris JW, Campbell PM, Tadlock LP, Boley J, Buschang PH. Prevalence of gingival recession after orthodontic tooth movements. Am J Orthod Dentofacial Orthop. 2017 May;151(5):851-859.
• Referans12. Bouchard P, Malet J, Borghetti A Decision-making in aesthetics: root coverage revisited Periodontol 2000 . 2001;27:97-120.
• Referans13. Pini-Prato G, Coronally advanced flap procedure for root coverage. Treatment of root surface: root planning versus polishing. J Periodontol. 1999. PMID: 10505810 Clinical Trial
• Referans14. Newman, M.G. Carranza's clinical periodontology.: Elsevier health sciences. 2011, 53.part
• Referans15. Camargo P M, Melnick P R , Kenney E B. The use of free gingival grafts for aesthetic purposes. Periodontology 2000, 2001; 27(1), 72-96.
• Referans16. Zuhr O, Hürzeler M. Plastic-Esthetic Periodontal and Implant Surgery , 2012
• Referans17. Wennström J. L. Mucogingival therapy. Annals of Periodontology, 1996 ; 1(1), 671-701.
• Referans18. 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 Apr;80(4):705-10.
• Referans19. Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, Townsend C, et al. Oral reconstructive and corrective considerations in periodontal therapy. Journal of Periodontology, 2005 ; 76(9), 1588-1600.
• Referans20. Carranza F.A, Cochran D.L. Periodontal Plastic and Esthetic Surgery , Clinical Periodontology (Eleventh edition). USA: Elsevier Saunders, 2012 ; 11(4):595-600
• Referans21. Carranza FA Jr, Carraro JJ. Mucogingival techniques in periodontal surgery. J Periodontol. 1970 May;41(5):294-9.
• Referans22. Bernimoulin J P, Lüscher B, Mühlemann H R. Coronally repositioned periodontal flep. Clinic evaluation after one year. Journal of Clinical Periodontology 1975; 2(1), 1-3
• Referans23. Allen E P, Miller Jr P D. Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. Journal of Periodontology, 1989; 60(6), 316-319.
• Referans24. De Sanctis M, Zucchelli G. Coronally advanced flap: A modified surgical approach for isolated recession-type defects: Three-year results. Journal of Clinical Periodontology, 2007; 34(3), 262-268.
• Referans25. Raetzke PB. Covering localized areas of root exposure employing the "envelope" technique. J Periodontol. 1985; PMID: 3894614
• Referans26. 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. Journal of Periodontology, 2009; 80(7), 1083-1094.
• Referans27. Donley T G, Gillette W B. Titanium endosseous implant-soft tissue interface: a literature review. Journal of periodontology, 1991; 62(2), 153-160
• Referans28. 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 Journal of Periodontics & Restorative Dentistry, 1999; 19(2), 199-206
• Referans29. Langer B, Langer L. Overlapped flap: a surgical modification for implant fixture installation. The International journal of periodontics & restorative dentistry, 1990; 10(3), 208-215.
• Referans30. 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 meta‐analysis. Journal of periodontology, 2018; 89(9), 1075-1090.
• Referans31. Landi L, Sabatucci D. Plastic surgery at the time of membrane removal around mandibular endosseous implants: a modified technique for implant uncovering. International Journal of Periodontics & Restorative Dentistry, 2001; 21(3).
• Referans32. 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. Journal of periodontal & implant science, 2010; 40(2), 96-101.
• Referans33. Zigdon H, Machtei E E. The dimensions of keratinized mucosa around implants affect clinical and immunological parameters. Clinical Oral Implants Research, 2008; 19(4), 387-392.
• Referans34. 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; Jun;77(1):54-64.
• Referans35. 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; Nov;72(11):1470-6.
• Referans36. Borghetti A, Louise F. Controlled clinical evaluation of the subpedicle connective tissue graft for the coverage of gingival recession J Periodontol. 1994 ; Dec;65(12):1107-12.
• Referans37. 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; Jul;75(7):949-56
• Referans38. 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 Jan;77(1):7-14.
• Referans39. De Sanctis M, Zucchelli G. Coronally advanced flap: a modified surgical approach for isolated recession-type defects: three-year results J Clin Periodontol. 2007 Mar;34(3):262-8.
• Referans40. Sheilesh D, Van Dyke TE. (Featuring speakers at the 2006 FDI Congress) Point of care. J Can Dent Assoc 2005;72:307-15.
• Referans41. Shanelec DA, Tibbetts LS. Periodontal microsurgery, continuing education course, 78 th American Academy of Periodontology annual meeting, Orlando, FL 1992;Nov. 19.
• Referans42. Edward S. Cohen. Atlas of cosmetic and reconstructive periodontal surgery, 3rd eds, BC Decker Inc, Hamilton, 2007;433-7.
• Referans43. Burkhardt R, Lang NP. Coverage of localized gingival recessions: comparison of micro- and macrosurgical techniques. J Clin Periodontol 2005;32:287-93.
• Referans44. Vandana KL, Savitha B. Thickness of gingiva in association with age, gender and dental arch location. J Clin Periodontol 2005; 32: 828–830.
• Referans45. 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 Mar;91(3):311-338.
• Referans46. 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
• Referans47. Moore R L, Hill M, Suturing techniques for periodontal plastic surgery. Periodontology 2000, 1996; 11(1), 103-111.
• Referans48. Burkhardt R, Lang N P, Coverage of localized gingival recessions: comparison of micro‐and macrosurgical techniques. Journal of clinical periodontology, 2005. 32(3): p. 287-293
• Referans49. 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 Jul;37(7):644-50.
• Referans50. 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 Apr;51(2):175-85.