前庭切口骨膜下隧道法(VISTA)加富血小板纤维蛋白(PRF)与单纯前庭切口骨膜下隧道法(VISTA)治疗多发性牙周衰退。分口随机临床试验。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Louai Alkababji, Rola Alhabashneh, Reem Abdelhafez, Haneen Nasrallah, Yousef Khader
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引用次数: 0

摘要

背景:牙龈退缩治疗是牙周病学的主要临床挑战之一,人们提出了各种外科技术来矫正牙龈退缩。这些技术大多适用于孤立的牙龈退缩部位,并且需要采集自体组织移植,这不仅增加了患者的发病率,还可能因切口设计而导致美观度下降。本研究评估了在前庭切口骨膜下隧道法(VISTA)中添加富血小板纤维蛋白(PRF)治疗多发性牙龈退缩的效果,与单独使用 VISTA 相比有哪些优势。在分口设计中,41 颗米勒 I/II 级牙齿被随机分组。测试了多个临床参数,包括牙龈厚度随时间的变化、角化组织宽度 KTW 以及使用牙周探针透明度的牙龈表型。此外,还通过视觉模拟量表 VAS 评估了以患者为中心的结果:结论:VISTA 可以有效治疗上颌的多个米勒 1 级和 2 级凹陷。结论:VISTA 可以有效治疗上颌骨多发性米勒 1 类和 2 类凹陷,但与 PRF 联合使用时,在任何参数上都未发现明显差异。事实证明,VISTA 术后患者的疼痛程度较低,可用于对美观要求较高的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vestibular Incision Subperiosteal Tunneling Approach (VISTA) with Platelets Rich Fibrin (PRF) vs Vestibular Incision Subperiosteal Tunneling Approach (VISTA) alone in multiple recession treatment. A Split mouth Randomized Clinical Trial.

Background: Gingival recession treatment is one of the major clinical challenges in periodontics, various surgical techniques were proposed to correct it. Most of these techniques are suitable for isolated recession sites and involve the harvesting of autogenous tissue graft; which increase patient morbidity and might result in inferior esthetics due to incision design. This study assessed the benefit of adding Platelets Rich Fibrin (PRF) to Vestibular Incision Subperiosteal Tunneling Approach (VISTA) in treating multiple gingival recession compared to using VISTA alone. Forty-one teeth with Miller Class I/II were randomized in a split mouth design. Multiple clinical parameters were tested including the change in gingival thickness over time, keratinized tissue width KTW and the gingival phenotype using the transparency of periodontal probe. Patient-centered outcomes were also assessed via Visual Analogue Scale VAS.

Conclusion: Multiple Miller Class 1 and Class 2 recessions in the maxilla can be effectively treated with VISTA. However, when used in conjunction with PRF no significant differences were detected in any parameter. VISTA has been shown to be associated with a low level of pain for patients following surgery and can be used for patients with high esthetic demand.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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