AI Article Synopsis
- The study aimed to evaluate the effectiveness of using bone and soft tissue grafting substitutes to modify the periodontal phenotype of orthodontic patients.
- A surgical procedure was performed on 18 patients, leading to significant improvements in various periodontal parameters after 12 months, including increased gingival thickness and keratinized tissue width, while also reducing gingival recession.
- The findings suggest that this technique could improve periodontal health in orthodontic patients, but more research with larger groups is needed to confirm long-term effectiveness.
Article Abstract
Objective: The purpose of this study was to assess the feasibility of phenotype modification in orthodontic patients using combined bone and soft tissue grafting substitutes.
Clinical Consideration: The surgical procedure was conducted on 18 patients (3 males, 15 females). Periodontal phenotype modification was conducted using demineralized freeze-dried bone allograft and a xenogeneic collagen matrix. The following parameters were recorded for each tooth at baseline and 12-month follow-up: O'Leary plaque index (PI), probing depth (PD), bleeding on probing (BOP), gingival thickness (GT), keratinized tissue width (KTW), gingival recession (GR), and vestibular depth (VD). The results showed a statistically significant increase in GT (2.02 ± 0.39 mm), KTW (1.11 ± 0.82 mm), and VD (0.18 ± 1.16 mm) (p < 0.05). GR was also significantly decreased (1.02 ± 0.99 mm) (p < 0.05).
Conclusion: Within the limitation of this study, the proposed approach enhanced the periodontal condition in orthodontic patients. However, further studies with a larger sample size are needed to ensure long-term stability.
Clinical Significance: Hard and soft tissue conditions have paramount importance for long-term periodontal stability. Phenotype modification in orthodontic patients can diminish the probability of adverse consequences and result in optimal esthetic outcomes. The proposed technique using combined bone and soft tissue substitutes indicated promising results and could be recommended in orthodontic patients with thin periodontal phenotypes.
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| http://dx.doi.org/10.1111/jerd.13149 | DOI Listing |
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