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Alveolar ridge augmentation by connective tissue grafting using a pouch method and modified connective tissue technique: A prospective study.

Agarwal A, Gupta ND - Dent Res J (Isfahan) (2015 Nov-Dec)

Bottom Line: A two-tailed P < 0.05 was considered to be statistically significant.Mean values in horizontal width after 6 months were 4.70 ± 0.87 mm, and 4.05 ± 0.89 mm for group I and II, respectively.Regarding vertical heights, obtained mean values were 4.75 ± 0.97 mm and 3.70 ± 0.92 mm for group I and group II, respectively.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.

ABSTRACT

Background: Localized alveolar ridge defect may create physiological and pathological problems. Developments in surgical techniques have made it simpler to change the configuration of a ridge to create a more aesthetic and more easily cleansable shape. The purpose of this study was to compare the efficacy of alveolar ridge augmentation using a subepithelial connective tissue graft in pouch and modified connective tissue graft technique.

Materials and methods: In this randomized, double blind, parallel and prospective study, 40 non-smoker individuals with 40 class III alveolar ridge defects in maxillary anterior were randomly divided in two groups. Group I received modified connective tissue graft, while group II were treated with subepithelial connective tissue graft in pouch technique. The defect size was measured in its horizontal and vertical dimension by utilizing a periodontal probe in a stone cast at base line, after 3 months, and 6 months post surgically. Analysis of variance and Bonferroni post-hoc test were used for statistical analysis. A two-tailed P < 0.05 was considered to be statistically significant.

Results: Mean values in horizontal width after 6 months were 4.70 ± 0.87 mm, and 4.05 ± 0.89 mm for group I and II, respectively. Regarding vertical heights, obtained mean values were 4.75 ± 0.97 mm and 3.70 ± 0.92 mm for group I and group II, respectively.

Conclusion: Within the limitations of this study, connective tissue graft proposed significantly more improvement as compare to connective tissue graft in pouch.

No MeSH data available.


Improvement in bucco-lingual width. (After 6 months).
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Figure 7: Improvement in bucco-lingual width. (After 6 months).

Mentions: Half of the graft's width remained covered with epithelium whereas in the other half of the graft's width epithelium was removed leaving connective tissue and fatty tissue. Therefore, this graft represented a combined onlay — Connective tissue graft. The onlay part of the graft was fixed on the palatal aspect of the recipient site. The connective tissue part of the graft was placed on the buccal aspect of the recipient site, correcting the ridge defect [Figures 1–7].


Alveolar ridge augmentation by connective tissue grafting using a pouch method and modified connective tissue technique: A prospective study.

Agarwal A, Gupta ND - Dent Res J (Isfahan) (2015 Nov-Dec)

Improvement in bucco-lingual width. (After 6 months).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4696357&req=5

Figure 7: Improvement in bucco-lingual width. (After 6 months).
Mentions: Half of the graft's width remained covered with epithelium whereas in the other half of the graft's width epithelium was removed leaving connective tissue and fatty tissue. Therefore, this graft represented a combined onlay — Connective tissue graft. The onlay part of the graft was fixed on the palatal aspect of the recipient site. The connective tissue part of the graft was placed on the buccal aspect of the recipient site, correcting the ridge defect [Figures 1–7].

Bottom Line: A two-tailed P < 0.05 was considered to be statistically significant.Mean values in horizontal width after 6 months were 4.70 ± 0.87 mm, and 4.05 ± 0.89 mm for group I and II, respectively.Regarding vertical heights, obtained mean values were 4.75 ± 0.97 mm and 3.70 ± 0.92 mm for group I and group II, respectively.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontics, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.

ABSTRACT

Background: Localized alveolar ridge defect may create physiological and pathological problems. Developments in surgical techniques have made it simpler to change the configuration of a ridge to create a more aesthetic and more easily cleansable shape. The purpose of this study was to compare the efficacy of alveolar ridge augmentation using a subepithelial connective tissue graft in pouch and modified connective tissue graft technique.

Materials and methods: In this randomized, double blind, parallel and prospective study, 40 non-smoker individuals with 40 class III alveolar ridge defects in maxillary anterior were randomly divided in two groups. Group I received modified connective tissue graft, while group II were treated with subepithelial connective tissue graft in pouch technique. The defect size was measured in its horizontal and vertical dimension by utilizing a periodontal probe in a stone cast at base line, after 3 months, and 6 months post surgically. Analysis of variance and Bonferroni post-hoc test were used for statistical analysis. A two-tailed P < 0.05 was considered to be statistically significant.

Results: Mean values in horizontal width after 6 months were 4.70 ± 0.87 mm, and 4.05 ± 0.89 mm for group I and II, respectively. Regarding vertical heights, obtained mean values were 4.75 ± 0.97 mm and 3.70 ± 0.92 mm for group I and group II, respectively.

Conclusion: Within the limitations of this study, connective tissue graft proposed significantly more improvement as compare to connective tissue graft in pouch.

No MeSH data available.