Stefan Fickl1, Kai R Fischer2, Bruno Negri3, Rafael Delgado Ruíz3, José Luis Calvo-Guirado3, Moritz Kebschull4, Ulrich Schlagenhauf2. 1. Department of Periodontology, Julius-Maximilians-University Würzburg, Pleicherwall 2, 97070, Würzburg, Germany. fickl_s@klinik.uni-wuerzburg.de. 2. Department of Periodontology, Julius-Maximilians-University Würzburg, Pleicherwall 2, 97070, Würzburg, Germany. 3. Department of General and Implant Dentistry, Faculty of Medicine and Dentistry, University of Murcia, Murcia, Spain. 4. Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany.
Abstract
OBJECTIVES: The objective of this study is to compare tissue reduction following papilla-sparing and sulcular incisions in oral surgical indications. MATERIAL AND METHODS: Five beagle dogs were used. Three months after tooth extraction of P2-M1, notches were prepared at the height of the interproximal gingiva into M2 and P1. Papilla-sparing and sulcular incisions were randomly performed, full-thickness flaps elevated and flaps repositioned. Three months postoperatively, tissue reduction was assessed using a digital calliper, mean values were calculated per group and analysed using a Wilcoxon matched-pair rank test. RESULTS: Papilla-sparing incisions revealed significantly less (p < 0.05) tissue reduction than sulcular incision techniques. CONCLUSION: Papilla-sparing incisions seem to induce less tissue response following flap surgery compared to sulcular incisions in oral surgical indications. Nevertheless, tissue reduction was seen in both groups. CLINICAL RELEVANCE: For surgical approaches without the necessity of direct access to the root surface (i.e., implantology, oral surgery), papilla-sparing incisions may be superior compared to sulcular incisions.
OBJECTIVES: The objective of this study is to compare tissue reduction following papilla-sparing and sulcular incisions in oral surgical indications. MATERIAL AND METHODS: Five beagle dogs were used. Three months after tooth extraction of P2-M1, notches were prepared at the height of the interproximal gingiva into M2 and P1. Papilla-sparing and sulcular incisions were randomly performed, full-thickness flaps elevated and flaps repositioned. Three months postoperatively, tissue reduction was assessed using a digital calliper, mean values were calculated per group and analysed using a Wilcoxon matched-pair rank test. RESULTS: Papilla-sparing incisions revealed significantly less (p < 0.05) tissue reduction than sulcular incision techniques. CONCLUSION: Papilla-sparing incisions seem to induce less tissue response following flap surgery compared to sulcular incisions in oral surgical indications. Nevertheless, tissue reduction was seen in both groups. CLINICAL RELEVANCE: For surgical approaches without the necessity of direct access to the root surface (i.e., implantology, oral surgery), papilla-sparing incisions may be superior compared to sulcular incisions.
Authors: Abdul Habeeb Bin Mohsin; K V Sheethi; M Priyanka; Dhanalaxmi Karre; Mohammed Qusroo Ahmed Journal: Int J Appl Basic Med Res Date: 2019 Jul-Sep