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RESEARCH PRODUCT

Clinical evaluation of a modified marginal sulcular incision technique in endodontic surgery

Sebastian KühlRicarda GockelIrina SchmidtMatthias KreislerBernd D'hoedt

subject

AdultMaleGingivaDentistryTooth mobilityCicatrixTooth Apexstomatognathic systemApical surgeryHumansMedicineGingival RecessionGeneral DentistryGingival recessionOrthodonticsbusiness.industryApicoectomyMiddle AgedSurgical accessMajor duodenal papillaEndodontic surgeryOtorhinolaryngologyClinical attachment lossFemaleSurgeryTooth MobilityOral Surgerymedicine.symptombusinessClinical evaluation

description

The authors evaluated periodontal parameters following apical surgery using a new marginal sulcular incision. In 65 cases, surgical access was achieved by means of a sulcular incision technique without the involvement of the adjacent periodontia and the interproximal papillae and in 33 cases by means of a submarginal trapezoidal technique. Periodontal parameters (probing pocket depth, gingival recession, clinical attachment loss, and tooth mobility [periotest]) were recorded at baseline and after 6 months. Scar formation and the loss of papilla height were evaluated photographically. No significant changes in the attachment level and no loss of papilla height were found in either group. A slight gingival recession (0.2 +/- 0.4 mm) corresponding to the decrease in pocket depths occurred on the buccal aspect with the sulcular incision. Tooth mobility was significantly increased in both groups immediately and 6 months after surgery. Scar formation was more unfavorable with the submarginal incision.

yearjournalcountryeditionlanguage
2009-04-29Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology
https://doi.org/10.1016/j.tripleo.2009.08.005