H. Dr. Behnaz,
Volume 11, Issue 3 (6-1998)
Abstract
Removable and fixed prosthesis are fabricated for reasons of appearance, mastication, speech clarity and general well - being. At the same time, they must preserve remaining theeth. Alveolar bone, Ginginal tissue and tooth position by bringing the forces acting on the removavle prosthesis within the limits of tissue tolerance. Satisfying these objectives may reqiure the use of single crowns of fixed partial denture with specific contours and attachments that provide the necessary support and retention for the prosthesis.However, before any detailde discussion can takeplace, it is desirble to divide attachments into groups. Several classifications have been divised, based mainly on the attributes claimed for the devices by the attachment manufactures.Since the function severed by an attachment depend entirely upon the manner in which it is used and function in the mouth are complex and by no means completely understood, the classification of prefabricated attachments used in this title has been based on their shape.
M. : Pak Nejad , Y. Soleimani-E-Shayesteh , Z. Mohammad Zadeh ,
Volume 13, Issue 3 (10-2000)
Abstract
Guided Tissue Regeneration (GTR) is the most recent and common method for regeneration of class II forcation molars. However, it requires membrane, which seems expensive for most of the patients. In order to overcome this problem, Coronally Position Flap (CPF) procedure may be applied which arresting the epithelial cell down growth, follow the same aim. This study is aimed to compare GTR technique utilizing bioresorable collagen membrane and CPF utilizing citric acid. Nine patients with grade II forcation defects were selected. Defects were bilateral that randomly assigned into two groups: GTR and CPF groups. Measurements recorded at baseline and after surgery (6 months). Paired-T test was performed on these data. The following results were obtained after 6 months: In both groups significant reduction in probing pocket depth were measured in GTR and CPF groups, 1.55 Ind 1.88 mm, respectively. Also, open vertical probing depth: 0.33, 1.11 mm. Reduction in forcation weight in both groups was 0.22 mm. Bone fill was observed in 0.33% and 51% of defects. No recession was observed in GTR group, in CPF was 0.11 mm. Loss of attached gingiva was 0.34 and 0.78 mm, respectively. No significant difference was found between clinical parameters except OHPD. Comparison of means at the day (0 and 180) in each group showed the success for regeneration of forca. Considering the results, it can be concluded that CPF may substitute for GTR technique.
Aa. khoshkhoo Nejad , R. Shariatmadari Ahmadi, B. Jannat,
Volume 16, Issue 3 (5-2003)
Abstract
Statement of Problem: Treatment of gingival recession defect and covering denuded root surfaces is one of the goals in periodontal therapy and several surgical techniques have been suggested in this field.
Purpose: The aim of this study was to perform a comparison on coronaliy repositioned flap procedure with and without the use of ethylenediaminoteraacetic acid (EDTA. 24%, pH=7) in the treatment of recession defects.
Material and Methods: In this randomized clinical trial study, 16 patients, aged 17-60 years, with a total of 27 miller class 1 isolated buccal gingival recession type defects of at least 2mm depth, and based on special criteria were investigated. After initial therapy, surgical recession coverage was performed as coronaliy advanced flap technique and EDTA gel conditioning (test) or coronaliy advanced flap alone (control). Clinical examination including assessments of oral hygiene, recession depth (RD), recession width (RW), width of keratinized tissue (KT), probing depth (PD) and probing attachment level (PAL)were performed before and 1, 2, 3 months after surgical treatment.
Results: The mean of initial RD, RW, KT, PT and PAL in the test group was 2.73, 3.17, 3.13, 1.1 and 3.83mm respectively and in the control group was 2.56, 3.03, 3.67, 1.25, 3.92mm respectively. The mean of these parameters 3 months after treatment in the test group were changed to 0.46, 1.97, 2.65, 0.67, 1.1 mm, corresponding figures for control teeth were 0.85, 2.98, 2.75, 1, 1.94, respectively. At 3 months after treatment the mean root coverage amounted to 83% (test) and 67% (control) which was a statistically significant difference (P=0.0067). Although a significant clinical difference was observed regarinding root coverage level, all other clinical variables were not statistically different, with the exception of probing attachment level (P=0.005).
Conclusion: It was suggested that EDTA gel (24%, PLT=7) for 3 minutes as root conditioner and the coronaliy advanced flap procedure can be used as a predictable and successful method in the treatment of miller class I buccal gingiva! recession type defects.
G. Radafshar, M. Khoshhal,
Volume 21, Issue 1 (10-2008)
Abstract
Background and Aim: Furcation defects are one of the most challenging problems in periodontal therapy. Regenerative treatment significantly improves the prognosis of the involved teeth. The aim of this study was to compare Bio-Oss plus 10% collagen in combination with either a bioabsorbable collagen barrier (BO/GTR), or coronally advanced flap (BO/CF), in treating human mandibular class II furcation defects.
Materials and Methods: This clinical trial included 10 patients with 10 pairs of similar periodontal defects. Each defect was randomly assigned to treatment with BO/CF or BO/GTR. Following basic therapy, baseline measurements were recorded including probing pocket depth (PPD),closed horizontal probing depth (CHPD), clinical attachment level (CAL), and gingival margin position (CEJ-GM), together with plaque and gingival indices. Hard tissue measurements were performed during surgery to determine alveolar crestal height (CEJ-AC), and vertical and horizontal open probing depth (OVPD, OHPD).After 6 months, all sites were re-entered and soft and hard tissue measurements were recorded.
Results: Both surgical procedures significantly reduced probing depth and improved clinical attachment levels, with no significant difference between groups. Gingival margin position (CEJ-GM), was improved in the BO/CF group (0.66±0.51 mm, p<0.05), but not statistically different from BO/GTR group in which remained relatively constant (0.00±0.81 mm). Vertical defect resolution was significant in each groups (BO/CF:3.17±1.47 mm, BO/GTR:3.33±0.51mm). Horizontal defect resolution was also significant with either procedure (BO/CF:3.67±1.31 mm, BO/GTR:3.80±1.83 mm), with no statistically significant difference between groups. Data were analyzed with wilcoxon and Mann-Whitney tests with p<0.05 as the level of significance.
Conclusion: Based on the results of this study, treatment of mandibular class II furcation defects with both procedures resulted in statistically significant improvement in open and closed probing measurements, with no significant difference between treatment groups. In BO/CF group there was an additional improvement in gingival recession (CEJ-GM) measurement, which could be attributed to applying crown-attached sutures by the use of orthodontic brackets.
M. Mosavi Jazi, F. Haghighati, G. Saave,
Volume 22, Issue 2 (11-2009)
Abstract
Background and Aim: Several surgical approaches have been used to achieve root coverage. The Subepithelial Connective Tissue Graft (SCTG) procedure has been shown to be a predictable means to treat gingival recession. Semilunar Coronally Positioned Flap (SCPF) is a simple mucogingival surgery to cover the exposed root surface without harvesting the palatal connective tissue. The purpose of this study is to compare the outcome of gingival recession therapy using SCTG and SCPF.
Materials and Methods: Forty Miller class I buccal gingival recessions (≥2mm) were selected. Recessions were randomly assigned to receive either the SCPF or SCTG. Recession Height (RH), Recession Width (RW), Width of Keratinized Tissue (WKT), Probing Depth (PD), Clinical Attachment Level (CAL), were measured at baseline, 1, 3, and 6 months after surgery. The data were analyzed using independent t-test and Repeated Measure ANOVA.
Results: The average percentages of root coverage for SCPF and SCTG were 88% and 71%, respectively and the complete root coverage observed were 55% and 45%, respectively. There were no significance differences between the two groups with regard to RW, PD, CAL, WKT (except in the third month after surgery which was slightly greater in SCPF group). RH was significantly decreased from 2 to 6 months after surgery in SCPF group.
Conclusion: The findings from this study indicate that if the tissue thickness and initial width of keratinized tissue are sufficient, SCPF may be a good substitute for SCTG in treatment of Miller class I gingival recessions.
A. Ghorbanzadeh, M. Aminsobhani, H. Asadian, B. Bolhari, N. Shokouhinejad, Sh. Ghabraie, Mj. Kharraziefard,
Volume 22, Issue 4 (1-2010)
Abstract
Background and Aims: Root canal obturation is of great importance in root canal treatment. Its purpose is to eliminate microleakage, re-entry and growth of micro-organisms in the root canal system. The aim of this study was to compare coronal salivary microleakage in obturated root canals using lateral compaction, single cone gutta-percha and System B vertical compaction methods.
Materials and Methods: In this in-vitro study, 80 single rooted, human extracted teeth were randomly divided into 3 experimental groups (n=20) and 2 positive and negative control groups (n=10). The specimens in each experimental group were obturated by using cold lateral compaction, single cone obturation, or continuous wave of condensation (system B). After that, coronal saliva leakage was evaluated. Data were analyzed using Survival analysis and Log-rank test.
Results: The results showed that all the specimens in the positive control group showed evidences of leakage during the first 7 days of study. None of the specimens in negative control group showed leakage during the 30-days period of the experiment. Survival test and log-rank test showed that at the end of the 30 days, there was significantly less resistance to coronal salivary leakage in single cone method compared with lateral compaction (P=0.039) and continuous wave of condensation (P=0.019) groups. No significant difference was observed between lateral compaction and System B vertical continuous method (P=0.564).
Conclusion: Based on the results of this study, lateral compaction and system B groups showed higher resistance against the coronal leakage compared with single cone group.
