Periosteal pedicle flap for esthetic root coverage: RCT.
Journal name: Journal of Indian Society of Periodontology
Original article title: Clinical evaluation of periosteal pedicle flap in the treatment of gingival recessions for esthetic root coverage: A randomized controlled clinical trial
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Parimisetti Bhavana, Sruthima Naga Venkata Satya Gottumukkala, Gautami Subadra Penmetsa, Konathala Santosh Venkata Ramesh, Pasupuleti Mohan Kumar, Mani Meghana
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Clinical evaluation of periosteal pedicle flap in the treatment of gingival recessions for esthetic root coverage: A randomized controlled clinical trial
Year: 2023 | Doi: 10.4103/jisp.jisp_80
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Gingival recession is a prevalent concern in periodontal plastic surgical procedures, often resulting from various factors, including periodontal disease, trauma, and anatomical variations. This condition leads to a significant esthetic impact and issues such as dentinal hypersensitivity and difficulties in maintaining oral hygiene. The most widely accepted treatment for this condition has been the use of subepithelial connective tissue grafts (SCTG), which, although effective, entails certain drawbacks like the requirement for a second surgical site and associated post-operative complications. An alternative approach using periosteal pedicle grafts (PPG) has emerged, potentially offering a more comfortable and less invasive method of achieving root coverage, utilizing the regenerative properties of the periosteum.
Efficacy of Periosteal Pedicle Grafts
The study compared the outcomes of SCTG and PPG in treating single gingival recessions among 52 patients. Measurements taken at baseline, 3 months, and 6 months showed that both grafts yielded significant root coverage, with similar reductions in recession depth and width. Notably, both surgeries achieved complete root coverage in approximately 54% of treated cases. However, patients reported better comfort levels, less discomfort, and lower pain scores with the PPG approach compared to SCTG, indicating that PPG could provide comparable, if not superior, outcomes regarding patient experience and procedural comfort. Additionally, the PPG method had the advantage of not requiring a second surgical site, thereby minimizing patient morbidity and enhancing overall satisfaction.
Conclusion
In conclusion, the findings suggest that periosteal pedicle grafts may serve as a viable alternative to the traditional subepithelial connective tissue grafts for treating gingival recession. Both techniques were effective in achieving root coverage; however, PPG demonstrated a lower incidence of discomfort and complication, presenting an advantageous option for patients seeking periodontal plastic surgery. The study indicates a promising direction for future research and clinical practice, advocating for the incorporation of PPG in managing gingival recession while minimizing surgical intervention's invasiveness and post-operative discomfort.
FAQ section (important questions/answers):
What is the primary focus of this research study?
This research aims to compare root coverage achieved using periosteal pedicle graft (PPG) versus subepithelial connective tissue graft (SCTG) in treating gingival recessions while assessing the associated patient comfort and surgical outcomes.
What are the two surgical techniques compared in the study?
The study compares two techniques: the traditional subepithelial connective tissue graft (SCTG), known for its effectiveness, and the periosteal pedicle graft (PPG), which may offer advantages like reduced donor site complications.
What parameters were measured to assess outcomes in patients?
Clinical measurements included probing depth, clinical attachment level, recession depth and width, as well as the width of keratinized tissue. Patient satisfaction regarding discomfort and esthetics was also evaluated.
What were the findings regarding root coverage success rates?
Both SCTG and PPG showed similar root coverage success rates, with 54% of cases achieving complete root coverage, indicating that both techniques are effective for treating gingival recessions.
What advantage does PPG provide over SCTG according to the study?
PPG demonstrated lower levels of discomfort and pain post-surgery compared to SCTG, suggesting it may be a viable, less invasive alternative to the traditional grafting method.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Periosteal pedicle flap for esthetic root coverage: RCT.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
The term 'Table' in this context refers to data representation, showcasing organized information related to the study findings. It is essential for summarizing statistical results and comparisons between different groups. Tables enhance clarity and facilitate easy understanding of complex data sets, enabling readers to interpret the information effectively and draw conclusions.
2) Study (Studying):
The word 'Study' signifies a systematic investigation to explore root coverage techniques in periodontal plastic surgery. In this context, it emphasizes the methodology, objectives, and findings of the research, highlighting its contributions to the field. Thorough studies are essential for advancing medical knowledge and improving clinical practices.
3) Incision:
An 'Incision' refers to a surgical cut made during procedures, such as those for root coverage. It is crucial in defining the approach a surgeon takes to access the grafting site. The method of incision impacts healing, recovery times, and overall surgical outcomes, underscoring its significance in surgical protocols.
4) Disease:
The term 'Disease' pertains to pathological conditions affecting oral health, such as periodontal disease leading to gingival recession. Understanding the implications of diseases is vital for developing effective treatment methodologies, focusing on prevention, symptom management, and enhancing patients’ quality of life through better clinical practices and outcomes.
5) Surface:
In the context of this study, 'Surface' refers to areas in dental procedures, such as the tooth or graft surfaces. The surface's condition can influence graft attachment and healing. Therefore, understanding the surface characteristics is crucial for successful surgeries, ensuring optimal graft integration with the surrounding tissues.
6) Pain:
'Pain' describes the physical discomfort experienced by patients undergoing surgical procedures. Addressing pain management is essential for patient satisfaction and recovery. Understanding pain levels before and after surgery can help clinicians improve surgical techniques and postoperative care, fostering better clinical outcomes and enhancing overall patient experiences.
7) Hygiene (Hygienic):
The term 'Hygiene' addresses oral health practices that prevent disease. Proper hygiene reduces plaque, facilitating healing after surgical interventions. In this context, hygiene management is vital, as improved practices can lead to better clinical outcomes, lower infection risks, and enhance patients' long-term dental health and comfort.
8) Dressing:
'Dressing' refers to the protective material applied over surgical sites post-operation. It plays a crucial role in promoting healing, protecting against contaminants, and managing discomfort. The choice and application of dressing materials can significantly affect recovery times and overall surgical success, making it a key component in postoperative care.
9) Rules:
'Rules' signifies the guidelines and protocols established to conduct the study ethically and scientifically. Compliance with established rules ensures reliability, enhances the validity of findings, and promotes adherence to ethical standards, thus fostering trust in the research process and its implications for the medical community.
10) Blood:
The term 'Blood' refers to the vital fluid involved in healing and is significant in surgical procedures. Adequate blood supply is crucial for tissue regeneration and the success of grafts. Understanding the role of blood in healing processes is essential for effective surgical intervention and patient recovery.
11) Gold (Golden):
'Gold' in this context represents the 'gold standard' treatment, an established benchmark for effectiveness against which other treatments are measured. Understanding this concept is essential for evaluating the efficacy of new methods, fostering advancements in clinical procedures and improving patient care standards in periodontal surgeries.
12) Measurement:
'Measurement' refers to the quantification of clinical parameters, such as recession depth and clinical attachment level, which are essential for evaluating treatment outcomes. Accurate measurements are vital for understanding the effectiveness of surgical interventions and refining techniques in periodontal therapy, driving scientific progress and enhanced patient outcomes.
13) Sign:
'Sign' denotes indicative evidence or clinical markers observable during the study. Recognizing significant signs of healing or improvement is critical for evaluating treatment efficacy. Understanding these signs helps clinicians make informed decisions, adjusting treatment protocols and enhancing patient care based on observable clinical outcomes.
14) Rich (Rch):
The term 'Rich' in this context describes the abundant sources of pluripotent stem cells present in periosteal grafts. Rich sources enhance the regenerative potential of tissues, emphasizing the importance of selecting appropriate graft materials in surgical procedures, particularly for improving healing and treatment outcomes in periodontal therapy.
15) Pur:
'Poor' signifies inadequate conditions that could compromise healing or treatment outcomes. In this context, it relates to factors affecting periodontal health or the success of grafting procedures. Recognizing and addressing poor conditions is essential for clinicians aiming to improve patient comfort, safety, and overall treatment efficacy.
16) Surrounding:
'Surrounding' refers to the adjacent tissues and structures relevant in surgical interventions. Understanding the biology and condition of surrounding areas is crucial for grafting success, influencing healing processes, and overall treatment outcomes, emphasizing the need for careful surgical planning and execution.
17) Discussion:
'Discussion' is a crucial section of the study, where findings are interpreted and contextualized. It allows for reflection on the results, comparison with existing literature, and implications for clinical practice. This section enhances the understanding of the research's relevance and potential for advancing periodontal treatment methodologies.
18) Science (Scientific):
'Scientific' refers to the rigorous approach applied to conduct the study, emphasizing the methodology and ethical considerations. A scientific foundation ensures the results are reliable, reproducible, and can contribute meaningfully to the body of knowledge in periodontal surgery and patient care.
19) Harvesting (Harvest):
'Harvest' refers to the process of obtaining graft tissue from a donor site during surgical procedures. Understanding the nuances of harvesting is essential for clinicians to maximize tissue viability, minimize patient discomfort, and optimize outcomes in grafting procedures, emphasizing its importance in effective surgical practices.
20) Reason:
'Reason' in this context pertains to the rationale behind conducting the study and implementing particular techniques in clinical practice. Understanding the reasons driving research initiatives is critical for advancing medical knowledge and improving patient outcomes through evidence-based practices.
21) Indian:
'Indian' can denote the context in which the study is conducted, reflecting the cultural and demographic characteristics of the patient population. Recognizing the socio-cultural factors relevant to a specific geographic region can influence treatment acceptance and efficacy, emphasizing the need for culturally sensitive healthcare practices.
22) Line:
'Line' relates to the series of actions or a protocol followed during the study. In clinical research, establishing a clear line of procedures enhances consistency and replicability of results, reinforcing the integrity of the research findings and their applicability in clinical practice.
23) Male:
The term 'Male' in this study refers to the gender demographic of the participants involved. This aspect is significant for evaluating potential gender-related differences in treatment outcomes, informing tailored approaches to patient care, and ensuring that clinical research includes diverse populations for comprehensive understanding.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Periosteal pedicle flap for esthetic root coverage: RCT.’. Further sources in the context of Science might help you critically compare this page with similair documents:
Longitudinal studies, Visual analog scale, Ethics Committee approval, Clinical attachment level, Patient satisfaction, Gingival Recession, Clinical measurement, Periodontal Plastic Surgical Procedure, Surgical complication, Nonsurgical periodontal therapy.