Efficacy of local mucosal pedicled flaps for attached gingival reconstruction versus free gingival grafting in oral implant repair
Objective To investigate the efficacy of local mucosal pedicled flaps for attached gingival reconstruction versus free gingival grafting in oral implant repair.Methods The medical records of 92 patients with oral implant restoration admitted to our hospital from October 2018 to October 2020 were retrospectively analyzed.According to the selection of surgical treatment methods,they were divided into reconstruction group(n = 46 cases,local mucosal pedicled flaps for attached gingival reconstruction)and free group(n = 46 cases,free gingival grafting).The clinical effects of the two treatments were evaluated,and the plaque index,the Visual Analogue Scale(VAS)score,bleeding index and keratinized gingival width were compared between the two groups before and after surgery.Results There was no significant difference in the success rate of implantation between groups(P>0.05).No significant differences were detected in the plaque index at 3 and 6 months after surgery,the VAS score at 1 week after surgery,and the bleeding index at 3 months after surgery were detected between groups(P>0.05).After surgery,the plaque index,VAS score and bleeding indexes in both groups were significantly reduced(P<0.05).The keratinized gingiva width at 3 and 6 months after surgery in the reconstruction group was significantly lower than that of the free group(P<0.05).Conclusion Both local mucosal pedicled flaps for attached gingival reconstruction and free gingival grafting can achieve significant results in oral transplantation and repair,which is beneficial to implant fixation,lowering postoperative plaque index,VAS score and bleeding index,but the latter has a more significant effect on keratinized gingival width transplantation.The two procedures have their own advantages and disadvantages,and the appropriate surgery should be reasonably selected according to the specific conditions of patients.
万方数据
维普
