Enhancing gingival biotype through chorion membrane with  innovative step in periodontal pocket therapy

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• 作者：Shaila Kothiwale ; Amrita Rathore ; Vishal Panjwani
• 关键词：Periodontics ; Chorion membrane ; Ginigval biotype ; Pocket therapy ; GTR
• 刊名：Cell and Tissue Banking
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：17
• 期：1
• 页码：33-38
• 全文大小：924 KB
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• 作者单位：Shaila Kothiwale (1)
  Amrita Rathore (1)
  Vishal Panjwani (1)
  
  1. Department of Periodontics, K.L.E’s V. K Institute of Dental Sciences, K.L.E University, Nehru Nagar, Belgaum, Karnataka, 590010, India
  
• 刊物类别：Biomedical and Life Sciences
• 刊物主题：Life Sciences
  Cell Biology
  Biomedicine
  Transplant Surgery
  
• 出版者：Springer Netherlands
• ISSN：1573-6814

文摘

A thick gingival biotype is a requisite for good periodontal health. It has important role in resisting trauma and subsequent gingival recession. The gingival thickness is a significant predictor of clinical outcome of periodontal surgeries. Various surgical procedures are used to increase the gingival thickness. The present study incorporated the innovative step of placement of chorion membrane to objectively evaluate the increase in thickness of gingival biotype during periodontal pocket therapy. The patients in age group between 25 and 45 years with chronic periodontitis, indicated for flap surgery were selected for the study. The sites with pocket depth of 6–8 mm in the mandibular anterior teeth were divided into test and control sites. Periodontal flap surgery was carried at both the sites and chorion membrane was placed at the test sites. The gingival thickness measurement was assessed using a markings marked on injection needle, these markings were read using digital vernier caliper, pre and post operatively. The baseline values of gingival thickness at test site (1.04 ± 0.19 at mid buccal region, 1.24 ± 0.20 at mid papillary) and control site (0.94 ± 0.11 at mid buccal region, 1.14 ± 0.11 at mid papillary region) showed no statistically significant difference. At test sites, 6 weeks post treatment (1.36 ± 0.16 at mid buccal region and 1.48 ± 0.17 at mid papillary region) as compared to control sites (1.06 ± 0.11 at mid buccal region, 1.24 ± 0.11 at mid papillary) showed statistically significant increase in gingival thickness (p ≤ 0.05*). The innovative step of placement of chorion membrane during periodontal pocket therapy facilitated increase in the gingival thickness in the areas with thin gingival biotype.