[Late results of treatment of deep periodontopathies with plastic operations of the gingiva and alveolar process].
The effect was assessed of plastic operations on the gingiva and alveolar process by a method similar to the Cieszyński-Widman-Neumann technique on the condition of the parodontium in 133 patients aged from 13 to 58 years. For evaluation of the condition of parodontium Kötzschke's index and Engelberger's et al. radiological index were used and the oral vestibule was measured. Control examinations were done 2-15 years after the treatment. After surgical treatment reduction of the pathological gingival pouches was observed in 88.7% of the patients, while gingivitis was alleviated in 85.1% of cases. Kötzschke's periodontopathy index was improved in 86.5% of cases, and dental mobility decreased in 64.6% of cases. The radiological index demonstrated regeneration of bone in 60.1% of the surgically treated cases in the range from 1.0 to 3.5%, and in 4.5% of cases bone atrophy was stopped. However, denudation of dental roots increased in 66.1% of cases. After surgical treatment narrowing of the width of the alveolar gingiva was by 0.4 mm in 77.5%, the depth of the vestibule was reduced by 0.3 mm in 57.5% of cases, and the "pull syndrome" manifested itself in only 9.8% of cases.
Jedrzejewska
T
T
Urbaniak
B
B
D000293:Adolescent; D000328:Adult; D000539:Alveolar Process / Q000601:surgery; D000543:Alveoloplasty; D005500:Follow-Up Studies; D005893:Gingivoplasty; D006801:Humans; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010510:Periodontal Diseases / Q000601:surgery*; D011379:Prognosis
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