title: Periodontal healing of marginal flap versus paramarginal flap in palatally impacted canine surgery: a prospective study.
abstract: OBJECTIVE
  The aim of the present study was to compare the influence of 2 mucoperiosteal flaps, marginal and paramarginal, on the periodontal healing of adjacent maxillary teeth after extraction of palatally impacted canines.
  
  
  METHODS
  Marginal (15 patients) and paramarginal (16 patients) techniques were used to remove palatally impacted canines. The periodontal examination of the adjacent teeth included evaluation of the plaque index, gingival index, probing depth, and clinical crown length preoperatively and at the first, third, and sixth months postoperatively using an individual acrylic stent.
  
  
  RESULTS
  No significant differences between the marginal and paramarginal flaps were found with respect to plaque index, gingival index, labial and palatal probing depth, and labial and palatal clinical crown length at all follow-up points.
  
  
  CONCLUSIONS
  The results of our study have shown that the paramarginal flap design is a good alternative to the marginal flap design.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey. kosger@hotmail.com
authors.forename: Hüseyin
authors.initials: H
authors.lastname: Köşger
authors.forename: Hidayet B
authors.initials: HB
authors.lastname: Polat
authors.forename: Serhat
authors.initials: S
authors.lastname: Demirer
authors.forename: Hakan
authors.initials: H
authors.lastname: Ozdemir
authors.forename: Sinan
authors.initials: S
authors.lastname: Ay
mesh_terms: D000293:Adolescent; D000328:Adult; D003481:Cuspid / Q000601:surgery*; D003774:Dental Plaque Index; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D017622:Periodontal Attachment Loss / Q000209:etiology / Q000473:pathology; D010512:Periodontal Index; D010519:Periodontium / Q000502:physiology / Q000601:surgery*; D011446:Prospective Studies; D013524:Surgical Flaps; D014081:Tooth Extraction / Q000009:adverse effects / Q000379:methods*; D014095:Tooth, Impacted / Q000601:surgery*; D014945:Wound Healing; D055815:Young Adult