Clinical evaluation of a modified marginal sulcular incision technique in endodontic surgery.
The authors evaluated periodontal parameters following apical surgery using a new marginal sulcular incision. In 65 cases, surgical access was achieved by means of a sulcular incision technique without the involvement of the adjacent periodontia and the interproximal papillae and in 33 cases by means of a submarginal trapezoidal technique. Periodontal parameters (probing pocket depth, gingival recession, clinical attachment loss, and tooth mobility [periotest]) were recorded at baseline and after 6 months. Scar formation and the loss of papilla height were evaluated photographically. No significant changes in the attachment level and no loss of papilla height were found in either group. A slight gingival recession (0.2 +/- 0.4 mm) corresponding to the decrease in pocket depths occurred on the buccal aspect with the sulcular incision. Tooth mobility was significantly increased in both groups immediately and 6 months after surgery. Scar formation was more unfavorable with the submarginal incision.
Kreisler
Matthias
M
Department of Oral Surgery, University of Mainz, Mainz, Germany. Schmidt.john1@mayo.edu
Gockel
Ricarda
R
Schmidt
Irina
I
Kühl
Sebastian
S
d'Hoedt
Bernd
B
D000328:Adult; D001047:Apicoectomy / Q000009:adverse effects / Q000379:methods*; D002921:Cicatrix / Q000209:etiology* / Q000473:pathology; D005260:Female; D005881:Gingiva / Q000473:pathology / Q000601:surgery*; D005889:Gingival Recession / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019227:Tooth Apex / Q000601:surgery*; D014086:Tooth Mobility / Q000209:etiology