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EVALUATION OF A BILAMINAR TECHNIQUE FOR GINGIVAL RECESSION COVERAGE

dc.contributores-ES
dc.contributoren-US
dc.creatorArdila M., Carlos Martín; Universidad de Antioquia
dc.date2018-03-14
dc.identifierhttp://revistas.ustabuca.edu.co/index.php/USTASALUD_ODONTOLOGIA/article/view/1834
dc.identifier10.15332/us.v3i1.1834
dc.descriptionObjetivo: El propósito de este estudio fue evaluar por un período de dos años, la reducción de recesiones gingivales mediante la Técnica Bilaminar con injertos subepiteliales de tejido conectivo bajo colgajos de espesor total posicionados coronalmente.Materiales y métodos: Veinte recesiones vestibulares (con promedio de 3.4 mm y rango de 3 a 4 mm; Clase I y II de Miller) en 10 pacientes, se trataron con una técnica bilaminar mediante la combinación de un injerto subepitelial de tejido conectivo combinado con un colgajo pediculado de espesor total desplazado coronalmente. Se evaluó la cantidad de recesión gingival (RG), el nivel de inserción clínica (NIC) y la amplitud de encía queratinizada (AEQ) durante los dos (2) años posteriores a la cirugía. Las medidas se tomaron prequirúrgicamente, y cada 1, 3, 6, 12, 18 y 24 meses posquirúrgicos. La estadística descriptiva fue expresada con promedios más desviación estándar (DS). Las variaciones longitudinales fueron evaluadas por medio de análisis de varianza (RG, inserción trepadora NIC y AEQ) o test de Friedman (IP e IG).Resultados: La RG disminuyó de 3.4 ± 0.58 mm como punto de inicio a 0.31 ± 0.43 a los 24 meses; representa una reducción de 3.16 mm correspondiendo al 91.2% en promedio del cubrimiento radicular. El NIC disminuyó significativamente a los 24 meses desde 5.06 ± 0.71 a 2.1 ± 0.58. A los 24 meses, se obtuvo 3.17 mm de ganancia de inserción. La AEQ se incrementó significativamente después de los 24 meses (1.98). RG, NIC y AEQ tuvieron los resultados más positivos a los doce (12) meses y se mantuvieron estables hasta los veinticuatro (24) meses.Conclusiones: La técnica bilaminar con injertos subepiteliales de tejido conectivo combinados con colgajos desplazados coronalmente de espesor total es predecible para cubrir raíces y la utilidad obtenida por esta técnica puede mantenerse bien.[Ardila CM. Evaluación de una técnica bilaminar par cubrir recesiones gingivales. Ustasalud Odontología 2004; 3: 24 - 31]es-ES
dc.descriptionObjective: The purpose of this study was to evaluate, over a two year period, the decrease of gingival recession by using a Bilaminar Technique with a subepithellial free connective tissue graft placed under a coronally advanced full-thickness pedicle flap.Material and methods: Twenty buccal recessions (mean 3.4 mm; range 3 to 4 mm; Miller Class I, II) in 10 patients were treated, using a bilaminar technique by a combination of a subepithelial connective tissue graft placed under a coronally advanced full-thickness pedicle flap. Amount of gingival recession (GR), clinical attachments loss (CAL), and width of keratinized gingiva (WKG) were followed for 2 years after surgery. The measurements were performed at presurgery, and 1, 3, 6, 12, 18 and 24 months postsurgery. The descriptive statistic was expressed with averages plus standard deviation (SD). The longitudinal variations were evaluated by means of variance analysis (RG, creeping attachment, NIC and AEQ) or test of Friedman (IP and IG).Results: GR decreased from 3.4 ± 0.58 mm at baseline to 0.31 ± 0.43 at 24 months, which means a decrease of 3.16 mm, corresponding to 91.2% mean root coverage. CAL was significantly decreased at 24 months from 5.06 ± 0.71 to 2.10 ± 0.58. At 24 months, 3.17 of attachment gain was obtained. WKG significantly increased after 24 months (1.98). GR, CAL, and WKG had the most positive outcomes at 12 months and were maintained at stable levels throughout the 24 month observation period.Conclusions: The bilaminar technique employing a connective tissue graft with a partial thickness coronal advancement pedicle is a predictable method for root coverage and the clinical outcomes gained by this technique can be well maintained.en-US
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dc.languagespa
dc.publisherUniversidad Santo Tomás Seccional Bucaramangaes-ES
dc.relationhttp://revistas.ustabuca.edu.co/index.php/USTASALUD_ODONTOLOGIA/article/view/1834/1411
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dc.rightsCopyright (c) 2018 UstaSalud0
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dc.sourceUstaSalud; Vol. 3, núm. 1 (2004); 24-31es-ES
dc.source1692-5106
dc.subjectRecesión gingival; Injertos; Tejido conectivoes-ES
dc.subjectGingival recession; Grafts; Connective tissueen-US
dc.titleEVALUACIÓN DE UNA TÉCNICA BILAMINAR PARA CUBRIR RECESIONES GINGIVALESes-ES
dc.titleEVALUATION OF A BILAMINAR TECHNIQUE FOR GINGIVAL RECESSION COVERAGEen-US
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typeArtículo revisado por pareses-ES


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