Early Postoperative Healing Following Buccal Single Flap Approach to Access Intraosseous Periodontal Defects

Overview

Journal Clin Oral Investig

Specialty Dentistry

Date 2012 Sep 11

PMID 22961538

Citations 14

Authors

Roberto Farina

Anna Simonelli

Alessandro Rizzi

Mattia Pramstraller

Alessandro Cucchi

Leonardo Trombelli

Affiliations

Soon will be listed here.

Abstract

Aim: This study aims to evaluate the early postoperative healing of papillary incision wounds and its association with (1) patient/site-related factors and technical (surgical) aspects as well as with (2) 6-month clinical outcomes following buccal single flap approach (SFA) in the treatment of intraosseous periodontal defects.

Methods: Forty-three intraosseous defects in 35 patients were accessed with a buccal SFA alone or in combination with a reconstructive technology (graft, enamel matrix derivative (EMD), graft + EMD, or graft + membrane). Postoperative healing was evaluated at 2 weeks using the Early Wound-Healing Index (EHI).

Results: EHI ranged from score 1 (i.e., complete flap closure and optimal healing) to score 4 (i.e., loss of primary closure and partial tissue necrosis). SFA resulted in a complete wound closure at 2 weeks in the great majority of sites. A significantly more frequent presence of interdental contact point and interdental soft tissue crater, and narrower base of the interdental papilla were observed at sites with either EHI > 1 or EHI = 4 compared to sites with EHI = 1. No association between EHI and the 6-month clinical outcomes was observed.

Conclusions: At 2 weeks, buccal SFA may result in highly predictable complete flap closure.

Clinical Relevance: Site-specific characteristics may influence the early postoperative healing of the papillary incision following SFA procedure. Two-week soft tissue healing, however, was not associated with the 6-month clinical outcomes.

Citing Articles

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Liu B, Ouyang X, Kang J, Zhou S, Suo C, Xu L Clin Oral Investig. 2021; 26(2):1613-1623.

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