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Impact of the periodontal phenotype in premolar and molar sites on bone loss following full-thickness mucoperiosteal flap: A 1-year prospective clinical trial
dc.contributor.authorSaleh, Muhammad H.A.
dc.contributor.authorCouso-Queiruga, Emilio
dc.contributor.authorRavidà, Andrea
dc.contributor.authorDukka, Himabindu
dc.contributor.authorPaiva De Andrade, Nathalia
dc.contributor.authorOu, Alice
dc.contributor.authorWang, Hom-Lay
dc.date.accessioned2022-08-02T18:58:19Z
dc.date.available2023-08-02 14:58:17en
dc.date.available2022-08-02T18:58:19Z
dc.date.issued2022-07
dc.identifier.citationSaleh, Muhammad H.A.; Couso-Queiruga, Emilio ; Ravidà, Andrea ; Dukka, Himabindu; Paiva De Andrade, Nathalia; Ou, Alice; Wang, Hom-Lay (2022). "Impact of the periodontal phenotype in premolar and molar sites on bone loss following full- thickness mucoperiosteal flap: A 1- year prospective clinical trial." Journal of Periodontology 93(7): 966-976.
dc.identifier.issn0022-3492
dc.identifier.issn1943-3670
dc.identifier.urihttps://hdl.handle.net/2027.42/173127
dc.description.abstractBackgroundFull-thickness mucoperiosteal flap (FTF) elevation could potentially affect the periodontium of the involved teeth; it is not clear if the periodontal phenotype of teeth involved in a FTF may influence these changes. The aim of this study was to evaluate the impact of FTF on teeth periodontium, as well as assessing the impact of periodontal phenotype on bone remodeling.MethodsIn this single arm prospective clinical trial, 26 subjects and a total of 52 adjacent teeth were included. Patients receiving implant surgery in the posterior area, at the time of implant site preparation, an FTF was extended one tooth mesial and distal to the planned site, and the flap was elevated both facially and lingually. Vertical and horizontal bone linear changes were measured on both adjacent teeth, using superimposed cone-beam computerized tomography (CBCT) images taken prior to implant placement (T0) and at 12 months (T1). Baseline digital scans of models and DICOM files were superimposed to assess the periodontal phenotype.ResultsVertical bone changes from T0 to T1 were statistically significant (P = 0.013), with changes were significantly higher at the mesial (−0.31 ± 0.30 mm) and facial (P < 0.05) sites. Horizontal dimensional changes 5 mm subcrestally were similar among different locations (P = 0.086) and the bone width loss was higher closest to the crest (P = 0.001). No correlation was found between soft tissue thickness and bone changes. However, bone thickness at baseline appears to influence the extent of horizontal bone remodeling. Overall, the magnitude of bone loss either vertically or horizontally was clinically insignificant (≤0.4 mm). A preventive effect against bone loss maybe expected with bone thickness > 2 mm.Conclusion(s)Marginal bone changes in maxillary and mandibular posterior teeth following FTF at 12 months are very minimal, and mainly influenced by bone rather than soft tissue thickness. Overall, FTF does not seem to have deleterious effects on adjacent teeth periodontium.
dc.publisherWiley Periodicals, Inc.
dc.subject.othergingival thickness
dc.subject.otherimplant
dc.subject.othermarginal bone loss
dc.subject.otherphenotype
dc.subject.otheralveolar bone resorption
dc.titleImpact of the periodontal phenotype in premolar and molar sites on bone loss following full-thickness mucoperiosteal flap: A 1-year prospective clinical trial
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelDentistry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/173127/1/jper10928_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/173127/2/jper10928.pdf
dc.identifier.doi10.1002/JPER.21-0591
dc.identifier.sourceJournal of Periodontology
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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