Repair Following Mucoperiosteal Flap Surgery With Full Gingival Retention

Hiatt, William H.; Stallard, Richard E.; Butler, Edmond D.; Badgett, Barbara

doi:10.1902/jop.1968.39.1.11

Cited by 140 publications

(108 citation statements)

References 7 publications

(9 reference statements)

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“…The tensile strength of a mucogingival flap-tooth interface as a measure of the structural integrity of the wound has previously been investigated in animals (Hiatt et al 1968;Werfully et al 2002).…”

Section: Discussionmentioning

confidence: 99%

“…Mucoperiosteal flaps with full gingival retention have been raised in Mongrel dogs (Hiatt et al 1968) and healing was histologically observed at 2 and 3 days, 1, 2 and 3 weeks and 1, 4…”

Section: Discussionmentioning

confidence: 99%

“…On the contrary, healing seemed to be delayed by large accumulations of fibrin, and repair was accelerated when flaps have been tightly adapted to the roots. By two weeks, the applied force of 1'700 g (17 N) pulled the suture through the gingival margin while the flaps were only partially separated from the teeth and remnants of epithelial cells remained on the root surfaces (Hiatt et al 1968).…”

Section: Accepted Articlementioning

confidence: 99%

See 2 more Smart Citations

Interposition of a connective tissue graft or a collagen matrix to enhance wound stability – an experimental study in dogs

Burkhardt

Magaz

Hämmerle

et al. 2016

J Clinic Periodontology

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AIM The aim of this study was to evaluate the role of a connective tissue graft (CTG) or a collagen matrix (CM) interpositioned between flaps and non-shedding hard surfaces on wound stability. MATERIAL AND METHODS Sixty bone dehiscence defects were prepared in five Beagle dogs. Three treatments were performed in 12 sites per dog: (1) repositioned flaps were sutured onto instrumented dentin surfaces (control), (2) repositioning of flaps with an interpositioned CTG and (3) repositioning of flaps with the application of a CM. To allow postoperative healing with n = 5 for 1, 3, 7 and 14 days before evaluation, the sutures were removed, incision lines retraced and tensile forces applied to the flaps. The minimum magnitude of forces required to detach the flaps from the wound bed was recorded. RESULTS After 1 week of healing, 6 N had to be applied to disrupt flaps from their wound bed in the CTG group. In the control group, a similar magnitude of resistance was achieved after 2 weeks (6.1 N). Flap resistance to tearing was highest in the CTG group (maximum 9.1 N) 2 weeks postoperatively. On the third postoperative day, the mean tearing forces of all groups differed significantly, displaying a 50% lower resistance to tearing in the CM compared to the CTG group. In comparison, flap resistance to tearing forces established earlier and in higher magnitude in sites with an interpositioned CTG than in flaps repositioned on dentin or CM. CONCLUSIONS Application of a CTG, sutured to a non-shedding hard surface, significantly increased flap resistance to tearing when applying disrupting forces compared to controls. A less pronounced effect was achieved by interpositioning of a CM. Accepted ArticleThis article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/jcpe.12526 This article is protected by copyright. All rights reserved.

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Section: Discussionmentioning

confidence: 99%

“…Mucoperiosteal flaps with full gingival retention have been raised in Mongrel dogs (Hiatt et al 1968) and healing was histologically observed at 2 and 3 days, 1, 2 and 3 weeks and 1, 4…”

Section: Discussionmentioning

confidence: 99%

Section: Accepted Articlementioning

confidence: 99%

See 1 more Smart Citation

Interposition of a connective tissue graft or a collagen matrix to enhance wound stability – an experimental study in dogs

Burkhardt

Magaz

Hämmerle

et al. 2016

J Clinic Periodontology

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“…They considered this a functionally acceptable repair of the dento-gingival junction since total regeneration of the original morphology failed to occur in the long epithelial attachment. Wilderman et al (1960) and Hiatt et al (1968) also reported long junctional epithelial healing following surgery in dogs. Caton and coworkers (1979Caton and coworkers ( , 1980aCaton and coworkers ( , 1980b (Bowers et al, 1985) using demineralized freeze-dried bone both with and without root submergence.…”

Section: B Periodontal Wound Healing Studiesmentioning

confidence: 90%

Periodontal wound healing responses to varying oxygen concentrations and atmospheric pressures

Shannon

Hallmon

Mills

et al. 1988

J Clinic Periodontology

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Oxygen effects on healing gingival wedge excisions were tested using Sprague‐Dawley rats. 40 operated controls were maintained at normal pressure in room air. 3 experimental groups of 40 rats each were exposed for 90 min daily to one of the following: (I) 20.8% oxygen at 2.4 atmospheres pressure, (2) 100% oxygen at 1 atmosphere, or (3) 100% oxygen at 2.4 atmospheres. 5 animals in each group were sacrificed at the following times: 30, 54, 78 h and weeks 1, 2, 3, 6 and 12. Histometric analysis was performed using light microscopy. The connective tissue healing above a reference notch on the maxillary first molar mesial root was assessed. The controls failed to show healing comparable to experimental animals until the end of 2 weeks. Enhanced connective tissue healing above the notch was most significant (p≤0.05) in the 2.4 atmospheres pressure groups at 3 and 6 weeks when compared to controls. However by 12 weeks, no significant differences could be detected. New cementum formation was rare and occasional root resorption was observed. Early connective tissue adaptation does not imply eventual attachment as epithelial downgrowth progressively displaced the connective tissue adjacent to the root in both experimental and control groups of this study.

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“…The systemic conditions include the control of periodontitis, a low total bacterial load in the mouth and cessation of smoking habits Mayfield L et al, 1998;Silvestri M et al, 2003;Tonetti M et al, 1993Tonetti M et al, , 1995Tonetti M et al, , 1996. The local conditions include the presence of space for the formation of the blood clot at the interface between the flap and the root surface (Haney JM et al, 1993;Sigurdsson TJ et al,1994; Cortellini P et al 1995; Wikesjo UME et al, 2003; Kim CS et al, 2004), the stability of the blood clot to maintain continuity with the root surface avoiding formation of a long junctional epithelium (Linghorne WJ et al, 1950;Hiatt WH et al, 1968;Wikesjo UME et al, 1990) and the soft tissue protection to avoid bacterial contamination (Selvig K et al, 1993;DeSanctis M et al, 1996;Sanz M et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive techniques for periodontal regenerative therapy- an overview

Karthikeyan¹,

Vijayalakshmi²,

Mahendra³

2017

Int J Recent Sci Res

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ARTICLE INFO ABSTRACTMinimally Invasive Periodontal Surgery (MIPS) is a surgical technique using small incisions indicated for performing regenerative therapy in periodontal defects. It can be performed using magnification from surgical microscopes, surgical telescopes, or endoscopic visualization. MIPS seals the healing wound from the contaminated oral environment by ensuring primary closure. Preserving soft tissues and maintaining minimal gingival recession, minimal hypersensitivity claim to be essential requisites to meet the demands of the patient and the clinician in the esthetic zone. Minimally invasive methods for periodontal treatment yield long-term reductions of probing depths and enhanced clinical attachment levels. The exclusive property of MIPS is that it reduces the chair time required to perform the procedure and results in limited morbidity to the patient during the surgical procedure, as well as in the postoperative period. However, it cannot be applied in all cases. A stepwise decisional algorithm should support clinicians in choosing the proper approach.

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Repair Following Mucoperiosteal Flap Surgery With Full Gingival Retention

Cited by 140 publications

References 7 publications

Interposition of a connective tissue graft or a collagen matrix to enhance wound stability – an experimental study in dogs

Interposition of a connective tissue graft or a collagen matrix to enhance wound stability – an experimental study in dogs

Periodontal wound healing responses to varying oxygen concentrations and atmospheric pressures

Minimally invasive techniques for periodontal regenerative therapy- an overview

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