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- Publisher Website: 10.1111/j.1600-051X.2007.01119.x
- Scopus: eid_2-s2.0-34548599887
- PMID: 17850609
- WOS: WOS:000249419800012
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Article: Comparison of gingival blood flow during healing of simplified papilla preservation and modified Widman flap surgery: A clinical trial using laser Doppler flowmetry
Title | Comparison of gingival blood flow during healing of simplified papilla preservation and modified Widman flap surgery: A clinical trial using laser Doppler flowmetry |
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Authors | |
Keywords | Laser Doppler flowmetry Periodontal access flap Blood flow Wound healing |
Issue Date | 2007 |
Citation | Journal of Clinical Periodontology, 2007, v. 34, n. 10, p. 903-911 How to Cite? |
Abstract | Aim: This prospective randomized-controlled clinical trial compared the gingival blood flow responses following simplified papilla preservation (test) versus modified Widman flap (control). Materials and Methods: Twenty contra-lateral upper sites with pocket depth ≥5 mm after initial treatment in 10 chronic periodontitis patients were randomly assigned to either test or control treatment, using a split-mouth design. Laser Doppler flowmetry recordings were performed pre-operatively, following anaesthesia, immediately post-operatively and on days 1, 2, 3, 4, 7, 15, 30 and 60, at nine selected sites per flap. Results: Significant ischaemia was observed at all sites following anaesthesia and immediately post-operatively. At the mucosal flap basis, a peak hyperaemic response was observed on day 1, which tended to resolve by day 4 at the test sites, but persisted until day 7 at the control sites. The buccal and palatal papillae blood perfusion presented the maximum increase on day 7 in both groups and returned to baseline by day 15. Both surgical modalities yielded significant pocket depth reduction, recession increase and clinical attachment gain. Conclusions: Periodontal access flaps represent an ischaemia-reperfusion flap model. The simplified papilla preservation flap may be associated with faster recovery of the gingival blood flow post-operatively compared with the modified Widman flap. © 2007 Blackwell Munksgaard. |
Persistent Identifier | http://hdl.handle.net/10722/230790 |
ISSN | 2021 Impact Factor: 7.478 2020 SCImago Journal Rankings: 3.456 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Retzepi, M. | - |
dc.contributor.author | Tonetti, M. | - |
dc.contributor.author | Donos, N. | - |
dc.date.accessioned | 2016-09-01T06:06:48Z | - |
dc.date.available | 2016-09-01T06:06:48Z | - |
dc.date.issued | 2007 | - |
dc.identifier.citation | Journal of Clinical Periodontology, 2007, v. 34, n. 10, p. 903-911 | - |
dc.identifier.issn | 0303-6979 | - |
dc.identifier.uri | http://hdl.handle.net/10722/230790 | - |
dc.description.abstract | Aim: This prospective randomized-controlled clinical trial compared the gingival blood flow responses following simplified papilla preservation (test) versus modified Widman flap (control). Materials and Methods: Twenty contra-lateral upper sites with pocket depth ≥5 mm after initial treatment in 10 chronic periodontitis patients were randomly assigned to either test or control treatment, using a split-mouth design. Laser Doppler flowmetry recordings were performed pre-operatively, following anaesthesia, immediately post-operatively and on days 1, 2, 3, 4, 7, 15, 30 and 60, at nine selected sites per flap. Results: Significant ischaemia was observed at all sites following anaesthesia and immediately post-operatively. At the mucosal flap basis, a peak hyperaemic response was observed on day 1, which tended to resolve by day 4 at the test sites, but persisted until day 7 at the control sites. The buccal and palatal papillae blood perfusion presented the maximum increase on day 7 in both groups and returned to baseline by day 15. Both surgical modalities yielded significant pocket depth reduction, recession increase and clinical attachment gain. Conclusions: Periodontal access flaps represent an ischaemia-reperfusion flap model. The simplified papilla preservation flap may be associated with faster recovery of the gingival blood flow post-operatively compared with the modified Widman flap. © 2007 Blackwell Munksgaard. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Clinical Periodontology | - |
dc.subject | Laser Doppler flowmetry | - |
dc.subject | Periodontal access flap | - |
dc.subject | Blood flow | - |
dc.subject | Wound healing | - |
dc.title | Comparison of gingival blood flow during healing of simplified papilla preservation and modified Widman flap surgery: A clinical trial using laser Doppler flowmetry | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1111/j.1600-051X.2007.01119.x | - |
dc.identifier.pmid | 17850609 | - |
dc.identifier.scopus | eid_2-s2.0-34548599887 | - |
dc.identifier.volume | 34 | - |
dc.identifier.issue | 10 | - |
dc.identifier.spage | 903 | - |
dc.identifier.epage | 911 | - |
dc.identifier.eissn | 1600-051X | - |
dc.identifier.isi | WOS:000249419800012 | - |
dc.identifier.issnl | 0303-6979 | - |