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Effects of soft tissue grafting prior to orthodontic treatment on preventing gingival recession in dogs

Journal of Periodontal & Implant Science 2020³â 50±Ç 4È£ p.226 ~ 237
¼Û¿µ¿ì, Á¤Èñ±Ô, ÇѼ­¿¬, ÆØ°æ¿ø, ±è¸íÁö, Â÷Àç±¹, ÃÖÀ±Á¤, Á¤ÀÇ¿ø,
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¼Û¿µ¿ì ( Song Young-Woo ) - Yonsei University College of Dentistry Department of Periodontology
Á¤Èñ±Ô ( Jung Hee-Kyu ) - Yonsei University College of Dentistry Department of Orthodontics
ÇѼ­¿¬ ( Han Seo-Yeon ) - Yonsei University College of Dentistry Department of Orthodontics
ÆØ°æ¿ø ( Paeng Kyeong-Won ) - Yonsei University College of Dentistry Department of Periodontology
±è¸íÁö ( Kim Myong-Ji ) - Yonsei University College of Dentistry Department of Periodontology
Â÷Àç±¹ ( Cha Jae-Kook ) - Yonsei University College of Dentistry Department of Periodontology
ÃÖÀ±Á¤ ( Choi Yoon-Jeong ) - Yonsei University College of Dentistry Department of Orthodontics
Á¤ÀÇ¿ø ( Jung Ui-Won ) - Yonsei University College of Dentistry Department of Periodontology

Abstract


Purpose: This study was conducted to assess the efficacy of prophylactic gingival grafting in the mandibular anterior labial area for preventing orthodontically induced gingival recession.

Methods: Eight mongrel dogs received gingival graft surgery at the first (I1) and third (I3) mandibular incisors on both sides based on the following group allocation: AT group (autogenous connective tissue graft on I1), AT-control group (contralateral side in the AT group), CM group (xenogeneic cross-linked collagen matrix graft on I3) and CM-control group (contralateral side in the CM group). At 4 weeks after surgery, 6 incisors were splinted and proclined for 4 weeks, followed by 16 weeks of retention. At 24 weeks after surgery, casts were made and compared with those made before surgery, and radiographic and histomorphometric analyses were performed.

Results: Despite the proclination of the incisal tip (by approximately 3 mm), labial gingival recession did not occur. The labial gingiva was thicker in the AT group (1.85¡¾0.50 mm vs. 1.76¡¾0.45 mm, P>0.05) and CM group (1.90¡¾0.33 mm vs. 1.79¡¾0.20 mm, P>0.05) than in their respective control groups.

Conclusions: The level of the labial gingival margin did not change following labial proclination of incisors in dogs. Both the AT and CM groups showed enhanced gingival thickness.

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Animal research; Collagen; Connective tissue; Gingival recession; Orthodontic tooth movement

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