Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 9 , Pages 1826-1831, September 2009

Periodontal Healing of Marginal Flap Versus Paramarginal Flap in Palatally Impacted Canine Surgery: A Prospective Study

  • Hüseyin Köşger, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Oral and Maxillofacial Surgery, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Köşger: Department of Oral and Maxillofacial Surgery, Cumhuriyet University Faculty of Dentistry, Sivas 58140 Turkey
  • ,
  • Hidayet B. Polat, DDS, PhD

      Affiliations

    • Private Practice, Kayseri, Turkey
  • ,
  • Serhat Demirer, DDS, PhD

      Affiliations

    • Assistant Professor, Department of Periodontology, Kırıkkale University Faculty of Dentistry, Kırıkkale, Turkey
  • ,
  • Hakan Özdemir, DDS, PhD

      Affiliations

    • Research Assistant, Department of Periodontology, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey
  • ,
  • Sinan Ay, DDS, PhD

      Affiliations

    • Associate Professor, Department of Oral and Maxillofacial Surgery, Gaziantep University Faculty of Dentistry, Gaziantep, Turkey

Purpose

The aim of the present study was to compare the influence of 2 mucoperiosteal flaps, marginal and paramarginal, on the periodontal healing of adjacent maxillary teeth after extraction of palatally impacted canines.

Patients and Methods

Marginal (15 patients) and paramarginal (16 patients) techniques were used to remove palatally impacted canines. The periodontal examination of the adjacent teeth included evaluation of the plaque index, gingival index, probing depth, and clinical crown length preoperatively and at the first, third, and sixth months postoperatively using an individual acrylic stent.

Results

No significant differences between the marginal and paramarginal flaps were found with respect to plaque index, gingival index, labial and palatal probing depth, and labial and palatal clinical crown length at all follow-up points.

Conclusion

The results of our study have shown that the paramarginal flap design is a good alternative to the marginal flap design.

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PII: S0278-2391(09)00523-0

doi:10.1016/j.joms.2009.04.023

Journal of Oral and Maxillofacial Surgery
Volume 67, Issue 9 , Pages 1826-1831, September 2009