Seyit Ali KAYIS, Mehmet Selim YILDIZ, Sadiye GÜNPINAR

Alt Ön Dişlerde Düşük Doz Lazer Tedavisi İle Birlikte SerbestDişeti Grefti Uygulamasının Keratinize Dişeti Miktarı veVestibüler Derinlik Artışına Olan Etkisinin Değerlendirilmesi Randomize Kontrollü Klinik Çalışma

GİRİŞ ve AMAÇ: Serbest dişeti grefti (SDG)’ne ek olarak uygulanan düşük doz lazer tedavisi (DDLT)’nin keratinize dişeti genişliği(KDG) ve vestibül derinlik (VD) arttırımına ve ilave olarak SDG’nin boyutsal değişimine olan etkisinin klinik olarak değerlendirilmesidir. YÖNTEM ve GEREÇLER: Alt çene ön bölgelerinde yapışık dişeti genişliği yetersiz olan 31 birey SDG+DDLT (test, n=15) veyaSDG+plasebo lazer (kontrol, n=16) uygulamaları ile tedavi edildi. DDLT, SDG cerrahisi sonrası hemen, 1., 3., 7., 14. günlerde 0.1Wçıkış gücü ve 6J/cm2 dozda non-kontak modda 60 saniye uygulandı. Greftin yüksekliği, üst ve alt genişliği, ilave olarak alt çene önbölge dişlerine ait KDG ve VD değerleri dijital kumpas kullanılarak ölçüldü.BULGULAR: Greft boyutlarındaki değişim çalışma periyodu boyunca gruplar arasında benzerdi (p>0.05). Greft yüksekliği ve üstgenişliği test ve kontrol gruplarında ayrı ayrı değerlendirildiğinde, 1. ve 3. aylarda başlangıca göre anlamlı azaldığı (p

Evaluation of the Free Gingival Graft Along with Low Level Laser Therapy for to Increase Keratinized Gingiva and Vestibular Depth in Lower Anterior Teeth- Randomized Controlled Clinical Study

INTRODUCTION: This study aimed to evaluate the effect of low-level laser therapy (LLLT) adjunct with free gingival graft (FGG) onkeratinized tissue width (KTW) and vestibular depth (VD) gain and dimensional changes of FGG. METHODS: Thirty-one subjects presenting insufficient attached gingiva in their mandibular anterior area were treated with FGG+LLLT(test, n=15) or FGG+placebo LLLT (control, n=16). LLLT was performed with power of 0.1W-6J/cm2 for 60 seconds with non-contactmode immediately after surgery and on 1st-3rd-7th-14th days. Graft sizes in vertical/upper/lower dimensions, KTW and VD of themandibular anterior region were measured with digital caliber. RESULTS: Changes of graft dimensions were not different between groups during study period. Graft’s vertical and upper widthdecreased on 1st-3rd months compared to baseline (p0.05). It was determined that VD measurements increased significantly in 1st-3rd months in both groups, and the gain in 3rd monthin test group was significant compared to control (p

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