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Journal of clinical periodontology v.44 no.2, 2017년, pp.195 - 203   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study

Oh, Se‐Lim (Department of Endodontics, Periodontics and Prosthodontics, University of Maryland, School of Dentistry, Baltimore, MD, USA ) ; Masri, Radi M. (Department of Endodontics, Periodontics and Prosthodontics, University of Maryland, School of Dentistry, Baltimore, MD, USA ) ; Williams, David A. (Department of Endodontics, Periodontics and Prosthodontics, University of Maryland, School of Dentistry, Baltimore, MD, USA ) ; Ji, Chao (Department of Endodontics, Periodontics and Prosthodontics, University of Maryland, School of Dentistry, Baltimore, MD, USA ) ; Romberg, Elaine (Department of Endodontics, Periodontics and Prosthodontics, University of Maryland, School of Dentistry, Baltimore, MD, USA ) ;
  • 초록  

    Abstract Introduction To evaluate clinical and radiographic outcomes following free gingival grafts (FGGs) around implants with limited keratinized mucosa (KM) during 18 months follow‐up compared to oral prophylaxis without augmentation. Materials and Methods This prospective controlled randomized blind clinical study investigated 41 implants displaying lack of KM in 28 subjects. After baseline examination, 14 subjects in the experimental group received FGGs followed by oral prophylaxis and 14 subjects in the control group received oral prophylaxis only. The width of KM, the level of mucosal margin, pocket depths, plaque index, and gingival index (GI) were assessed at baseline, 6, 12, and 18 months. Changes in crestal bone levels, from baseline, were assessed at 18 months. Results There was a significant gain in KM in the FGG group compared to controls at 6, 12, 18 months. The mean GI was significantly lower for the FGG group at all follow‐ups. Crestal bone loss in the FGG group was significantly less than the control group (mesial: p = 0.0005, distal: p = 0.042) at 18 months. Conclusions Free gingival graft for implants exhibiting lack of KM is a viable treatment option to reduce mucosal inflammation and to maintain crestal bone level in the short term.


  • 주제어

    free gingival graft .   implant .   keratinized mucosa .   prospective study.  

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