|
|
Study on the effect of adrenaline on gingiva based on the gingival biotype |
SONG Yuanying1 ZHAO Qiang2▲ |
1.School of Stomatology, Weifang Medical University, Shandong Province, Weifang 261000, China;
2.Department of Oral and Maxillofacial Surgery, Beijing Aviation General Hospital, Beijing 100000, China |
|
|
Abstract Objective To study the effect on gingival after treating with retraction cord of adrenaline for 5 minutes based on the gingival biotype. Methods From June to December in 2015, 15 internships with thick type and 15 internships with thin type from Beijing Aviation General Hospital were selected as volunteers, their bilateral maxillary central incisors were selected as experimental objects. Gingival retraction was performed by placing retraction cords with or without adrenaline on left and right maxillary central incisor respectively. The distance from incisal to free gingival margin of each sample was measured 3 times by vernier caliper before gingival retraction and 5 minutes, 1 day, 3 days, 7 days and 14 days after gingival retraction. The average value of the data measured above was taken as the final data. Results ①There was no significant difference in the distance from incisal to free gingival margin between 3 days after gingival retraction and before gingival retraction when treated with retraction cord of non-drug in thin type (P > 0.05). ②There was no significant difference in the distance from incisal to free gingival margin between 7 days after gingival retraction and before gingival retraction when treated with retraction cord of adrenaline in thin type (P > 0.05). There was no significant difference in the distance from incisal to free gingival margin between 3 days after gingival retraction and before gingival retraction when treated with retraction cord of adrenaline in thicktype (P > 0.05). ③After treated with retraction cord of adrenaline, the ratio of gingival recession distance to the distance from incisal to free gingival margin of thin typewere significantly changed compared with thick type at 5 mintues, 1 day and 3 days (P < 0.05). Conclusion ①It takes longer time for the gingival margin to recover the previous height in thin type when treats with retraction cord of adrenaline for 5 minutes compares with retraction cord of non-drug. ②No matter thick or thin type, the treatment with retraction cord of adrenaline for 5 mintues will not cause permanent damage to the gingiva. ③The gingival recession distance of thin type is longer than thick type when treats with retraction cord of adrenaline for 5 minutes.
|
|
|
|
|
[1] 赵克,魏雅茹.如何规避前牙美学修复的龈边缘暴露[J].华西口腔医学杂志,2011,29(5):453-455.
[2] 张瑞,束蓉.牙龈生物型临床意义和评估方法[J].牙体牙髓牙周病学,2013,23(1):61-65.
[3] Ronay V,Sahrmannn P,Bindl A,et al. Current status and perspectives of mucogival soft tissue measurement methods [J]. J Esther Restor Dent,2011,23(3):146-156.
[4] De Rouck T,Eghbali R,Collys K,et al. The gingival biotype revisited:transparency of the periodontal probe through the gingival margin as a method to discriminate thin from thick gingiva [J]. J Clin Periodontol,2009,36(5):428-433.
[5] 乐迪,张豪,胡文杰.牙周探诊法判断牙龈生物型的初步研究[J].中华口腔医学杂志,2012,47(2):81-84.
[6] 赵铱民,陈吉华.口腔修复学[M].北京:人民卫生出版社,2012.
[7] 冯海兰,徐军.口腔修复学[M].河北:河北大学医学出版社,2005.
[8] La Forgia A. A new approach to impression taking for fixed prosthesis [J]. J Prosthet Dent, 2015,17(4):379.
[9] Lecr JH,Gilmoer WH. Management of gingival tissue during indirect impression procedures [J]. J Am Dent Assoc,2015,75(5):924.
[10] Shaw D,Kerjci RF,Cohen DM. Retractive cords with aluminum chloride:effect on the gingival [J]. Oper Dent,2010,5(2):130-138.
[11] Reiman MB. Exposure of subgingival margins by nonsurgical gingival displacement [J]. J Prosthetic Dent,2016, 36(4):648-649.
[12] de Gennaro GG,Landesman HM,Calhoun JE,et al. Acomparison of gingival inflammation related to retraction cords [J]. J Prosthetic Dent,2012,47(3):384-386.
[13] Tupac RG,Neacy K. A comparison of cord gingival displacement with the gingit age technique [J]. J Prosthet Dent,2014,46(5):509-515.
[14] Fazekas A,Csempesz F,Csabai Z,et al. Effects of presoaked retraction cords on the microcirculation of the human gingival margin [J]. Oper Dent,2012,27(4):343-348.
[15] Csillag M,Nyiri G,Vag J,et al. Dose-related effects of epinephrine on human gingival blood flow and fluid production used as a soaking solution for chemo-mechanical tissue retraction [J]. J Prosthet Dent,2013,97(1):6-11.
[16] Weisgold AS. Contours of the full crown restoration [J]. The Alpha omegan,1977,70(3):77-89.
[17] Chow YC,Eber RM,Tsao YP,et al. Factors associated with the appearance of gingival papillae [J]. J Clin Periodontol,2010,37(8):719-727.
[18] Kois JC. Predictable single tooth peri-implant esthetics:five diagnostic keys [J]. Compend Contin Educ Dent,2001, 22(3):199-206,208.
[19] 张豪,乐迪,胡文杰,等. 120例中国青年健康上前牙牙龈曲线形状特征分析[J].北京大学学报:医学版,2013, 45(1):54-58.
[20] Vandana KL,Savitha B. Thickness of gingiva in association with age,gender and dental arch location [J]. J Clin Periodontol,2005,32(7):828-830.
[21] Olsson M,Lindhe J. Periodontal characteristics in individuals with varying form of the upper central incisors [J]. J Clin Periodontol,2011,18(1):78-82.
[22] Liu CM,Huang FM,Yang LC,et al. Cytotoxic effects of gingival retraction cords on human gingival fibroblasts in vitro [J]. J Oral Rehabil,2014,31(4):368-372.
[23] 倪莹,邱振伟,孙霞,等. 3种排龈线不同时间浸提液的细胞毒性研究[J].实用口腔医学杂志,2015,31(4):547-550.
[24] Akca EA,Yildirim E,Dalkiz M,et al. Effects of different retraction medicaments on gingival tissue [J]. Quintessence Int,2006,37(1):53-59.
[25] Donovan TE,Gandara BK,Nemetz H. Review and survey of medicaments used with gingival retraction cords [J]. J Prosthet Dent,2015,53(4):525-531. |
|
|
|