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Tissue response following papilla-sparing and sulcular incisions in oral surgery—an experimental study

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Abstract

Objectives

The objective of this study is to compare tissue reduction following papilla-sparing and sulcular incisions in oral surgical indications.

Material and methods

Five beagle dogs were used. Three months after tooth extraction of P2–M1, notches were prepared at the height of the interproximal gingiva into M2 and P1. Papilla-sparing and sulcular incisions were randomly performed, full-thickness flaps elevated and flaps repositioned. Three months postoperatively, tissue reduction was assessed using a digital calliper, mean values were calculated per group and analysed using a Wilcoxon matched-pair rank test.

Results

Papilla-sparing incisions revealed significantly less (p < 0.05) tissue reduction than sulcular incision techniques.

Conclusion

Papilla-sparing incisions seem to induce less tissue response following flap surgery compared to sulcular incisions in oral surgical indications. Nevertheless, tissue reduction was seen in both groups.

Clinical relevance

For surgical approaches without the necessity of direct access to the root surface (i.e., implantology, oral surgery), papilla-sparing incisions may be superior compared to sulcular incisions.

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Acknowledgments

This study was partially supported by a research grant funded by the German Society of Periodontology (DGParo) and Geistlich Biomaterials, Wolhusen, Switzerland.

Conflict of interest

The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Periodontology, Julius-Maximilians-University Würzburg, Pleicherwall 2, 97070, Würzburg, Germany

    Stefan Fickl, Kai R. Fischer & Ulrich Schlagenhauf

  2. Department of General and Implant Dentistry, Faculty of Medicine and Dentistry, University of Murcia, Murcia, Spain

    Bruno Negri, Rafael Delgado Ruíz & José Luis Calvo-Guirado

  3. Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, Germany

    Moritz Kebschull

Authors
  1. Stefan Fickl
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  2. Kai R. Fischer
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  3. Bruno Negri
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  4. Rafael Delgado Ruíz
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  5. José Luis Calvo-Guirado
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  6. Moritz Kebschull
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  7. Ulrich Schlagenhauf
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Corresponding author

Correspondence to Stefan Fickl.

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Fickl, S., Fischer, K.R., Negri, B. et al. Tissue response following papilla-sparing and sulcular incisions in oral surgery—an experimental study. Clin Oral Invest 18, 1313–1317 (2014). https://doi.org/10.1007/s00784-013-1069-1

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  • DOI: https://doi.org/10.1007/s00784-013-1069-1

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