Date of Award

Spring 1965

Document Type

Thesis - Restricted

Degree Name

Master of Science (MS)

Department

Dentistry

First Advisor

Boucher, Louis J.

Second Advisor

Van Scotter, D. E.

Third Advisor

Young, Helen C.

Abstract

Numerous surgical techniques have been used to treat periodontal disease. These techniques were often designed for specific involvements of the periodontium. Many periodontal conditions, however, require the combination of various surgical techniques. these techniques had limitations when pocket depths were near, at, or beyond the mucogingival junction. Removal of the entire pocket resulted in unphysiologic widths of attached gingiva. In these instances, a compromise was frequently made which resulted in residual pockets. To avoid residual pockets, it was necessary to obtain attached gingiva in areas previously occupied by alveolar mucosa. In order to establish attached gingiva in areas previously occupied by alveolar mucosa, mucogingival surgery was developed. To control the "ramping" effect of food, during mastication, the width of the newly positioned attached gingiva needed to be governed. Ochsenbein found that the width of attached gingiva obtained during mucogingival surgical procedures is equal to the amount of bone denuded. This is indicative of a good prognostic finding. It could serve as a control in establishing the width of attached gingiva during mucogingival therapy. This project was undertaken to compare the post surgical heights of attached gingiva using two different surgical techniques. In one technique, the bone of the alveolar process was denuded. In the other technique, the bone of the alveolar process remained undenuded. Since the mucogingival junction is the apical limit of the attached gingiva, it is felt that controlling the position of this anatomical landmark is the key to controlling the success of mucogingival surgery. Pre-operative, operative, and post-operative positions of the mucogingival junction were compared by clinical measurements, using two surgical procedures.

Share

COinS

Restricted Access Item

Having trouble?