Ahmed M Ramadan¹, Mohamed Wagdy Bissar² and Nevine H Kheir El Din³

¹Demonstrator of Oral Medicine, Periodontology and Diagnosis, Faculty of Dentistry Ain Shams university, Egypt
²Associate Professor of Oral Medicine, Periodontology and Diagnosis Department, Faculty of Dentistry, Ain Shams University, Egypt
³Professor of Oral Medicine, Periodontology and Diagnosis Department, Faculty of Dentistry, Ain Shams University, Egypt

*Corresponding Author: Nevine H Kheir El Din, Professor of Oral Medicine, Periodontology and Diagnosis Department, Faculty of Dentistry, Ain Shams University, Egypt.

Received: December 04, 2023; Published: December 20, 2023

Abstract

Objective: This randomized-controlled clinical trial aimed to assess modified pedicle roll flap for soft tissue ridge augmentation in the maxillary esthetic zone and compare it with deepithelialized connective tissue graft in the amount of volumetric changes, post-surgical pain, and patient satisfaction of both treatment modalities.

Materials and Methods: Twenty participants with one missing tooth in the maxillary esthetic zone with class I localized alveolar defect according to Seibert classification were included in the study for soft tissue augmentation procedure in the maxillary esthetic zone. They were divided into 2 equal groups; Group I (test group) included 10 patients who received modified pedicle roll flap (Long palatal connective tissue rolled pedicle graft), and Group II (control group) included 10 patients who received deepithelialized connective tissue graft for soft tissue ridge augmentation. Volumetric analysis using laser scanner was used to measure volumetric changes 3 months after soft tissue augmentation.

Results: Regarding the volume gained, the test group (36.80 ± 5.81) had a significantly higher value than the control group (30.20 ± 5.83) (p = 0.021) after 3 months. Regarding pain (VAS) scores, the mean value of (VAS) scores in the control group was significantly higher than the test group after 10 days, 1 month, and 3 months post-operative. Regarding patient satisfaction, the control group had significantly more discomfort during the healing phase than the test group.

Conclusion: Within the limitations of the present study, it could be concluded that the quantitative volumetric analysis of the ridge in the maxillary esthetic zone revealed a more significant volume gain with the modified pedicle roll flap in comparison to the deepithelialized connective tissue graft 3 months after surgery. Modified pedicle roll flap is less painful and causes less discomfort than the deepithelialized connective tissue graft.

Keywords:Soft Tissue Augmentation; Connective Tissue Graft; Pedicle Graft; Pontic Site Development

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Citation

Citation: Nevine H Kheir El Din., et al. “Volumetric Analysis After Modified Pedicle Roll Flap in Soft Tissue Ridge Augmentation in the Maxillary Esthetic Zone"Acta Scientific Dental Sciences 8.1 (2024): 63-70.

Copyright

Copyright: © 2024 Azizah Fahad Bin Mubayrik., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.