Abstract
Objective To investigate the curative effect of guided tissue regeneration (GTR) combined with bone grafting and improve the aesthetic appearance of patients' gingiva. Methods A total of 86 patients with periodontal intraosseous defects were selected from February 2019 to February 2021. All the patients were divided into a control group and an observation group according to the random number table, with 43 patients in each group. Bone grafting was performed in the control group, while GTR was additionally used in the observation group on the basis of the control group. The surgical data and follow-up data were collected and organized. The alveolar bone mineral density, the change in the height of the bone defect, plaque index (PLI), sulcus hemorrhage index (SBI), PD, gingival recession (GR), clinical attachment loss (CAL), and other relevant data of the two groups in 6 months before and after surgery were compared. Six months after surgery, the cosmetic morphology of the patient's gums in the soft tissues around her teeth was evaluated. Results Six months after surgery, the alveolar bone density of patients in two groups increased compared with that before surgery, and the height of the bone defect decreased compared with that before surgery. The alveolar bone density of the observation group was higher than that of the control group, and the height of the bone defect was lower than that of the control group (P < 0.05). Six months after surgery, the PLI, SBI, PD, and CAL of patients in both groups were lower than those before surgery, while the GR was higher than that before surgery. PD and CAL values in the observation group were lower than those in the control group, and GR was higher than that in the control group (P < 0.05). Six months after surgery, there was no significant difference in PLI and SBI scores between the two groups (P < 0.05). Six months after surgery, the gingival cosmetic scores of the two groups of patients were higher than those before surgery. The observation group was higher than the control group (P < 0.05). Conclusion GTR combined with bone grafting has a good effect in the repair of periodontal intraosseous defects and can effectively promote the reconstruction and recovery of periodontal intraosseous defects in patients. At the same time, it can significantly improve the aesthetic appearance of patients' gums, with good clinical application value.
Highlights
Periodontal disease is a common disease in oral surgery, especially in the periodontal supporting tissues. e incidence rate is high, manifested as gingival swelling and bleeding, which affects the quality of life of patients, which is one of the main causes of adult dentition defects [1, 2]. e periodontal intraosseous defect is a serious clinical symptom caused by periodontal diseases, such as gingival disease and periodontitis
Gingival disease and chronic periodontitis are both periodontal diseases with a high incidence, which can be manifested as gingival swelling and bleeding, and are one of the important reasons for the periodontal intraosseous defect [11]. e development of chronic periodontitis will cause the reduction or loss of chewing function to a certain extent, and it is the “number one killer” of oral health
Bone grafting is a method for treating inflammation and destruction of the periodontal soft tissue and periodontal bone, and its curative effect is exact [14]
Summary
To investigate the curative effect of guided tissue regeneration (GTR) combined with bone grafting and improve the aesthetic appearance of patients’ gingiva. The alveolar bone density of patients in two groups increased compared with that before surgery, and the height of the bone defect decreased compared with that before surgery. E alveolar bone density of the observation group was higher than that of the control group, and the height of the bone defect was lower than that of the control group (P < 0.05). The PLI, SBI, PD, and CAL of patients in both groups were lower than those before surgery, while the GR was higher than that before surgery. PD and CAL values in the observation group were lower than those in the control group, and GR was higher than that in the control group (P < 0.05). It can significantly improve the aesthetic appearance of patients’ gums, with good clinical application value
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