Yazar "İpçi, Şebnem Dirikan" seçeneğine göre listele

Listeleniyor 1 - 6 / 6
  • [ X ]
    Öğe
    Clinical evaluation of coronally advanced flap with or without platelet-rich fibrin for the treatment of multiple gingival recessions
    (Springer Heidelberg, 2018) Kuka, Samed; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, Selçuk
    The aim of this randomized, controlled study was to assess the clinical effect of platelet-rich fibrin (PRF) in combination with coronally advanced flap (CAF) on root coverage, esthetics, and patient satisfaction when compared to CAF alone for the treatment of multiple Miller class I recessions. A total of 24 patients with 52 Miller class I multiple recessions >= 3 mm were included and divided into CAF + PRF and CAF groups. At baseline and 12 months after surgery, recession height (RH), keratinized tissue height, gingival thickness (GT), and mean and complete defect coverage were evaluated. Patient satisfaction and root coverage esthetic scores were also assessed. Baseline RH in CAF + PRF and CAF groups was 3.15 +/- 0.24 and 3.36 +/- 0.34 mm, respectively. Intragroup comparisons revealed significant differences at 12 months for all parameters (p < 0.05). RH reduction was 2.75 +/- 0.33 and 2.51 +/- 0.33 mm (mean root coverage of 88.36 and 74.63%) in the CAF + PRF and CAF groups, respectively. Intergroup differences were found to be significant for GT gain (p < 0.05). The additional use of PRF membrane did not provide additional benefits in terms of root coverage outcomes compared with CAF alone. The use of PRF membranes increased tissue thickness significantly.
  • [ X ]
    Öğe
    Coronally advanced flap and envelope type of flap plus acellular dermal matrix graft for the treatment of thin phenotype multiple recession defects. A randomized clinical trial
    (Wiley, 2019) Ahmedbeyli, Cavid; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, Selçuk; Chambrone, Leandro
    Introduction The aim of this randomized clinical trial was to assess the aesthetical and clinical outcomes of acellular dermal matrix graft (ADMG) plus coronally advanced flap (CAF) with vertical incisions or the envelope flap in the treatment of thin phenotype, multiple-recession defects. Material and Methods Twenty-two participants with 55 class recession type 1 (RT1) with a depth of >= 3 mm were investigated. Control group was treated with ADMG plus conventional CAF with vertical releasing incisions, whereas test group received the envelope flap with ADMG. Primary outcome variables were complete root coverage (CRC), root coverage aesthetic score and patient satisfaction. Results Tooth-based CRC was observed in 23 of the 28 recession defects in mCAF + ADMG group (82.1%), whereas in 19 of the 27 recession defects in CAF + ADMG group (70.37%), with no inter-group difference (p > .05). CRC was observed in 9 of the 11 patients in mCAF + ADMG group (81.8%). On the other hand, in CAF + ADMG group, CRC was achieved in 8 of the 11 patients (72.7%). Results were similar between the groups (p > .05). Conclusions Both techniques were successful in the management of multiple recessions; however, superior results regarding patient's satisfaction were achieved with mCAF + ADMG.
  • Küçük Resim
    Öğe
    Dental implant survival and success rate after sinus augmentation with deproteinized bovine bone mineral and platelet-rich plasma at one and five years: a prospective-controlled study
    (Taylor & Francis Ltd, 2017) Karaca, Ebru Özkan; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, Selçuk
    The aim of this comparative study was to evaluate, at one and five years, the implant success rate in the resorbed maxilla after sinus augmentation with platelet-rich plasma (PRP)/deproteinized bovine bone mineral (DBBM) versus DBBM/collagen membrane (CM). Using a split-mouth design, 10 patients with <= 5 mm of residual alveolar bone were treated with PRP/DBBM or DBBM/CM. After eight months, a total of 22 and 21 implants (Osseospeed (TM), Astra Tech AB, Sweden) were inserted in the PRP/DBBM and DBBM/CM sites, respectively. The implant success and survival rates, modified plaque and bleeding indices, probing depth and changes in bone level were all evaluated one year later, and again five years later. Only one implant was lost before the prosthetic rehabilitation of the PRP/DBBM group. There were no statistically significant differences in the evaluated parameters for the 1-and 5-year follow-up in the two groups (p > 0.05). After five years of loading, no further implants were lost, giving it an overall success rate of 83%. The clinical study showed that a high implant success and survival rate can be achieved at one year and maintained for up to five years, after a sinus-lift procedure utilizing both combinations.
  • [ X ]
    Öğe
    Laterally positioned flap along with acellular dermal matrix graft in the management of maxillary localized recessions
    (Springer Heidelberg, 2019) Ahmedbeyli, Cavid; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, Selçuk
    ObjectivesThe aim of this study was to evaluate acellular dermal matrix graft (ADM) combination with laterally positioned flap (LPF) and to compare the results with LPF alone in terms of root coverage, esthetics, and patient perspectives in gingival recessions.Materials and methodsTwenty-two patients with localized Miller Class I/II recessions 3mm with gingival thickness (GT) <0.8mm were included. Outcome parameters such as recession height and width, keratinized tissue (KT) height, GT, mean and complete defect coverage, patient satisfaction, and root coverage esthetic score (RES) were re-evaluated at 12months postoperatively.ResultsMean and complete defect coverage were 94.80 and 72.73% in LPF+ADM group and 77.25 and 45.45% in LPF group, respectively. Significant differences were observed for KT and GT gain, patient satisfaction, and RES in favor of LPF group (p<0.05). A significant positive correlation was established between GT and mean defect coverage (r=0.448; p<0.05).ConclusionLPF is a successful approach in the treatment of localized Miller I/II gingival recessions. On the other hand, when thin donor tissue was thickened with an allogenic graft, more successful results regarding complete defect coverage, patient satisfaction, and RES were obtained.Clinical relevanceIncrease in gingival thickness and keratinized tissue height represents critical improvements in the prognosis of the advanced localized recessions and will be beneficial for patient's periodontal health and esthetics. Both approaches can be used successfully as an alternative for soft tissue root coverage in specific localized cases with a limited amount of keratinized tissue apical to the defect.
  • Küçük Resim
    Öğe
    Treatment of iatrogenic factor related gingival recession: A case report
    (Altınbaş Üniversitesi, 2020) Özenci, İlknur; İpçi, Şebnem Dirikan; Çakar, Gökser; Yılmaz, Selçuk
    Recent reports in the literature show that the application of coronally advanced flap i n c ombination with subepithelial connective tissue graft in the treatment of Miller Class II and even III gingival recessions leads to successful results. This case report describes the use of subepithelial connective tissue graft and enamel matrix derivative combination with coronally advanced flap for the treatment of localized gingival recession caused by an ill-fitting crown restoration. The restorative treatment comprised of the retreatment of the endodontic and restorative needs. At 12 months, successful root coverage with 3.5 mm attachment gain was achieved. The patient had minimal discomfort and was satisfied with esthetic results. This case encourages the usage of subepithelial connective tissue graft, enamel matrix derivative and coronally advanced flap combination in localized Miller Class III gingival recessions. Even though the treatment of Miller Class III gingival recessions are challenging due to loss of interproximal bone and soft tissues, the application of subepithelial connective tissue graft in combination with the use ofenamel matrix derivative has shown to be a predictable treatment procedure in esthetic areas forroot coverage and gain of clinical attachment in single Miller Class III recession defects.
  • Küçük Resim
    Öğe
    Treatment of multiple gingival recessions by tunnel technique and acellular dermal matrix graft: a case report
    (Altınbaş Üniversitesi, 2018) Özenci, İlknur; İpçi, Şebnem Dirikan; Yılmaz, Selçuk; Çakar, Gökser
    Successful clinical outcomes have been achieved with various root coverage procedures for the treatment of Miller Class I and II multiple gingival recessions. Regarding Miller Class III recessions, unpredictable success rate was reported due to the loss of interproximal tissue support. Recently, it has been demonstrated that complete root coverage is possible in Miller Class III defects, when the defects present mild interdental attachment loss. This case report describes the application of acellular dermal matrix graft (ADM) and tunnel technique (TUN) combination, for the treatment of Miller Class III multiple gingival recession defects. At 12-month, complete root coverage on teeth #41 and partial root coverage on teeth #31 with mean root coverage of 83.3% were achieved. Root coverage esthetic score was 7 with successful esthetic results. Besides significant defect coverage increase in keratinized tissue height and gingival thickness were obtained. According to the present clinical case, Miller Class III multiple gingival recessions can be predictably treated with TUN+ADM, if the attachment loss is not too severe.