Abstract
Background
The purpose of this study is to examine the relationship between immediate post‐surgical flap position and subsequent probing depth measurements following osseous surgery.
Methods
Twenty‐four patients treatment planned for osseous surgery after completion of initial therapy and re‐evaluation were enrolled. Pressure molded stents were fabricated to serve as a reference for probing depth and relative attachment level measurements prior to surgery. After osseous recontouring was completed, flaps were sutured and compressed, and bone sounding measurements were made as designated by the stent. Patients returned at three and six months for repeat measurements of probing depth and attachment level.
Results
Twenty‐four patients completed surgical treatment and follow‐up measurements with a total of 402 treated sites. A statistically significant moderate correlation between immediate post‐surgical bone sounding measurements and subsequent probing depth was found at six months (R = 0.56, P<0.001). There was no significant difference between this correlation at three and six months. The probability of having six‐month probing depth ≤3mm was 93.5% when the surgical flap was placed within 3mm of the alveolar crest (286/306 sites) as opposed to 50% when the surgical flap was greater than 3mm away from the alveolar crest (48/96 sites). Interproximal sites were significantly more likely (p<0.01) to have probing depths >3mm at three and six months.
Conclusions
Results suggest a statistically significant relationship between immediate post‐surgical flap placement and subsequent probing depths. Positioning the surgical flap more closely to the alveolar crest when performing osseous surgery resulted in shallower probing depths at three and six months.
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https://aap.onlinelibrary.wiley.com/doi/abs/10.1002/JPER.19-0238?af=R
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