Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

A study on gingival blood flow change of free gingival graft sites using Laser Doppler Flowmetry

Laser Doppler Flowmetry를 이용한 유리치은이식술 부위의 치은혈류 변화에 관한 연구

  • Chun, Dong-Young (Dept. of Periodontology, College of Dentistry, Chosun University) ;
  • Park, Byung-Ki (Dept. of Periodontology, College of Dentistry, Chosun University) ;
  • Yeom, Chang-Yeob (Dept. of Periodontology, College of Dentistry, Chosun University) ;
  • Kim, Se-Hun (Dept. of Periodontology, College of Dentistry, Chosun University) ;
  • Kim, Jae-Deok (Dept. of Periodontology, College of Dentistry, Chosun University) ;
  • Kim, Byung-Ock (Dept. of Periodontology, College of Dentistry, Chosun University)
  • 전동영 (조선대학교 치과대학 치주과학교실) ;
  • 박병기 (조선대학교 치과대학 치주과학교실) ;
  • 염창엽 (조선대학교 치과대학 치주과학교실) ;
  • 김세훈 (조선대학교 치과대학 치주과학교실) ;
  • 김재덕 (조선대학교 치과대학 치주과학교실) ;
  • 김병옥 (조선대학교 치과대학 치주과학교실)
  • Published : 2002.06.30
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Abstract

In most of the previous studies, invasive and discrete techniques have been used to monitor the healing process of the gingival graft. However, Laser Doppler Flowmetry(LDF, floLAB(R), Moor Instruments Ltd., England) is a non-invasive technique for measurement of blood flow in the tissue and also allows continuous monitoring. Thus, we tested the usefulness of LDF in monitoring the healing process of free gingival graft at gingival recession. Eleven gingival graft site of 7 patients, including 5 males and 2 females, aged between 21 and 41 years (mean age 28.5) were monitored for the blood flow. The blood flow in gingival graft at coronal site, central site, apical site, mesial site and distal site was measured using LDF. Blood flow was measured at 1- week, 2- week, 3- week and 4- week after gingival graft surgery from 10 a.m. to 2 p.m. Time-course of the healing process was evaluated by statistical analysis using repeated ANOVA and Duncan test. The results were as follows : (1) Blood flow stayed increased for 2 weeks, and then, it was a tendency to decrease. (2) The blood flow at distal site had always higher than mesial site during the measuring periods. (3) The blood flow was high orderly after 1 week ; most coronal site, most apical site, central site. But that was high orderly after 2 week, 3 week, 4 week ; most coronal site, central site, most apical site. In conclusion, LDF was a useful and clinically adaptable method to monitor wound healing process. Our study suggested that it was important to protect surgical site to promote initial wound healing.

Keywords

References

  1. American academy of Periodontology. Glossary of periodontal term. J Peiorodontol 63:special issue, 1992
  2. Restrepo OJ. Coronally repositioned flap:report of four case. J Periodotol 44:564-567, 1973 https://doi.org/10.1902/jop.1973.44.9.564
  3. Staffileno H. Management of gingival recession and root exposure problems associated with periodontal disease. Dent Clin North Am 8:11-120, 1964
  4. Gallini G, Trentalancia S, Smukler H. Gingival recession.Available surgical technics: the stimulated double papilla.VI. Dent Cadmos. 54:63-65, 1986
  5. Borghetti A, Gardella JP. Thick gingiva autograft for the coverage of gingival recession:a clinical evaluation. Int J Periodontics Restorative Dent 10:216-229, 1990
  6. Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 56:715-720, 1985 https://doi.org/10.1902/jop.1985.56.12.715
  7. Tinti C, Vincenzi G, Cocchetto R. Guided tissue regeneration in mucogingival surgery. J Periodontol 64:1184-1191, 1993 https://doi.org/10.1902/jop.1993.64.11s.1184
  8. Pini Prato G, Tinti C, Vincenzi G, et.al. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. J Periodontol 63:919-928, 1992 https://doi.org/10.1902/jop.1992.63.11.919
  9. Roccuzzo M, Lungo M, Corrente G, et al. Comparative study of a bioresorbable and a non-resorbable membranes versus connective tissue grafts. J Periodontol 69:383-391, 1998 https://doi.org/10.1902/jop.1998.69.3.383
  10. Kon S, Novaes, AB, Ruben MP, et al. Visualization of the microvascularization of healing periodontal wound. IV. Mucogingival surgery: full thickness flap. J Periodontol 40:441-456, 1969 https://doi.org/10.1902/jop.1969.40.8.441
  11. Kon S, Caffesse RG, Castelli WA, et al. Revascularization following a combined gingival-split thickness flap procedure in monkeys. J Periodontol 54:345-351, 1984
  12. Oliver RC, Loe H, Karring T. Microscopic evaluation of the healing and revascularization of the gingival grafts. J Periodont Res 3:84-95, 1968 https://doi.org/10.1111/j.1600-0765.1968.tb01908.x
  13. Jansen WA, Ruben MP, Karmer GM, et al. Development of the blood supply to split-thickness free gingival autografts. J Periodontol 39:707-716, 1969
  14. Baab DA, Oberg PA, Holloway GA. Gingival blood flow measured with a laser Doppler flowmeter. J Periodont Res 21:73-85, 1986 https://doi.org/10.1111/j.1600-0765.1986.tb01440.x
  15. Hinrichs J, Labelle L, Aeppli D. An evaluation of laser Doppler readings obtained within human gingival sulci. J Periodontol 66:171-176, 1995 https://doi.org/10.1902/jop.1995.66.3.171
  16. Baab DA, Oberg PA. Laser Doppler measurement of gingival blood flow in dogs with increasing and decreasing inflammation. Arch Oral Biol 35:95-101, 1990 https://doi.org/10.1016/0003-9969(90)90169-B
  17. Matheny JL, Abrams H, Johnson DT, et al. Microcirculatory dynamics in experimental human gingivitis. J Clin Periodontol 20:578-583, 1993 https://doi.org/10.1111/j.1600-051X.1993.tb00774.x
  18. Baab DA, Oberg PA, Lundstrom A. Gingival blood flow and temperature changes in young humans with a history of periodontitis. Arch Oral Biol 35:95-101, 1990 https://doi.org/10.1016/0003-9969(90)90169-B
  19. Clarke NG, Shrphard BC, Hirsch RS. The effects of intra-arterial epinephrine and nicotine on gingival circulation. Oral Sug Oral Med Oral Pathol 52:577-582, 1981 https://doi.org/10.1016/0030-4220(81)90071-2
  20. Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 5:9-13, 1985
  21. Sullivan HC, Atkins JH. Free autogenous gingival grafts.I. Principles of successful grafting. Periodontics 6:121-129, 1968
  22. Borghetti A, Gardella JP. Thick gingival autograft for the coveage of gingival recession, a clinical evaluation' Int J Periodontics Restorative Dent 3:217-228, 1990
  23. 김형수, 이장희, 송형근, 김병옥, 한경윤. Laser Doppler folwmetry를 이용한 치은혈류량에 관한 연구. 대한치주학회지 28:309-319, 1998
  24. Ramsay DS, Artun J, Martinen SS. Reliability of pulpal blood-flow measurements utilizing laser Doppler flowmetry. J Dent Res 70:1427-1430, 1991 https://doi.org/10.1177/00220345910700110601
  25. Nobuto T, Imai H, Yamaoka A. Microvascularization of the free gingival autograft. J Periodontol 59:639-646, 1987
  26. Nobuto T, Imai H, Yamalka A. Ultrastructural change of subepithelial capillaries following graft epithelialization. J Periodontol 59:570-576. 1987
  27. Nuki K, Hock J. The organization of the gingival vasculature. J Periodont Res 9:305-313, 1974 https://doi.org/10.1111/j.1600-0765.1974.tb00686.x
  28. 오현정, 박병기, 신광용, 한경윤, 김병옥. 흡연이 치은혈류량에 미치는 영향. 대한치주학회지 30:471-481, 2000
  29. Kaplan ML, Jeffcoat MK, Goldhaber P. Blood flow in gingiva and alveolar bone in beagles with periodontal disease. J Periodont Res 17:384-389, 1982 https://doi.org/10.1111/j.1600-0765.1982.tb01169.x
  30. 이종흔, 김중수. 구강 생리학 4판, 서울:군자출판사, 1994, p55