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The Modified Apically Repositioned Flap Technique: A Long-Term (4 to 16 Years) Retrospective Study
The International Journal of Periodontics & Restorative Dentistry
|December 16, 2017
Summary
The modified apically repositioned flap (MARF) technique predictably increases attached gingiva and keratinized tissue. Long-term results show stable gains without increased probing depths or recession, supporting MARF for gingival health maintenance.
Area of Science:
- Periodontology
- Oral Surgery
Background:
- Attached gingiva is crucial for maintaining gingival health.
- Various techniques exist to augment attached gingiva, but predictability and long-term stability are key concerns.
- The modified apically repositioned flap (MARF) technique offers simplicity and predictability.
Purpose of the Study:
- To evaluate the long-term efficacy of the MARF technique in increasing apicocoronal dimensions of keratinized tissue and attached gingiva.
- To assess the stability of these gains over an extended follow-up period.
- To determine if the MARF procedure impacts probing depths or gingival recession.
Main Methods:
- The MARF technique was applied to 28 sites in 25 patients.
- Long-term follow-up, averaging 9 years, was conducted.
- Measurements of keratinized tissue, attached gingiva, probing depths, and gingival recession were analyzed.
Main Results:
- A statistically significant increase in both keratinized tissue and attached gingiva was observed.
- No significant increase in probing depths was noted.
- No significant increase in gingival recession was found.
Conclusions:
- The MARF procedure demonstrates predictable and long-term stability in generating keratinized tissue and attached gingiva.
- This technique is effective for increasing the zone of attached gingiva without compromising periodontal health.
- MARF is a reliable surgical option for enhancing gingival dimensions and maintaining oral health.
