Kao Richard T, Pasquinelli Kirk
Department of Periodontology, University of the Pacific School of Dentistry, USA.
J Calif Dent Assoc. 2002 Jul;30(7):521-6.
During the treatment planning process, it is important for clinicians to appreciate that the differences in gingival tissue can affect treatment outcomes. The concept of thick vs. thin gingiva has previously been introduced. This concept has been expanded to describe the different ways these tissue types respond to inflammation, restorative trauma, and parafunctional habits. The resulting defects from these traumatic events will dictate varying treatment management modalities. As restorative dentists begin to appreciate the differences in gingival morphology, they will discover that working with thick gingiva is easier and more predictable. In the past, restorative dentists had no options for influencing the tissue quality they had to work with during restorative procedures. Recent advances in periodontal surgery have made it possible not only to reposition tissues to meet esthetic demands, but also to change the tissue quality of the restorative environment for more-predictable treatment outcomes.
在治疗计划制定过程中，临床医生必须认识到牙龈组织的差异会影响治疗结果。此前已经引入了厚龈与薄龈的概念。这一概念已得到扩展，用于描述这些组织类型对炎症、修复性创伤和副功能习惯的不同反应方式。这些创伤事件导致的缺损将决定不同的治疗管理方式。随着修复牙医开始认识到牙龈形态的差异，他们会发现处理厚龈更容易且更可预测。过去，修复牙医在修复过程中对于他们必须处理的组织质量没有任何可影响的选择。牙周手术的最新进展不仅使重新定位组织以满足美学需求成为可能，而且还能改变修复环境的组织质量，以获得更可预测的治疗结果。
