Reddy Michael S
University of Alabama at Birmingham School of Dentistry, Department of Periodontology, 35294, USA.
J Am Dent Assoc. 2003 Mar;134(3):295-304; quiz 337-8. doi: 10.14219/jada.archive.2003.0158.
Dentists traditionally have thought of periodontal treatment as a means of saving the teeth while leaving the patient with an esthetic problem. This no longer is true. The goal of this article is to show how esthetic crown-lengthening procedures, papillary regeneration and root coverage may enhance the overall esthetic results of periodontal treatment.
Esthetic crown lengthening aims not only to provide biological width for the healthy restoration of teeth, but also to permit esthetic gingival and prosthetic contours. Papillary regeneration aims to fill the dark spaces that may occur interproximally with the progression of periodontitis or as a result of tooth alignment. Finally, root coverage procedures now can provide predictable results with the application of connective-tissue periodontal grafts and plastic surgery techniques. This article presents a case report for each type of procedure, each of which resulted in improved esthetics and cosmetic appearance.
Periodontal treatment now is part of the solution for certain esthetic problems. While technically demanding, these procedures, in the hands of an appropriately trained and experienced clinician, can improve the overall results of patient treatment.
传统上，牙医认为牙周治疗是一种保留牙齿但会给患者留下美观问题的方法。但现在情况已非如此。本文的目的是展示美学牙冠延长术、乳头再生和牙根覆盖如何提高牙周治疗的整体美学效果。
美学牙冠延长术不仅旨在为牙齿的健康修复提供生物学宽度，还能实现美观的牙龈和修复体外形。乳头再生旨在填补因牙周炎进展或牙齿排列导致的邻间隙中可能出现的暗区。最后，通过应用结缔组织牙周移植物和整形手术技术，牙根覆盖术现在可以提供可预测的效果。本文针对每种手术类型给出了一个病例报告，每种手术都改善了美观和外观。
牙周治疗现在是解决某些美学问题的一部分。虽然这些手术技术要求较高，但在经过适当培训和经验丰富的临床医生手中，它们可以改善患者治疗的整体效果。
