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上皮下结缔组织移植术:第二部分。组织学愈合与临床牙根覆盖情况

The subepithelial connective tissue graft: part II. Histologic healing and clinical root coverage.

作者信息

Sedon Constance L, Breault Lawrence G, Covington Lemuel L, Bishop Barry G

机构信息

561st Medical Company, Grafenwöhr, Federal Republic of Germany.

出版信息

J Contemp Dent Pract. 2005 May 15;6(2):139-50.

PMID:15915213
Abstract

Periodontal plastic surgical techniques have evolved to meet the demands of today's dental patient. Free gingival grafts (FGGs), pedicle flaps, subepithelial connective tissue grafts (SCTGs), acellular dermal matrix (ADM) grafts, and guided tissue regeneration (GTR) have all been used to cover denuded root surfaces. FGGs have demonstrated inconsistent results. Pedicle flaps have provided consistent results, but adequate tissue must be present initially. ADM grafts have also demonstrated success, but long-term stability may be a problem. Presently, SCTGs and GTR should be considered the treatment of choice for root coverage. They are the most predictable with average root coverage as high as 98.9% and 92.3%, respectively.

摘要

牙周整形手术技术已经不断发展以满足当今牙科患者的需求。游离龈瓣移植术(FGG)、带蒂瓣、上皮下结缔组织移植术(SCTG)、脱细胞真皮基质(ADM)移植术以及引导组织再生术(GTR)都已被用于覆盖暴露的牙根表面。游离龈瓣移植术的效果并不稳定。带蒂瓣能提供稳定的效果,但最初必须有足够的组织。脱细胞真皮基质移植术也已取得成功,但长期稳定性可能是个问题。目前,上皮下结缔组织移植术和引导组织再生术应被视为牙根覆盖的首选治疗方法。它们的效果最可预测,平均牙根覆盖率分别高达98.9%和92.3%。

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