Martorelli de Lima Antonio Fernando, da Silva Robert Carvalho, Joly Julio Cesar, Tatakis Dimitris N
Department of Prosthodontics and Periodontics, School of Dentistry at Piracicaba, University of Campinas, Sao Paulo, Brazil.
J Int Acad Periodontol. 2006 Apr;8(2):53-60.
Aesthetic concerns and functional abnormalities, such as dentin hypersensitivity, are often associated with gingival recession defects. Root coverage procedures aim to restore both gingival aesthetics and function in recession defects. The coronally positioned flap combined with the subepithelial connective tissue graft is one of the most widely used root coverage procedures. The present report illustrates four different indications where this procedure has been successfully employed. An isolated Miller class II recession defect associated with frenum pull, multiple adjacent Miller class I defects in the aesthetic zone, an isolated Miller class I defect associated with dentin hypersensitivity, and an isolated Miller class II defect on a retained deciduous tooth are the four diverse conditions treated by periodontal plastic surgery. Different approaches were used to create the coronally positioned flap. Treatment resulted in complete root coverage, resolution of hypersensitivity, and satisfaction of the patients' aesthetic concerns. An effective and predictable treatment modality, such as the coronally positioned flap combined with the subepithelial connective tissue graft, should be considered when treatment planning for gingival recession defects.
美学问题和功能异常，如牙本质过敏，通常与牙龈退缩缺损相关。根面覆盖手术旨在恢复退缩缺损处的牙龈美观和功能。冠向复位瓣联合上皮下结缔组织移植是应用最广泛的根面覆盖手术之一。本报告阐述了成功应用该手术的四种不同适应证。与系带牵拉相关的孤立性米勒II类退缩缺损、美学区域多个相邻的米勒I类缺损、与牙本质过敏相关的孤立性米勒I类缺损以及乳牙上的孤立性米勒II类缺损，是通过牙周整形手术治疗的四种不同情况。采用了不同方法制作冠向复位瓣。治疗实现了完全根面覆盖、过敏症状消除以及患者美学问题的解决。在为牙龈退缩缺损制定治疗计划时，应考虑一种有效且可预测的治疗方式，如冠向复位瓣联合上皮下结缔组织移植。
