Kovaćević K, Leković V
University of Belgrade.
Stomatol Glas Srb. 1991 Aug-Oct;37(4):393-401.
Mucogingival surgical procedures such as laterally (horizontally) positioned flap, double papillae positioned flap and free mucogingival autografts have been recommended for the prevention and treatment of isolated gingival atrophy. These procedures can bi performed either independently or in combination with coronally positioned flap. In our study, for covering of exposed tooth roots, we applied laterally positioned flap and free mucogingival autografts in combination with coronally positioned flap. The obtained therapeutic results showed that six months after the surgery the exposure of tooth necks in patients treated by laterally positioned flap, decreased by 2.54 mm. Somewhat better results were obtained in the group of patients treated by fre mucogingival autografts in combination with coronally positioned flap. Within the same time interval, the total surface area of exposed tooth roots decreased by 59.76% in the group of patients treated by laterally positioned flap, i.e. by 62.25% in the group of patients treated by free mucogingival autografts in combination with coronally positioned flap.
已推荐采用诸如侧向（水平）定位瓣、双乳头定位瓣和游离龈黏膜自体移植等龈黏膜外科手术来预防和治疗孤立性牙龈萎缩。这些手术既可以单独进行，也可以与冠向定位瓣联合进行。在我们的研究中，为覆盖暴露的牙根，我们将侧向定位瓣和游离龈黏膜自体移植与冠向定位瓣联合应用。所获得的治疗结果表明，手术后六个月，接受侧向定位瓣治疗的患者牙颈部暴露减少了2.54毫米。在接受游离龈黏膜自体移植与冠向定位瓣联合治疗的患者组中，取得了稍好一些的结果。在相同的时间间隔内，接受侧向定位瓣治疗的患者组中暴露牙根的总面积减少了59.76%，即接受游离龈黏膜自体移植与冠向定位瓣联合治疗的患者组中减少了62.25%。
