Department of Dental Sciences and Surgery, University of Bari, Bari, Italy.
Head Face Med. 2010 Aug 12;6:19. doi: 10.1186/1746-160X-6-19.
In some pathological conditions, gingivitis caused by plaque accumulation can be more severe, with the result of an overgrowth. Nevertheless, the overgrowth involves the gingival margin with extension to the inter-dental papilla. The lesion may involve the inter-proximal spaces, and become so extensive that the teeth are displaced and their crowns covered. Severe overgrowth may lead to impairment in aesthetic and masticatory functions, requiring surgical excision of the excessive tissue. Aim of this study is to describe an operative protocol for the surgical treatment of localized gingival overgrowth analyzing the surgical technique, times and follow-up.
A total of 20 patients were enrolled and underwent initial, non surgical, periodontal treatment and training sessions on home oral hygiene training. The treatment plan involved radical exeresis of the mass followed by positioning of an autograft of connective tissue and keratinized gingiva.
During 10 years of follow-up, all the grafts appeared well vascularized, aesthetically satisfactory, and without relapse.
Periodontal examinations, surgical procedures, and dental hygiene with follow-up are an essential part of the treatment protocol. However, additional effort is needed from the patient. Hopefully, the final treatment result makes it all worthwhile.
在某些病理情况下，由菌斑积聚引起的牙龈炎可能更为严重，导致过度生长。然而，过度生长涉及牙龈边缘，并延伸至牙间乳头。病变可能累及邻间隙，变得如此广泛，以至于牙齿移位，牙冠被覆盖。严重的过度生长可能导致美观和咀嚼功能受损，需要手术切除过多的组织。本研究旨在描述一种手术治疗局限性牙龈过度生长的手术方案，分析手术技术、时间和随访。
共纳入 20 例患者，均接受初始非手术牙周治疗和家庭口腔卫生训练课程。治疗计划包括对肿块进行彻底切除，然后放置自体结缔组织和角化牙龈移植物。
在 10 年的随访期间，所有移植物均显示血管良好、美观满意，无复发。
牙周检查、手术程序和口腔卫生以及随访是治疗方案的重要组成部分。然而，患者需要付出更多的努力。希望最终的治疗效果是值得的。
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