George Joann Pauline, Prabhuji M L V, Shaeesta K B, Lazarus Flemingson
Department of Periodontics, Krishnadevaraya Dental College and Hospital, Bangalore, Karnataka, India.
J Indian Soc Periodontol. 2011 Jan;15(1):74-9. doi: 10.4103/0972-124X.82259.
The purpose of this case report is to present the results of Fibrin Adhesive System (FAS) application, a topical biological tissue adhesive in the treatment of maxillary buccal recessions. A 40-year-old male patient presented with a pair of class I buccal recession defects on maxillary cuspids. Clinical parameters were recorded at baseline, 1 month, and 3 months. Semilunar coronally repositioned flap (Tarnow's technique), root debridement, root conditioning with tetracycline hydrochloride solution and one of the defect was treated with FAS application. Significant recession, height reduction, and attachment gain were observed with the FAS application defect site. About 50% of root coverage was noted in the FAS-treated defect and almost no root coverage in the defect site with no FAS application. Semilunar coronally repositioned flap with FAS application is an effective procedure for root coverage in anterior teeth. The addition of FAS improves the amount of root coverage, especially in relatively shallow defects.
本病例报告的目的是展示纤维蛋白黏附系统（FAS）的应用结果，这是一种用于治疗上颌颊侧牙龈退缩的局部生物组织黏合剂。一名40岁男性患者上颌尖牙处出现一对I类颊侧牙龈退缩缺损。在基线、1个月和3个月时记录临床参数。采用半月形冠向复位瓣（塔诺技术）、牙根清创、用盐酸四环素溶液进行牙根预处理，其中一个缺损处应用了FAS。应用FAS的缺损部位观察到明显的牙龈退缩、高度降低和附着增加。在应用FAS治疗的缺损处观察到约50%的牙根覆盖，而未应用FAS的缺损部位几乎没有牙根覆盖。应用FAS的半月形冠向复位瓣是前牙牙根覆盖的有效方法。FAS的添加改善了牙根覆盖量，尤其是在相对较浅的缺损中。
