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[采用单隧道技术联合釉基质衍生物和结缔组织移植治疗上颌中切牙单例Miller-I型牙龈退缩:病例报告]

[The management of a single Miller-I type gingival recession at the maxillar incisor with single tunnel technique combined with enamel matrix derivative and connective tissue graft. A case report].

作者信息

Lukács Laszló, Gera István

机构信息

Semmelweis Egyetem Parodontológiai Klinika, Budapest.

出版信息

Fogorv Sz. 2011 Mar;104(1):19-26.

Abstract

Gingival recession defect in the dentition are routinely encountered in periodontal practice and presents a challenge for a periodontist. Mucogingival surgical procedures aim to restore both gingival function and aesthetics. Recently as the population is getting to be more concerned about aesthetics the aesthetical indications are more relevant. In the presented case a coronally advanced flap prepared by single tunnel technique and combined with subepithelial connective tissue graft and enamel matrix derivatives (EMD) has been employed for root coverage in a Miller's class I recession. The combined technique used resulted in approximately 100% root coverage in the treated site after 6 months. Treatment outcomes met the patient's aesthetic demands and also eliminated her root sensitivity.

摘要

牙列中的牙龈退缩缺损在牙周治疗中经常遇到,对牙周医生来说是一项挑战。龈黏膜手术旨在恢复牙龈功能和美观。近年来,随着人们越来越关注美观,美学适应症变得更加重要。在本病例中,采用单隧道技术制备的冠向推进瓣,并结合上皮下结缔组织移植和釉基质衍生物(EMD),用于米勒I类牙龈退缩的牙根覆盖。6个月后,所采用的联合技术在治疗部位实现了约100%的牙根覆盖。治疗结果满足了患者的美学需求,也消除了她的牙根敏感问题。

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