分两个手术阶段治疗牙龈退缩：游离龈瓣移植术和结缔组织移植术。

Treatment of gingival recession in two surgical stages: Free gingival graft and connective tissue grafting.

作者信息

Henriques Paulo Sergio Gomes, Nunes Marcelo Pereira, Pelegrine Andre Antonio

机构信息

Department of Periodontics, Sao Leopoldo Mandic Dental Research Institute, Campinas, SP, Brazil.

出版信息

Gen Dent. 2011 Nov-Dec;59(6):e238-41.

PMID:22313930

Abstract

This report describes a clinical case of severe Miller Class II gingival recession treated by two stages of surgery that combined a free gingival graft and connective tissue grafting. First, a free gingival graft (FGG) was performed to obtain an adequate keratinized tissue level. Three months later, a connective tissue graft (CTG) was performed to obtain root coverage. The results indicated that the FGG allows for a gain in the keratinized tissue level and the CTG allows for root coverage with decreased recession level after 16 months. Therefore, for this type of specific gingival recession, the combination of FGG and CTG can be used.

摘要

本报告描述了一例严重的米勒II类牙龈退缩的临床病例，该病例通过两阶段手术治疗，联合使用了游离龈瓣移植术和结缔组织移植术。首先，进行游离龈瓣移植术（FGG）以获得足够的角化组织水平。三个月后，进行结缔组织移植术（CTG）以实现牙根覆盖。结果表明，FGG可使角化组织水平增加，CTG可在16个月后实现牙根覆盖且退缩水平降低。因此，对于此类特定的牙龈退缩，可使用FGG和CTG联合治疗。