Ramakrishnan T, Kaur Manmeet, Aggarwal Kriti
Department of Periodontics, Meenakshi Ammal Dental College and Hospital, Chennai, India.
Indian J Dent Res. 2011 Sep-Oct;22(5):726-8. doi: 10.4103/0970-9290.93466.
In periodontal practice, root coverage after marginal soft tissue recession requires daily clinical decisions. Numerous longitudinal human studies have been presented to support the efficacy and predictability of different mucogingival surgical techniques for root coverage. Over the years, root coverage procedure using the subepithelial connective tissue graft with variations has emerged as the favorite surgical technique. In the case presented in this report, subepithelial connective tissue graft with embossed epithelium was used to cover Miller's class II gingival recession in the upper right canine. The design is such that embossed epithelium exactly fits the recession site and the connective tissue portion is tucked below the gingival margin of the recipient site. In this technique, coronal advancement of flap is not needed. Wider zone of attached gingiva at the recipient site was achieved by this technique.
在牙周治疗实践中，边缘软组织退缩后的牙根覆盖需要每日进行临床决策。已有众多纵向人体研究表明不同的膜龈手术技术用于牙根覆盖的有效性和可预测性。多年来，采用不同改良方式的上皮下结缔组织移植术已成为最受欢迎的手术技术。在本报告所呈现的病例中，采用带压花上皮的上皮下结缔组织移植术覆盖右上尖牙的米勒II类牙龈退缩。其设计使得压花上皮恰好贴合退缩部位，结缔组织部分则被塞入受植区的牙龈边缘下方。在该技术中，无需进行瓣的冠向推进。通过该技术在受植区获得了更宽的附着龈区域。
