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在上颌前部区域使用上皮下结缔组织移植重建种植体周围邻间乳头：病例系列

Interproximal Papillae Reconstruction around Implant Using Subepithelial Connective Tissue Graft in Maxillary Anterior Region: A Case Series.

作者信息

Gupta Satish, Deo Vikas, Williams Cecil

机构信息

Department of Periodontology and Implantology, S.P Dental College Wardha India.

Department of Periodontology and Implantology, Government Dental College Jaipur India.

出版信息

J Oral Maxillofac Res. 2012 Jul 1;3(2):e1. doi: 10.5037/jomr.2012.3201. eCollection 2012.

DOI:10.5037/jomr.2012.3201
PMID:24422008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3886102/
Abstract

OBJECTIVES

The present study was undertaken to evaluate the effectiveness of interproximal papillae reconstruction around early loaded single implant using subepithelial connective tissue graft in maxillary anterior region.

MATERIAL AND METHODS

Ten systemically healthy patients (mean age = 29.3 [SD 7.9] years) in need of dental implants in maxillary anterior region were included in the study. Interproximal papillae reconstruction around single implant using subepithelial connective tissue graft was applied. The donor palatal tissue was harvested by a "trap door approach". Subepithelial connective tissue graft was inserted in the pouch created on mesial and distal site of implant. Clinical and radiographic parameters were recorded around the each implant, including papillary height and papillary gingival contour, at baseline, 3 and 6 months after operation.

RESULTS

The mesial papilla height was increased by 1.9 (SD 0.87) mm, P = 0.005 at 3 month and maintained at 1.5 (SD 0.97) mm, P = 0.007 at 6 months. The distal papilla height was increased by 2 (SD 0.66) mm, P = 0.004 at 3 month and maintained at 1.2 (SD 0.78) mm, P = 0.010 at 6 months. Assessment of papilla contour index showed 90% aesthetic success both for mesial and distal papilla at 6 months.

CONCLUSIONS

It can be concluded that subepithelial connective tissue graft may be used to successfully augment the gingival papillae adjacent to single tooth implant restoration.

摘要

目的

本研究旨在评估在上颌前部区域使用上皮下结缔组织移植对早期负载的单颗种植体周围邻间隙乳头进行重建的效果。

材料与方法

本研究纳入了10名上颌前部区域需要种植牙的全身健康患者（平均年龄=29.3[标准差7.9]岁）。采用上皮下结缔组织移植对单颗种植体周围的邻间隙乳头进行重建。通过“活板门法”采集腭部供区组织。将上皮下结缔组织移植片插入种植体近中和远中部位所形成的袋内。在基线、术后3个月和6个月时，记录每个种植体周围的临床和影像学参数，包括乳头高度和乳头牙龈轮廓。

结果

近中乳头高度在3个月时增加了1.9（标准差0.87）mm，P=0.005，在6个月时维持在1.5（标准差0.97）mm，P=0.007。远中乳头高度在3个月时增加了2（标准差0.66）mm，P=0.004，在6个月时维持在1.2（标准差0.78）mm，P=0.010。乳头轮廓指数评估显示，6个月时近中和远中乳头的美学成功率均为90%。

结论

可以得出结论，上皮下结缔组织移植可成功用于增加单颗牙种植修复旁的牙龈乳头。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e00/3886102/33fe793f7b35/jomr-03-e1-g012.jpg
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