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一种用于治疗下颌前部区域多个牙龈退缩缺损的黏膜牙龈技术:一项为期2年随访的病例系列研究

A mucogingival technique for the treatment of multiple recession defects in the mandibular anterior region: a case series with a 2-year follow-up.

作者信息

Bethaz Nicola, Romano Federica, Ferrarotti Francesco, Mariani Giulia Maria, Aimetti Mario

出版信息

Int J Periodontics Restorative Dent. 2014 May-Jun;34(3):345-52. doi: 10.11607/prd.1920.

Abstract

In the mandibular anterior area, gingival recession can be associated with a minimal amount or lack of attached gingiva, a shallow vestibule, and high frenum insertion. These anatomical features may preclude the use of traditional root coverage procedures. This case series describes a a bilaminar technique with flap incision in the fornix for the treatment of adjacent gingival recession defects in patients with a shallow vestibule. It achieved high predictability in complete root coverage without decreasing the vestibular depth. At 24 months, the treatment resulted in 90.6% ±16.8% root coverage, and 11 of the 15 treated teeth (73.3%) were completely covered.

摘要

在下颌前部区域,牙龈退缩可能与附着龈量极少或缺乏、前庭浅以及系带附着位置高有关。这些解剖特征可能使传统的牙根覆盖手术无法实施。本病例系列描述了一种在穹窿处进行瓣切口的双层技术,用于治疗前庭浅的患者相邻牙龈退缩缺损。该技术在完全牙根覆盖方面具有很高的可预测性,且不会减小前庭深度。在24个月时,治疗实现了90.6%±16.8%的牙根覆盖,15颗治疗牙中有11颗(73.3%)完全被覆盖。

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