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使用侧向移位瓣切除牙龈瘤后龈黏膜缺损的美学处理

Esthetic management of mucogingival defects after excision of epulis using laterally positioned flaps.

作者信息

Xie Yu-feng, Shu Rong, Qian Jie-lei, Lin Zhi-kai, Romanos Georgios E

机构信息

Department of Periodontology, The Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China.

出版信息

Cell Biochem Biophys. 2015 Mar;71(2):1005-10. doi: 10.1007/s12013-014-0301-1.

DOI:10.1007/s12013-014-0301-1
PMID:25315641
Abstract

Epulis is a benign hyperplasia of the oral soft tissues. Surgical excision always extends to the periosteum and includes scaling of adjacent teeth to remove any possible irritants. The esthetics of the soft tissues may be compromised, however. This article studies three cases in which an immediate laterally positioned flap (LRF) was used to repair mucogingival defects after epulis biopsies. After 24 months, the color and shape of the surgical areas were healthy and stable, nearly complete root coverage was evident, and no lesions reoccurred. For repairing gingival defects after biopsy, LRF appears to be minimally traumatic while promoting esthetic outcomes.

摘要

牙龈瘤是口腔软组织的良性增生。手术切除范围通常要延伸至骨膜,并包括对相邻牙齿进行洁治以去除任何可能的刺激物。然而,软组织的美观可能会受到影响。本文研究了三例在牙龈瘤活检后使用即刻侧向移位瓣(LRF)修复黏膜牙龈缺损的病例。24个月后,手术区域的颜色和形状健康稳定,牙根几乎完全覆盖,且无病变复发。对于活检后牙龈缺损的修复,LRF似乎创伤极小,同时能促进美观效果。

相似文献

1
Esthetic management of mucogingival defects after excision of epulis using laterally positioned flaps.使用侧向移位瓣切除牙龈瘤后龈黏膜缺损的美学处理
Cell Biochem Biophys. 2015 Mar;71(2):1005-10. doi: 10.1007/s12013-014-0301-1.
2
A technique to remove epulis: case reports.一种去除牙龈瘤的技术:病例报告。
Int J Periodontics Restorative Dent. 2004 Oct;24(5):470-5. doi: 10.11607/prd.00.0597.
3
[Mucogingival surgery: laterally displaced flap].[黏膜牙龈手术:侧向移位瓣]
Rev Actual Estomatol Esp. 1987 Sep;47(367):53-4, 57-8.
4
The management of large mucogingival defects with an "epithelial embossed" connective tissue graft.使用“上皮压纹”结缔组织移植修复大面积黏膜牙龈缺损
Int J Periodontics Restorative Dent. 2008 Dec;28(6):577-83.
5
The laterally positioned flap.侧向皮瓣。
Dent Clin North Am. 1988 Apr;32(2):267-85.
6
[Current therapy of gingival recession].
Rev Odontostomatol (Paris). 1989 Jan-Feb;18(1):43-54.
7
Coronally advanced flap with and without vertical releasing incisions for the treatment of multiple gingival recessions: a comparative controlled randomized clinical trial.用于治疗多处牙龈退缩的带或不带垂直松弛切口的冠向推进瓣:一项对照随机临床试验
J Periodontol. 2009 Jul;80(7):1083-94. doi: 10.1902/jop.2009.090041.
8
[Elimination of isolated gingival atrophy by laterally positioned flap and free mucogingival autografts in combination with coronally positioned flap].[通过侧方转位瓣和游离龈黏膜自体移植联合冠向复位瓣消除孤立性牙龈萎缩]
Stomatol Glas Srb. 1991 Aug-Oct;37(4):393-401.
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Semilunar coronally positioned flap or subepithelial connective tissue graft for the treatment of gingival recession: a 30-month follow-up study.半月形冠向定位瓣或上皮下结缔组织移植治疗牙龈退缩:一项30个月的随访研究。
J Periodontol. 2009 Jul;80(7):1076-82. doi: 10.1902/jop.2009.080498.
10
[Mucogingival surgery. II. Surgical technics].[黏膜牙龈外科学。II. 手术技术]
Rev Esp Estomatol. 1987 May-Jun;35(3):203-10.

引用本文的文献

1
Laterally Positioned Flap Procedure with Augmented or Nonaugmented Palatal Connective Tissue Grafts in the Treatment of Multiple Adjacent Gingival Recessions: A Two-Year Follow-Up Study.侧向瓣法联合或不联合腭部结缔组织增量移植物治疗多个相邻牙龈退缩的两年随访研究。
Int J Environ Res Public Health. 2022 Sep 26;19(19):12208. doi: 10.3390/ijerph191912208.
2
Therapeutic effects of diode laser on vascular epulis in esthetic area.二极管激光对美学区域血管性龈瘤的治疗效果。
J Indian Soc Periodontol. 2021 Jan-Feb;25(1):75-77. doi: 10.4103/jisp.jisp_591_19. Epub 2021 Jan 7.