Dani Sneha, Dhage Aditi, Gundannavar Gayatri
Department of Periodontics, K. L. E. Dental College and Hospital, Bengaluru, Karnataka, India.
Department of Periodontics, Private Practioner, Oxford Dental College and Hospital, Bengaluru, Karnataka, India.
J Indian Soc Periodontol. 2014 Nov-Dec;18(6):776-80. doi: 10.4103/0972-124X.147431.
The desire for improved esthetics has increased tremendously over the years. Periodontal plastic surgery deals with regenerative procedures designed to restore form, function and enhance esthetics. The aim of this study was to evaluate the effectiveness of subepithelial connective tissue graft using pouch and tunnel technique as root coverage procedure. Three patients corresponding to a total of 8 sites participated in the study. Maxillary teeth with miller's class I gingival recession were included in the study. All the sites were treated using subepithelial connective tissue graft using pouch and tunneling technique. Patients were followed up for a period of 6 months and 1 year. All the treated teeth showed 100% root coverage at the end of 6 months and 1 year. Gingival recession is a common occurrence and its prevalence increases with age. It can lead to clinical problems, diminished cosmetic appeal and hence esthetic concern. There are various techniques for root coverage. Subepithelial connective tissue graft has shown the best predictability (95%) of root coverage in Millers class I & II cases. This technique preserves the intermediate papilla, accelerates the initial wound healing & also applies less traction. Due to minimal trauma at the recipient site, this procedure may be advantageous in treatment of recession as compared to other treatment modalities.
多年来，人们对改善美观的需求大幅增加。牙周整形手术涉及旨在恢复形态、功能并提升美观的再生程序。本研究的目的是评估采用袋形和隧道技术的上皮下结缔组织移植作为根面覆盖术的有效性。三名患者共8个部位参与了该研究。研究纳入了患有米勒I类牙龈退缩的上颌牙齿。所有部位均采用袋形和隧道技术进行上皮下结缔组织移植治疗。对患者进行了6个月和1年的随访。所有治疗的牙齿在6个月和1年结束时均显示100%的根面覆盖。牙龈退缩很常见，其患病率随年龄增长而增加。它会导致临床问题、美观度下降，从而引发美观方面的担忧。有多种根面覆盖技术。上皮下结缔组织移植在米勒I类和II类病例中显示出根面覆盖的最佳可预测性（95%）。该技术保留了中间乳头，加速了初期伤口愈合，且施加的牵引力较小。由于受植部位创伤极小，与其他治疗方式相比，该手术在治疗牙龈退缩方面可能具有优势。
