Yıldırım Selin, Kuru Bahar
Selin Yıldırım, Bahar Kuru, Department of Periodontology, Dental Faculty, Marmara University, 34365 Istanbul, Turkey.
World J Clin Cases. 2015 Feb 16;3(2):199-203. doi: 10.12998/wjcc.v3.i2.199.
The most significant factor for the success in soft tissue grafts is the synergistic relation between vascular configuration and involved tissues. In the soft tissue graft procedures, site specific donor tissue is assumed to have improved potential for function and aesthetic survive at recipient sites. On a clinical level, using site specific gingival unit graft that placed on traditionally prepared recipient site, results in predictable root coverage. In this case report the clinical effectiveness of gingival unit transfer (GUT) technique performed on Miller III recession was presented and a similar recession case treated with free gingival graft (FGG) technique for comparison. Probing depth, recession depth, keratinized tissue width and clinical attachment level clinical parameters were measured at baseline and postoperative 8 mo. Percentage of defect coverage was evaluated at postoperative 8 mo. Creeping attachment was assessed at postoperative 1, 3, 6 and 8 mo. The GUT revealed better defect coverage and creeping attachment results than the FGG in the treatment of Miller III defects.
软组织移植成功的最重要因素是血管结构与相关组织之间的协同关系。在软组织移植手术中,特定部位的供体组织被认为在受体部位具有更好的功能和美学存活潜力。在临床层面,使用放置在传统制备的受体部位的特定部位牙龈单位移植,可实现可预测的牙根覆盖。在本病例报告中,展示了对米勒Ⅲ度牙龈退缩进行牙龈单位转移(GUT)技术的临床效果,并介绍了用游离牙龈移植(FGG)技术治疗的类似退缩病例以作比较。在基线和术后8个月测量探诊深度、退缩深度、角化组织宽度和临床附着水平等临床参数。在术后8个月评估缺损覆盖百分比。在术后1、3、6和8个月评估爬行附着情况。在治疗米勒Ⅲ度缺损方面,GUT显示出比FGG更好的缺损覆盖和爬行附着结果。