Kuriakose Anu, Ambooken Majo, Jacob Jayan, John Priya
Department of Periodontics, Mar Baselious Dental College, Kothamagalam, Ernakulam, Kerala, India.
J Indian Soc Periodontol. 2015 Jan-Feb;19(1):103-6. doi: 10.4103/0972-124X.145826.
The purpose of this case report is to describe the efficacy of a modified Whale's tail technique to achieve primary closure and thereby aid in regeneration of an interdental osseous defect between maxillary central incisors complicated by an aberrant frenal attachment. A healthy 32-year-old female patient reported with the complaint of spacing between her upper front teeth. Clinical examination revealed an aberrant frenum extending into the interdental papilla in relation to the central incisors. There was a 6 mm periodontal pocket in relation to the mesiopalatal aspect of maxillary left central incisor. Intraoral periapical radiograph showed vertical bone loss in relation to mesial aspect of maxillary left central incisor. A modified Whale's tail flap was employed to access the area. The defect was filled with an alloplastic graft. Six months postoperative review showed complete elimination of the pocket along with radiographic bone fill of the defect.
本病例报告的目的是描述一种改良的鲸尾技术在实现一期缝合方面的疗效，从而有助于上颌中切牙之间因异常系带附着而并发的牙间骨缺损的再生。一名32岁健康女性患者因上前牙间隙问题前来就诊。临床检查发现，与中切牙相关的异常系带延伸至牙间乳头。上颌左中切牙腭侧近中处有一个6毫米的牙周袋。口腔根尖片显示上颌左中切牙近中处有垂直骨吸收。采用改良的鲸尾瓣进入该区域。用异体骨移植材料填充缺损。术后6个月复查显示牙周袋完全消除，缺损处有影像学骨填充。
