Littuma Gustavo Javier Salazar, Bez Leonardo, Lopez Camilo Andres Villabona, Benfatti Cesar Augusto Magalhães, Magini Ricardo de Souza
Master Student, Implantology Federal University of Santa Cataria, Florianópolis, Brazil.
Professor, Implantology and Periodontics, University Extremo Sul Catarinense Criciuma, SC, Brazil; PhD student, Implantology, Federal University of Santa Catarina, Florianópolis, Brazil.
Compend Contin Educ Dent. 2017 Mar;38(3):e4-e8.
Gingival recession can compromise the esthetic appearance, leading to functional problems, hypersensitivity, and root caries. Several techniques have been implicated for root coverage, which includes pedicle grafts, free gingival grafts, connective tissue grafts, and guided-tissue regeneration. The double-papillae flap associated with subepithelial connective tissue is a predictable technique to cover isolated areas with insufficient attached gingiva apical to a recession. This case report demonstrates a surgical alternative to the technique using a sling periosteal suture to stabilize the connective tissue and pedicle flap during the initial phase of healing, increasing the potential of this periodontal procedure for gingival recession coverage.
牙龈退缩会影响美观,导致功能问题、过敏和根面龋。有多种技术可用于覆盖牙根,包括蒂瓣移植、游离龈瓣移植、结缔组织移植和引导组织再生。与上皮下结缔组织相关的双乳头瓣是一种可预测的技术,用于覆盖牙龈退缩根尖处附着龈不足的孤立区域。本病例报告展示了一种手术替代方法,即在愈合初期使用悬吊骨膜缝线来稳定结缔组织和蒂瓣,增加这种牙周手术覆盖牙龈退缩的可能性。