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在下颌固定种植体支持式义齿植入后，采用游离龈瓣移植术增加角化黏膜。

Free Gingival Graft to Increase Keratinized Mucosa after Placing of Mandibular Fixed Implant-Supported Prosthesis.

作者信息

Marin Danny Omar Mendoza, Leite Andressa Rosa Perin, Nícoli Lélis Gustavo, Marcantonio Claudio, Compagnoni Marco Antonio, Marcantonio Elcio

机构信息

Araraquara Dental School, Department of Dental Materials and Prosthodontics, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil.

Araraquara Dental School, Department of Diagnosis and Surgery, Universidade Estadual Paulista (UNESP), Araraquara, SP, Brazil.

出版信息

Case Rep Dent. 2017;2017:5796768. doi: 10.1155/2017/5796768. Epub 2017 Feb 15.

DOI:10.1155/2017/5796768
PMID:28293441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5331288/
Abstract

Insufficiently keratinized tissue can be increased surgically by free gingival grafting. The presence or reconstruction of keratinized mucosa around the implant can facilitate restorative procedure and allow the maintenance of an oral hygiene routine without irritation or discomfort to the patient. The aim of this clinical case report is to describe an oral rehabilitation procedure of an edentulous patient with absence of keratinized mucosa in the interforaminal area, using a free gingival graft associated with a mandibular fixed implant-supported prosthesis. The treatment included the manufacturing of a maxillary complete denture and a mandibular fixed implant-supported prosthesis followed by a free gingival graft to increase the width of the mandibular keratinized mucosa. Free gingival graft was obtained from the palate and grafted on the buccal side of interforaminal area. The follow-up of 02 and 12 months after mucogingival surgery showed that the free gingival graft promoted peri-implant health, hygiene, and patient comfort. . The free gingival graft is an effective treatment in increasing the width of mandibular keratinized mucosa on the buccal side of the interforaminal area and provided an improvement in maintaining the health of peri-implant tissues which allows for better oral hygiene.

摘要

角化不足的组织可通过游离龈瓣移植术手术增加。种植体周围角化黏膜的存在或重建有助于修复过程，并能让患者维持口腔卫生习惯而不产生刺激或不适。本临床病例报告的目的是描述一名无牙患者在孔间区域缺乏角化黏膜的口腔修复程序，使用与下颌固定种植体支持的假体相关的游离龈瓣移植。治疗包括制作上颌全口义齿和下颌固定种植体支持的假体，随后进行游离龈瓣移植以增加下颌角化黏膜的宽度。游离龈瓣取自腭部并移植到孔间区域的颊侧。黏膜牙龈手术后2个月和12个月的随访表明，游离龈瓣促进了种植体周围的健康、卫生和患者舒适度。游离龈瓣移植术是增加孔间区域颊侧下颌角化黏膜宽度的有效治疗方法，并在维持种植体周围组织健康方面有所改善，从而实现更好的口腔卫生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/a70ac8fce241/CRID2017-5796768.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/cc448b1d5c20/CRID2017-5796768.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/79e520a8e19e/CRID2017-5796768.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/667ea1e56c90/CRID2017-5796768.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/358e5f3a84ab/CRID2017-5796768.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/9a9d2559de77/CRID2017-5796768.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/5899e7703d9f/CRID2017-5796768.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/5cd4c91333fe/CRID2017-5796768.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/a70ac8fce241/CRID2017-5796768.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/cc448b1d5c20/CRID2017-5796768.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/79e520a8e19e/CRID2017-5796768.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/667ea1e56c90/CRID2017-5796768.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/358e5f3a84ab/CRID2017-5796768.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/9a9d2559de77/CRID2017-5796768.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/5899e7703d9f/CRID2017-5796768.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/5cd4c91333fe/CRID2017-5796768.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7489/5331288/a70ac8fce241/CRID2017-5796768.008.jpg

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