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鲸尾技术:病例系列

Whale's tail technique: A case series.

作者信息

Mrunal Deshpande Milind, Jaypal Jarde Samiksha, Wilson Rohan Srinivasan, Chatterjee Anirban

机构信息

Department of Periodontics, The Oxford Dental College and Hospital, Bommanahalli, Bengaluru, Karnataka, India.

出版信息

J Indian Soc Periodontol. 2016 Jul-Aug;20(4):460-463. doi: 10.4103/0972-124X.188333.

DOI:10.4103/0972-124X.188333
PMID:28298831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5341324/
Abstract

The Whale's tail technique performed to obtain maximum interdental papilla fill in the anterior region after placement of bone grafts. This study aims to assess the clinical efficacy of this new technique. This report describes a series of three cases with a probing depth of 6-7 mm in the maxillary anterior teeth and their treatment with Whale's tail technique to obtain regeneration and maximum papilla preservation. The cases in this report showed a pocket depth reduction of 3-4mm and a clinical attachment gain of 3-4mm. The application of the "Whale's tail" flap leads to clinically significant improvement of hard and soft tissue conditions and allows regeneration of wide intrabony defects involving the maxillary anterior teeth with notable interdental diastemas, maintaining interproximal tissue to recreate a functional attachment with esthetic results.

摘要

在植入骨移植材料后,采用鲸尾技术以实现前牙区最大的牙间乳头填充。本研究旨在评估这项新技术的临床疗效。本报告描述了3例上颌前牙探诊深度为6 - 7mm的病例,以及采用鲸尾技术进行治疗以实现组织再生和最大程度保留乳头的情况。本报告中的病例显示牙周袋深度减少了3 - 4mm,临床附着获得了3 - 4mm。“鲸尾”瓣的应用在临床上显著改善了软硬组织状况,并能使涉及上颌前牙且伴有明显牙间间隙的宽大骨内缺损实现再生,维持邻间组织以重建功能性附着并获得美学效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/3deab72c80bd/JISP-20-460-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/8c098edfdb12/JISP-20-460-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/41fe661e4d8f/JISP-20-460-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/864292219a01/JISP-20-460-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/3f2c92ecb6d3/JISP-20-460-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/cb9f05450ce6/JISP-20-460-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/25001179d1fd/JISP-20-460-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/672d0165e333/JISP-20-460-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/c40f7798abc1/JISP-20-460-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/f95ef5d73d6a/JISP-20-460-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/0a75a75bd016/JISP-20-460-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/0a92d56fce53/JISP-20-460-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/7e0186f988e6/JISP-20-460-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/ac3a7746c7ff/JISP-20-460-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/3deab72c80bd/JISP-20-460-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/8c098edfdb12/JISP-20-460-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/fdeb4ce5daf0/JISP-20-460-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/41fe661e4d8f/JISP-20-460-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/864292219a01/JISP-20-460-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/3f2c92ecb6d3/JISP-20-460-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/cb9f05450ce6/JISP-20-460-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/25001179d1fd/JISP-20-460-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/672d0165e333/JISP-20-460-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/c40f7798abc1/JISP-20-460-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/f95ef5d73d6a/JISP-20-460-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/0a75a75bd016/JISP-20-460-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/0a92d56fce53/JISP-20-460-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/7e0186f988e6/JISP-20-460-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/ac3a7746c7ff/JISP-20-460-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ea/5341324/3deab72c80bd/JISP-20-460-g015.jpg

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A modified papilla preservation technique, 22 years later.22年后的一种改良乳头保留技术。
Quintessence Int. 2009 Apr;40(4):303-11.
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Flap design for guided tissue regeneration surgery in the esthetic zone: the "whale's tail" technique.美学区引导组织再生手术的瓣设计:“鲸尾”技术。
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