Kareem Nashra, Mahendra Jaideep, Kumar Kanakamedala Anil
Department of Periodontology, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
J Indian Soc Periodontol. 2018 Jan-Feb;22(1):73-77. doi: 10.4103/jisp.jisp_275_17.
Several surgical techniques including pedicle flaps and free soft-tissue grafts have been indicated for the treatment of gingival recession defects with different success rates. Localized gingival recessions can be managed with various root coverage procedures, more specifically, using the coronally advanced flap with distinct designs. Predictable and consistent periodontal plastic surgical results can be achieved by using microsurgical instruments. Periodontal microsurgery involves the use of magnifying devices, microsurgical instruments, and materials in existing basic surgical techniques. It offers definitive advantages in terms of predictability, postoperative morbidity, and patient approval. This case report aims at comparing the modified approach with a triangular type of coronally advanced flap, using conventional and microsurgical approach, for treating bilateral isolated Miller's class I defect in both the maxillary canines by a split-mouth design.
包括带蒂皮瓣和游离软组织移植在内的几种外科技术已被用于治疗牙龈退缩缺损，成功率各不相同。局限性牙龈退缩可通过各种根面覆盖手术来处理，更具体地说，是使用具有不同设计的冠向推进瓣。使用显微外科器械可以获得可预测且一致的牙周整形手术效果。牙周显微外科手术是在现有的基本外科技术中使用放大设备、显微外科器械和材料。它在可预测性、术后发病率和患者认可度方面具有明显优势。本病例报告旨在通过双侧对照设计，比较改良的三角形冠向推进瓣方法与传统及显微外科方法治疗双侧上颌尖牙孤立性米勒I类缺损的效果。
