Feuillet Damien, Keller Jean-François, Agossa Kevimy
Int J Periodontics Restorative Dent. 2018 Nov/Dec;38(6):833-839. doi: 10.11607/prd.3549.
Interdental papilla reconstruction is one of the most challenging clinical procedures in periodontal plastic surgery. Several surgical approaches have been proposed but have varying degrees of success. It has long been acknowledged that the narrowness of the interdental papilla and the limited blood supply are major impediments to achieving predictable outcomes. Advances in microsurgery could offer an opportunity to overcome these anatomic and biologic barriers. The authors propose an original microsurgical technique based on interproximal tunneling combined with utilization of a customized tissue graft for interdental papilla reconstruction.
牙间乳头重建是牙周整形手术中最具挑战性的临床操作之一。已经提出了几种手术方法，但成功率各不相同。长期以来，人们一直认为牙间乳头狭窄和血供有限是实现可预测结果的主要障碍。显微外科手术的进展可能为克服这些解剖学和生物学障碍提供机会。作者提出了一种基于邻面隧道技术并结合使用定制组织移植物进行牙间乳头重建的原创显微外科技术。
