Kablan Fares Kamal
Department of Oral and Maxillofacial Surgery, The Galilee Medical Center, Nahariya, Israel.
Ann Maxillofac Surg. 2018 Jul-Dec;8(2):281-286. doi: 10.4103/ams.ams_149_18.
The occurrence of gingival recessions (GRs) is multifactorial, mainly due to trauma induced by traumatic toothbrushing, orthodontic tooth movement, as well as anatomical factors such as bone dehiscence, teeth malposition, and muscle pull. Fat tissue in the oral cavity is widely available and easily accessed. The use of pedicled buccal fat pad (BFP) graft is well known in maxillofacial surgery and has been shown promising results, becoming safe and effective graft for several clinical applications. However the use of fat tissue harvested from the buccal fat pad as a free graft (BFFP) is less common, but recently, it has been described by the author for different intraoral clinical applications. The aim of this study is to present additional application using the BFFG for coverage of severe muco-GRs and to discuss the promising outcomes of this procedure.
A technique for harvesting intraoral BFFG for the use in mucogingival surgery is presented. A total of 10 patients (age: 38.3 ± 6.8 years) with 17 teeth presenting severe GRs (4.8 ± 1.8 mm) were included in the study. Recessions treated using BFFGs were recorded at baseline and 12 months after surgery.
A total of 17 GRs were treated using BFFG. At 12 months, significant reduction of recession occurred. Initial recession was reduced from 4.8 ± 1.8 mm to 1.7 ± 0.9 mm. A mean of 3.1-mm reduction in GR was achieved compared to baseline.
The new, simple, technique for treatment of severe GRs using BFFG resulted in significant reduction of GRs.
牙龈退缩（GRs）的发生是多因素的，主要是由于创伤性刷牙、正畸牙齿移动引起的创伤，以及诸如骨缺损、牙齿错位和肌肉牵拉等解剖因素。口腔内脂肪组织广泛存在且易于获取。带蒂颊脂垫（BFP）移植在颌面外科手术中已广为人知，并已显示出有前景的结果，成为多种临床应用中安全有效的移植材料。然而，将从颊脂垫获取的脂肪组织作为游离移植（BFFP）使用的情况较少见，但最近作者已描述了其在不同口腔内临床应用中的情况。本研究的目的是介绍使用BFFG覆盖严重黏膜牙龈退缩（muco-GRs）的额外应用，并讨论该手术的良好结果。
介绍了一种用于黏膜牙龈手术的获取口腔内BFFG的技术。本研究共纳入10例患者（年龄：38.3±6.8岁），其17颗牙齿存在严重GRs（4.8±1.8毫米）。使用BFFG治疗的退缩情况在基线和术后12个月进行记录。
共使用BFFG治疗了17例GRs。在12个月时，退缩明显减少。初始退缩从4.8±1.8毫米减少至1.7±0.9毫米。与基线相比，GR平均减少了3.1毫米。
使用BFFG治疗严重GRs的新的、简单的技术导致GRs明显减少。
