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部分去上皮游离龈瓣移植术治疗舌侧牙龈退缩

Partly Deepithelialized Free Gingival Graft for Treatment of Lingual Recession.

作者信息

Kinaia Bassam M, Kazerani Shahrdad, Hsu Yung-Ting, Neely Anthony L

机构信息

Division of Graduate Periodontics, University of Detroit Mercy School of Dentistry, Detroit, MI.

Private practice, Sterling Heights, MI.

出版信息

Clin Adv Periodontics. 2019 Dec;9(4):160-165. doi: 10.1002/cap.10062. Epub 2019 Apr 22.

DOI:10.1002/cap.10062
PMID:31496115
Abstract

INTRODUCTION

Gingival recession (GR) is an unhealthy root exposure that could result in sensitivity, abrasion, root caries and higher chance of plaque collection. The prevalence of GR is higher on the facial surfaces but could also affect the lingual tooth surfaces. Despite the etiology and location of GR, treatment is warranted to improve the long-term periodontal stability around the affected teeth. This case report describes the use of partly deepithelialized free gingival graft (PE-FGG) to augment lingual GR post orthodontic treatment.

CASE PRESENTATION

The current report evaluates the results of PG-FGG to correct lingual recession in a 21-year-old female. The patient presented with 5 mm lingual recession on a previously orthodontically rotated tooth (#21). The recession was treated using a PE-FGG to increase keratinized gingiva (KG) and reduce root exposure. Follow-up at 24 months showed adequate root coverage and KG.

CONCLUSION

The use of PE-FGG can be used to enhance KG for lingual recession with adequate root coverage.

摘要

引言

牙龈退缩(GR)是一种不健康的牙根暴露,可导致牙齿敏感、磨损、根面龋以及菌斑堆积几率增加。GR在牙面的患病率较高,但也可能影响舌侧牙面。无论GR的病因和位置如何,都有必要进行治疗以改善患牙周围的长期牙周稳定性。本病例报告描述了使用部分去上皮游离龈瓣移植术(PE-FGG)增加正畸治疗后舌侧牙龈退缩的情况。

病例报告

本报告评估了PG-FGG矫正一名21岁女性舌侧牙龈退缩的效果。该患者在一颗先前正畸旋转的牙齿(#21)上出现了5毫米的舌侧牙龈退缩。采用PE-FGG治疗该退缩,以增加角化龈(KG)并减少牙根暴露。24个月的随访显示牙根覆盖和KG充足。

结论

PE-FGG可用于增加舌侧牙龈退缩的KG,并实现充足的牙根覆盖。

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