Ho Feng-Chuan
Int J Esthet Dent. 2020;15(1):56-67.
Harvesting good-quality connective tissue grafts (CTGs) is important in periodontal surgery. Compared with CTGs, free gingival grafts (FGGs) have a slower healing process and higher donor site morbidity. As far as graft quality and anatomic limitations are concerned, deepithelialized free gingival grafts (DE-FGGs) are superior to CTGs. In the current study, a modified combined approach is proposed that aims to address the disadvantages of conventional FGG harvesting methods. This approach entails harvesting a thin and narrow DE-FGG, repositioning the epithelial layer, and applying a plastic stent. The outcomes of this improved method indicate fast healing at the donor sites, fewer postoperative complications, and better esthetic results at the recipient sites.
获取高质量的结缔组织移植物(CTG)在牙周手术中很重要。与CTG相比,游离龈瓣移植(FGG)的愈合过程较慢,供区发病率较高。就移植物质量和解剖学限制而言,去上皮游离龈瓣移植(DE-FGG)优于CTG。在本研究中,提出了一种改良的联合方法,旨在解决传统FGG获取方法的缺点。该方法包括获取薄而窄的DE-FGG,重新定位上皮层,并应用塑料支架。这种改进方法的结果表明,供区愈合快,术后并发症少,受区美学效果更好。