Martelloni Mario, Boccaletto Pietro, Montagner Giulia, Trojan Diletta, Abate Roberta
Private Dental Practice, Via Genzano 191, 00179 Roma, Italy.
Fondazione Banca dei Tessuti di Treviso Onlus, Piazzale Ospedale 1, 31100 Treviso, Italy.
Case Rep Dent. 2020 Aug 26;2020:7827092. doi: 10.1155/2020/7827092. eCollection 2020.
Gingival recessions are usually treated with surgical therapies which involve the use of connective tissue autograft in order to thicken the gingival tissue. This has an important biological repercussion on patients since they will have surgical wounds in two different oral cavity sites. In this case report, we offer an alternative technique for the treatment of a Miller class I gingival recession. A 40-year-old female patient has been treated with a combination of bilaminar and coronally advance flap techniques to cover a Miller class I gingival recession with addition of cryopreserved human amniotic membrane. The human amniotic membrane has been employed to thicken the keratinized tissue. The human amniotic membrane in combination with bilaminar and coronally advance flap techniques has produced aesthetically and functionally satisfying results, covering completely the gingival recession and restoring the natural colour and thickness of the gingiva. Bilaminar technique with coronally advanced flap and cryopreserved human amniotic membrane is a valid alternative in treating Miller class I and II gingival recessions and reduce the biological morbidity of a double intervention.
牙龈退缩通常采用手术治疗,其中包括使用结缔组织自体移植来增厚牙龈组织。这对患者有重要的生物学影响,因为他们将在口腔的两个不同部位留下手术伤口。在本病例报告中,我们提供了一种治疗米勒I类牙龈退缩的替代技术。一名40岁女性患者采用双层和冠向推进瓣技术相结合的方法,覆盖米勒I类牙龈退缩,并添加了冷冻保存的人羊膜。人羊膜已被用于增厚角化组织。人羊膜与双层和冠向推进瓣技术相结合产生了美观和功能上令人满意的结果,完全覆盖了牙龈退缩并恢复了牙龈的自然颜色和厚度。双层技术结合冠向推进瓣和冷冻保存的人羊膜是治疗米勒I类和II类牙龈退缩的有效替代方法,并降低了双重干预的生物学发病率。