Chacón Ramírez Gerardo José, Tavelli Lorenzo, Barootchi Shayan, Wang Hom-Lay
Private practice, Medellin, Colombia.
Department of Periodontics & Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI, USA.
Clin Adv Periodontics. 2021 Sep;11(3):129-133. doi: 10.1002/cap.10134. Epub 2020 Dec 3.
In periodontal and peri-implant plastic procedures, proper stabilization of the graft and the flap plays a crucial role in the outcomes. While the coronally advanced flap allows for better access with the possibility of suturing the graft to the periosteum and the de-epithelialized papillae, there is little evidence regarding what is the best approach in stabilizing the graft and the flap when performing the tunnel techniques (TUN). The purpose of this technical note is to describe a new suturing technique "V-reverse" for stabilization of the graft and the flap during a TUN procedure.
The V-reverse suturing technique was used to enhance the stabilization of the graft and the flap during root coverage procedures, papilla augmentation, and immediate implant placement. Other advantages of this technique include reduced flap and graft micromotion; simple, easy, and fast procedure; and high patient compliance.
The present article describes three main clinical scenarios in which V-reverse suturing technique is used to stabilize TUN + connective tissue graft for root coverage procedures, papilla augmentation, and immediate implant placement.
在牙周和种植体周围整形手术中，移植物和瓣的适当固定对手术效果起着关键作用。虽然冠向推进瓣能提供更好的操作空间，使移植物有可能缝合到骨膜和去上皮乳头，但在进行隧道技术（TUN）时，关于稳定移植物和瓣的最佳方法的证据很少。本技术说明的目的是描述一种新的缝合技术“V形反向缝合”，用于在TUN手术中稳定移植物和瓣。
V形反向缝合技术用于在根面覆盖手术、乳头增大术和即刻种植体植入过程中增强移植物和瓣的稳定性。该技术的其他优点包括减少瓣和移植物的微动；操作简单、容易且快速；以及患者依从性高。
本文描述了三种主要临床场景，其中V形反向缝合技术用于稳定TUN +结缔组织移植物，用于根面覆盖手术、乳头增大术和即刻种植体植入。
