• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

采用两阶段游离龈瓣移植术治疗角化龈不足及米勒III或IV类牙龈退缩

Management of inadequate keratinized gingiva and millers class III or IV gingival recession using two-stage free gingival graft procedure.

作者信息

Dias Jacqueline Jacinta, Panwar Mohinder, Kosala Manab

机构信息

Department of Dental Surgery and Oral Health Sciences, AFMC, Pune, Maharashtra, India.

出版信息

J Indian Soc Periodontol. 2020 Nov-Dec;24(6):554-559. doi: 10.4103/jisp.jisp_531_19. Epub 2020 Nov 14.

DOI:10.4103/jisp.jisp_531_19
PMID:33424173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7781245/
Abstract

BACKGROUND

Prognosis in the management of Millers Class III or IV gingival recession is often fair to poor, which is further decreased by factors such as inadequate keratinized gingiva. Very few modalities show long-term success in the management of gingival recession with inadequate keratinized gingiva, free gingival graft (FGG) being one such technique.

MATERIALS AND METHODS

Ten individuals with Millers Class III or IV recession and inadequate keratinized gingiva were recruited for the study. The first surgical procedure involved the FGG procedure to increase the width of keratinized gingiva (WOKG). Patients were recalled after 3 months for the second surgical procedure, where the flap was coronally advanced. They were recalled 9 months after the second surgery. WOKG was examined at baseline and 3 months (before the second surgical procedure). Recession depth (RD) and clinical attachment level (CAL) was examined at baseline, at 3 months (before the second surgical procedure) and at 12 months (9 months after the second surgical procedure). The percentage of root coverage was measured at 12 months from baseline.

RESULTS

Significant increase in WOKG was seen at 3 months. Significant decrease in RD and CAL was observed at 12 months from baseline. The percentage of root coverage was 76.4%.

CONCLUSION

Two-stage FGG procedure can be a successful modality in the management of Millers Class III or IV recession with inadequate keratinized gingiva. This technique improves the prognosis of such compromised cases.

摘要

背景

米勒氏III级或IV级牙龈退缩的治疗预后通常为一般至较差，而诸如角化龈不足等因素会使其进一步恶化。在治疗角化龈不足的牙龈退缩方面，很少有方法能取得长期成功，游离龈瓣移植术（FGG）就是其中一种技术。

材料与方法

招募了10名患有米勒氏III级或IV级退缩且角化龈不足的个体参与研究。首次外科手术采用FGG手术以增加角化龈宽度（WOKG）。3个月后对患者进行复诊以进行第二次外科手术，即瓣向冠方推进。在第二次手术后9个月对他们进行复诊。在基线时以及3个月时（第二次外科手术前）检查WOKG。在基线时、3个月时（第二次外科手术前）以及12个月时（第二次外科手术后9个月）检查退缩深度（RD）和临床附着水平（CAL）。从基线开始在12个月时测量牙根覆盖百分比。

结果

在3个月时可见WOKG显著增加。在基线后12个月时观察到RD和CAL显著降低。牙根覆盖百分比为76.4%。

结论

两阶段FGG手术可以是治疗角化龈不足的米勒氏III级或IV级退缩的一种成功方法。该技术改善了此类复杂病例的预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/2db09cc0b55c/JISP-24-554-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/5a4514f793d6/JISP-24-554-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/b94e4900ab47/JISP-24-554-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/191a1c714d74/JISP-24-554-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/f8c9b6ba93e8/JISP-24-554-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/96989aad9934/JISP-24-554-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/48029c74ea6d/JISP-24-554-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/31263388bcfe/JISP-24-554-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/d3055302024e/JISP-24-554-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/3ffc2e7d744b/JISP-24-554-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/e239cca546ea/JISP-24-554-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/5a6448dec2af/JISP-24-554-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/41d3a357a142/JISP-24-554-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/2647c966e06e/JISP-24-554-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/101d656d894e/JISP-24-554-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/811adfcf2ad1/JISP-24-554-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/47d1bd439e0a/JISP-24-554-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/2db09cc0b55c/JISP-24-554-g017.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/5a4514f793d6/JISP-24-554-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/b94e4900ab47/JISP-24-554-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/191a1c714d74/JISP-24-554-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/f8c9b6ba93e8/JISP-24-554-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/96989aad9934/JISP-24-554-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/48029c74ea6d/JISP-24-554-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/31263388bcfe/JISP-24-554-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/d3055302024e/JISP-24-554-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/3ffc2e7d744b/JISP-24-554-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/e239cca546ea/JISP-24-554-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/5a6448dec2af/JISP-24-554-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/41d3a357a142/JISP-24-554-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/2647c966e06e/JISP-24-554-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/101d656d894e/JISP-24-554-g014.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/811adfcf2ad1/JISP-24-554-g015.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/47d1bd439e0a/JISP-24-554-g016.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6070/7781245/2db09cc0b55c/JISP-24-554-g017.jpg

相似文献

1
Management of inadequate keratinized gingiva and millers class III or IV gingival recession using two-stage free gingival graft procedure.采用两阶段游离龈瓣移植术治疗角化龈不足及米勒III或IV类牙龈退缩
J Indian Soc Periodontol. 2020 Nov-Dec;24(6):554-559. doi: 10.4103/jisp.jisp_531_19. Epub 2020 Nov 14.
2
Effect of botulinum toxin-A injection applied to the mentalis muscle on free gingival graft operation: A retrospective study.肉毒毒素 A 注射于降眉间肌对游离龈移植术的影响：一项回顾性研究。
J Esthet Restor Dent. 2024 Feb;36(2):335-345. doi: 10.1111/jerd.13110. Epub 2023 Jul 21.
3
Root coverage in class I gingival recession defects, combining rotated papillary pedicle graft and coronally repositioned flap, using a micro surgical approach: A clinical evaluation.I类牙龈退缩缺损的根面覆盖，采用显微外科手术方法联合旋转乳头蒂瓣和冠向复位瓣：一项临床评估。
J Indian Soc Periodontol. 2009 Jan;13(1):21-6. doi: 10.4103/0972-124X.51890.
4
Comparison of the effectiveness of Gingival unit transfer and free Gingival graft in the management of localized Gingival recession - A systematic review.牙龈单位转移术与游离牙龈移植术治疗局限性牙龈退缩效果的比较——一项系统评价
J Oral Biol Craniofac Res. 2023 Mar-Apr;13(2):130-137. doi: 10.1016/j.jobcr.2022.11.007. Epub 2022 Dec 8.
5
Modified two-stage procedures for the treatment of gingival recession.改良两阶段手术治疗牙龈退缩
Eur J Esthet Dent. 2013 Spring;8(1):24-42.
6
Comparative Evaluation of Coronally Advanced Flap with and without Bioactive Glass Putty in the Management of Gingival Recession Defects: A Randomized Controlled Clinical Trial.含与不含生物活性玻璃油灰的冠向推进瓣治疗牙龈退缩缺损的比较评价：一项随机对照临床试验
J Int Acad Periodontol. 2016 Jan 14;18(1):7-15.
7
Root coverage using subepithelial connective tissue graft with platelet-rich plasma in the treatment of gingival recession: A clinical study.使用富含血小板血浆的上皮下结缔组织移植治疗牙龈退缩的根面覆盖：一项临床研究。
J Pharm Bioallied Sci. 2015 Aug;7(Suppl 2):S530-8. doi: 10.4103/0975-7406.163530.
8
[Treatment of gingival recession with a coronally repositioned flap].[用冠向复位瓣治疗牙龈退缩]
J Parodontol. 1991 Sep;10(3):329-34.
9
Comparative assessment between bio-adhesive material and silk suture in regard to healing, clinical attachment level and width of keratinized gingiva in gingival recession defects cases.生物黏附材料与丝线缝合在牙龈退缩缺损病例中对愈合、临床附着水平和角化龈宽度的比较评估。
Sci Prog. 2021 Apr-Jun;104(2):368504211011868. doi: 10.1177/00368504211011868.
10
Assessment of Creeping Attachment after Free Gingival Graft in Treatment of Isolated Gingival Recession.游离龈瓣移植治疗孤立性牙龈退缩后爬行附着的评估
J Int Acad Periodontol. 2019 Jul 1;21(3):125-131.

引用本文的文献

1
Management of inadequate width of attached gingiva using mucograft.使用黏膜移植术治疗附着龈宽度不足
J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S358-S361. doi: 10.4103/japtr.japtr_169_22. Epub 2022 Nov 30.
2
Clinical comparison between different surgical techniques used to manage advanced gingival recession (Miller's class III & IV).用于治疗重度牙龈退缩（米勒III级和IV级）的不同手术技术的临床比较。
Heliyon. 2022 Aug 12;8(8):e10132. doi: 10.1016/j.heliyon.2022.e10132. eCollection 2022 Aug.

本文引用的文献

1
Periodontal Soft Tissue Root Coverage Procedures: Practical Applications From the AAP Regeneration Workshop.牙周软组织根面覆盖术：美国牙周病学会再生研讨会的实际应用
Clin Adv Periodontics. 2015 Feb;5(1):2-10. doi: 10.1902/cap.2015.140059.
2
Efficacy of free gingival graft in the treatment of Miller Class I and Class II localized gingival recessions: A systematic review.游离龈瓣移植术治疗Miller I类和II类局限性牙龈退缩的疗效：一项系统评价。
J Indian Soc Periodontol. 2019 Mar-Apr;23(2):93-99. doi: 10.4103/jisp.jisp_102_18.
3
Two-Stage Mucogingival Surgery with Free Gingival Autograft and Biomend Membrane and Coronally Advanced Flap in Treatment of Class III Millers Recession.
采用游离龈自体移植、生物膜和冠向复位瓣的两阶段膜龈手术治疗Ⅲ类米勒氏牙龈退缩
Case Rep Dent. 2016;2016:9289634. doi: 10.1155/2016/9289634. Epub 2016 Jul 25.
4
Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop.牙周软组织根面覆盖手术：来自美国牙周病学会再生研讨会的系统评价
J Periodontol. 2015 Feb;86(2 Suppl):S8-51. doi: 10.1902/jop.2015.130674.
5
Commentary: Treatment of periodontitis: effectively managing mucogingival defects.评论：牙周炎的治疗：有效管理牙龈黏膜缺损。
J Periodontol. 2014 Dec;85(12):1639-41. doi: 10.1902/jop.2014.140401.
6
Modified two-stage procedures for the treatment of gingival recession.改良两阶段手术治疗牙龈退缩
Eur J Esthet Dent. 2013 Spring;8(1):24-42.
7
Free gingival graft in the treatment of class III gingival recession.游离龈瓣移植术治疗Ⅲ度牙龈退缩
Indian J Dent Res. 2008 Jul-Sep;19(3):247-52. doi: 10.4103/0970-9290.42959.
8
Free gingival grafts to increase keratinized tissue: a retrospective long-term evaluation (10 to 25 years) of outcomes.游离龈瓣移植术增加角化组织：一项对结果的回顾性长期评估（10至25年）
J Periodontol. 2008 Apr;79(4):587-94. doi: 10.1902/jop.2008.070414.
9
The use of free gingival grafts for aesthetic purposes.游离龈瓣移植术在美学方面的应用。
Periodontol 2000. 2001;27:72-96. doi: 10.1034/j.1600-0757.2001.027001072.x.
10
The bilateral pedicle flap-tunnel technique: a new approach to cover connective tissue grafts.双侧蒂瓣隧道技术：一种覆盖结缔组织移植物的新方法。
Int J Periodontics Restorative Dent. 1999 Oct;19(5):471-9.