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改良前庭切口骨膜下隧道入路(m-VISTA)技术治疗多个 Miller Ⅲ类牙龈退缩的临床效果:一项病例系列研究。

Description of the modified vestibular incision subperiosteal tunnel access (m-VISTA) technique in the treatment of multiple Miller class III gingival recessions: a case series.

机构信息

Department of Stomatology II, University of the Basque Country (UPV/EHU), UPV/EHU. Barrio Sarriena S/N, 48940, Leioa, Biscay, Spain.

Department of Nursing I, University of the Basque Country (UPV/EHU), Leioa, Biscay, Spain.

出版信息

BMC Oral Health. 2021 Mar 20;21(1):142. doi: 10.1186/s12903-021-01511-5.

DOI:10.1186/s12903-021-01511-5
PMID:33743644
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7981913/
Abstract

BACKGROUND

Gingival recession is a common finding in the adult population. It is considered a challenge for clinicians to obtain a complete root coverage of Miller class III recession. The aim of this case series was to assess the outcomes achieved with the use of modified VISTA technique (m-VISTA) in patients having multiple Miller class III recessions after 6 months.

METHODS

Ten patients (six women and four men; mean age: 53 years), who showed multiple Miller class III recessions (depth ≥ 2 mm) and who met the established inclusion and exclusion criteria, were treated by postgraduate students with the use of m-VISTA technique.

RESULTS

A total of 38 recessions were performed. The recessions were mainly located in the mandible (80%), which included six molars. The mean baseline recession was 3.12 mm. Post the intervention, a mean root coverage of 58.72% was achieved, with complete root coverage observed in 29% of the recessions.

CONCLUSIONS

m-VISTA may offer several advantages in the treatment of Miller class III gingival recession. Nevertheless, more clinical trials with a longer follow-up period are needed to arrive at a concrete conclusion about its advantages.

TRIAL REGISTRATION

NCT03258996. Data registration: 08/18/2017.

摘要

背景

牙龈退缩是成年人中常见的现象。对于临床医生来说,获得米勒 III 类牙龈退缩的完全根覆盖是一项挑战。本病例系列的目的是评估改良 VISTA 技术(m-VISTA)在 6 个月后出现多个米勒 III 类牙龈退缩的患者中获得的结果。

方法

10 名患者(6 名女性和 4 名男性;平均年龄:53 岁)表现出多个米勒 III 类牙龈退缩(深度≥2mm),并符合既定的纳入和排除标准,由研究生使用 m-VISTA 技术进行治疗。

结果

共进行了 38 次退缩治疗。退缩主要位于下颌(80%),其中包括 6 颗磨牙。基线时平均退缩深度为 3.12mm。干预后,平均根覆盖达到 58.72%,29%的退缩观察到完全根覆盖。

结论

m-VISTA 可能在治疗米勒 III 类牙龈退缩方面具有多项优势。然而,需要更多具有更长随访期的临床试验来得出关于其优势的具体结论。

试验注册号

NCT03258996。数据注册:2017 年 8 月 18 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/08cc8bf37ce0/12903_2021_1511_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/07d7fd641c64/12903_2021_1511_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/24320f231037/12903_2021_1511_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/08cc8bf37ce0/12903_2021_1511_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/07d7fd641c64/12903_2021_1511_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/24320f231037/12903_2021_1511_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/04fc/7981913/08cc8bf37ce0/12903_2021_1511_Fig3_HTML.jpg

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