Department of Therapeutic Stomatology, Institute of Dentistry, IM. Sechenov First Moscow State Medical University, Moscow, Russian Federation, Phone: +39 063721645, e-mail:
Department of Dental Surgery, Sechenov First Moscow State Medical University, Moscow, Russian Federation.
J Contemp Dent Pract. 2021 May 1;22(5):568-571.
To present the healing, development, and long-term clinical results after a combined gingival-bone graft as an alternative treatment for the management of critical extraction sites in the esthetic zone.
To enhance the knowledge of soft and hard tissue remodeling, in this case report, we observed the healing, development, and long-term clinical results after a case of a combined gingival-bone graft as an alternative treatment for the management of critical extraction sites.
Autogenous grafts of gingival and bone tissue were placed in a 56-year-old female patient, where a hopeless upper left central incisor with an evident loss of both the buccal and the palatal bony plates and with endodontic problems was due for extraction. In order to obtain enough autogenous tissue for filling the defect, a cylindrical free gingival and bone graft was retrieved from the retromolar area with a trephine drill, to obtain hard and soft tissues for grafting the postextraction defect. After 6 months, following soft tissue maturation and once esthetic and natural gingival contours were achieved, the surgical site was prosthetically restored with a porcelain fused to a metal bridge and scheduled for regular follow-up.
No complications were observed either from the donor site or from the recipient site. The post-treatment result was esthetically pleasing, based upon successful architectural stability of both hard and soft tissues. Although more studies are needed to confirm the beneficial use of this approach, the procedure can be considered a viable option in the management of soft and hard tissue remodeling in esthetically compromised cases.
The gingival-bone graft may be considered as an alternative treatment for the management of critical extraction sites in the esthetic area. How to cite this article: Signore A, Stepanov M, Angelis ND, Free Gingival-Bone Graft in the Anterior Maxilla: A Clinical Case Report. J Contemp Dent Pract 2021;22(5):568-571.
介绍一种联合牙龈-骨移植的治疗方法，作为在美学区域处理临界拔牙部位的替代治疗方法，以展示其愈合、发育和长期临床效果。
为了增强对软组织和硬组织重塑的认识，在本病例报告中，我们观察了一例联合牙龈-骨移植作为治疗临界拔牙部位的替代方法的愈合、发育和长期临床效果。
一名 56 岁女性患者的左上中切牙因牙周病导致无法保留，颊侧和腭侧骨板均明显缺失，且有牙髓问题，需要拔牙。为了获得足够的自体组织来填充缺损，我们使用环钻从磨牙后区获取了牙龈和骨组织的自体移植物，以获得用于移植拔牙后缺损的软硬组织。6 个月后，在软组织成熟后，一旦达到美观和自然的牙龈轮廓，就用烤瓷熔附金属桥对手术部位进行修复，并定期进行随访。
供区和受区均未观察到并发症。治疗后的结果美观，软硬组织的结构稳定性良好。尽管需要更多的研究来证实这种方法的有益性，但该手术可被视为在美学上有缺陷的病例中进行软硬组织重塑的可行选择。
牙龈-骨移植可被视为在美学区域处理临界拔牙部位的替代治疗方法。
