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使用富含高级血小板纤维蛋白作为腭部绷带进行单颗牙牙龈退缩的游离龈移植术:12个月随访

Free Gingival Grafting of Single Tooth Recession with Advanced-Platelet-Rich Fibrin as a Palatal Bandage: A 12-Month Follow-Up.

作者信息

Rath Avita, Zheng Melissa Wong Li, Fernandes Bennete, Priyadarshini H R

机构信息

Faculty of Dentistry, SEGi University, Selangor, Malaysia.

出版信息

Contemp Clin Dent. 2022 Apr-Jun;13(2):189-193. doi: 10.4103/ccd.ccd_889_20. Epub 2022 Jun 21.

Abstract

Although techniques such as subepithelial connective tissue graft are now widely used for root coverage procedures, free gingival graft (FGG) continues to be a common mucogingival procedure used to increase keratinized tissue dimensions. However, the palatal donor site heals with secondary intention and requires a longer healing time causing more discomfort and pain to the patient. A healthy 22-year-old female patient presented with Miller's class II recession in relation to the tooth 31 with high frenal attachment and a shallow vestibule, which was treated using FGG, and the donor site was bandaged with advanced-platelet-rich fibrin (A-PRF). This report evaluates the healing of the donor site over a 12-month period and assesses the root coverage as well as the postoperative discomfort after the harvesting of graft. In terms of healing, the use of A-PRF membrane as a palatal bandage appears to accelerate healing at the donor site, thereby reducing postoperative complications.

摘要

尽管诸如上皮下结缔组织移植等技术如今已广泛应用于牙根覆盖手术,但游离龈瓣移植术(FGG)仍是一种常用的黏膜牙龈手术,用于增加角化组织的尺寸。然而,腭部供区通过二期愈合,愈合时间较长,给患者带来更多不适和疼痛。一名22岁健康女性患者,31号牙出现米勒二类牙龈退缩,系带附着位置高且前庭浅,采用游离龈瓣移植术进行治疗,供区用富含血小板的纤维蛋白(A-PRF)进行包扎。本报告评估了供区在12个月内的愈合情况,并评估了移植术后的牙根覆盖情况以及供区取材后的术后不适。在愈合方面,使用A-PRF膜作为腭部包扎似乎能加速供区愈合,从而减少术后并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e5c/9285842/17d556cc9786/CCD-13-189-g001.jpg

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