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富血小板纤维蛋白和去上皮化游离龈瓣移植治疗牙龈退缩的疗效。

Effectiveness of Plasma-Rich Fibrin and De-Epithelialized Free Gingival Graft in the Treatment of Gingival Recessions.

机构信息

Dental Clinic, Military Medical Academy, University of Defence, 11040 Belgrade, Serbia.

Department of Dentistry, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.

出版信息

Medicina (Kaunas). 2023 Feb 23;59(3):447. doi: 10.3390/medicina59030447.

Abstract

: Soft tissue dehiscences such as gingival recessions are a very common problem that we face in modern periodontics. This clinical study aimed to analyze the effectiveness of surgical procedures using a de-epithelialized gingival graft (DGG) combined with a coronally advanced flap and to evaluate the application of plasma-rich fibrin (PRF). : The study included 40 teeth (20 patients) with Miller class I and II gingival recessions. Twenty recessions (20 patients) were treated utilizing the de-epithelialized gingival graft in combination with the coronally advanced flap, and on the opposite side of the jaw, the same number of recessions were treated utilizing plasma-rich fibrin combined with the coronally advanced flap. To evaluate tissue condition and the clinical parameters before and after the surgical procedure, the following parameters were used: the degree of epithelial attachment (DEA), the width of keratinized gingiva (WKG), and the vertical depth of recession (VDR). : based on the achieved results and the analysis of clinical parameters, a statistically significant reduction in the vertical depth of recession was proven in both groups, with very similar mean percentages of root coverage, with the difference being that the stability of the soft tissues of the treated region was more visible in the DGG. : using modern surgical procedures allows the regeneration of not only the soft tissues but also deeper periodontal tissues.

摘要

软组织裂开,如牙龈退缩,是我们在现代牙周病学中经常面临的一个非常普遍的问题。本临床研究旨在分析使用去上皮化牙龈移植物(DGG)联合冠向推进瓣手术的有效性,并评估富血小板纤维蛋白(PRF)的应用。

该研究纳入了 40 颗(20 名患者)具有 Miller 分类 I 级和 II 级牙龈退缩的牙齿。20 个退缩(20 名患者)采用去上皮化牙龈移植物联合冠向推进瓣进行治疗,而在对侧下颌骨上,同样数量的退缩则采用富血小板纤维蛋白联合冠向推进瓣进行治疗。为了评估手术前后的组织状况和临床参数,使用了以下参数:上皮附着程度(DEA)、角化龈宽度(WKG)和牙龈退缩的垂直深度(VDR)。

基于所获得的结果和临床参数的分析,两组的牙龈退缩垂直深度均有统计学显著降低,根覆盖率的平均百分比非常相似,不同之处在于 DGG 中治疗区域的软组织稳定性更为明显。

使用现代手术程序不仅可以使软组织再生,还可以使深层牙周组织再生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a6a/10052141/ff44fa07446c/medicina-59-00447-g001a.jpg

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