Department of Periodontology, School of Dentistry, Chosun University, Gwangju 61452, Republic of Korea.
Medicina (Kaunas). 2023 Oct 23;59(10):1884. doi: 10.3390/medicina59101884.
Various vestibuloplasty techniques have been reported to increase the attached mucosa (AM) and vestibular depth around dental implants. However, these surgical methods have disadvantages, such as limitations in manipulation, necessity of suturing, postoperative discomfort, swelling, and pain. This study aimed to evaluate the efficacy of laser-assisted periosteal fenestration (LA-PF) in treating patients with a shallow vestibule and insufficient AM around dental implants. LA-PF was performed using an Erbium YAG laser (Er:YAG laser). First, a partial-thickness, apically positioned flap was used. A horizontal periosteal fenestration was performed using an Er:YAG laser to expose the bones. Periosteal suturing was not required. After 12 months, sufficient AM and deep vestibules were obtained and maintained. Thus, the LA-PF technique may be a simple and predictable treatment modality for shallow vestibules with insufficient AM around dental implants.
各种前庭成形技术已被报道可增加附着黏膜（AM）和围绕牙种植体的前庭深度。然而，这些手术方法存在一些缺点，如操作受限、需要缝合、术后不适、肿胀和疼痛。本研究旨在评估激光辅助骨膜开窗术（LA-PF）治疗牙种植体周围浅前庭和 AM 不足患者的疗效。LA-PF 使用铒：YAG 激光（Er:YAG 激光）进行。首先，采用部分厚度、根尖定位瓣。使用 Er:YAG 激光进行水平骨膜开窗以暴露骨面。不需要进行骨膜缝合。12 个月后，获得并维持了足够的 AM 和深前庭。因此，LA-PF 技术可能是一种治疗牙种植体周围浅前庭和 AM 不足的简单且可预测的方法。
