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以自体移植方式使用骨膜治疗孤立性牙龈退缩的病例报告

Periosteum for Root Coverage in an Isolated Gingival Recession as an Autogenous Graft: A Case Report.

作者信息

S Mohanasatheesh, Sayan Dheraj, Mari Ranjith, Balaji Anitha, Valiathan Mohan

机构信息

Periodontics, Sree Balaji Dental College and Hospital, Chennai, IND.

Periodontics, Sree Balaji Dental College and Hospital, chennai, IND.

出版信息

Cureus. 2024 May 13;16(5):e60207. doi: 10.7759/cureus.60207. eCollection 2024 May.

Abstract

In periodontal care, where patient results are crucial in guiding the development of surgical techniques, gingival recession management is a critical issue. The periosteum eversion technique (PET) emerges as a modern strategy that leverages the intrinsic regenerative capabilities of the periosteum to attain root coverage. A detailed case study showcases the effectiveness of PET in managing a Miller Class I gingival recession alongside an adjunctive platelet-rich fibrin (PRF) procedure. This approach entailed the deliberate elevation and eversion of the periosteal flap to encompass the recession area, securing it meticulously through suturing. Across a six-month observation period, this method exhibited successful root coverage, augmentation of keratinized tissue, and enhanced patient comfort, as reported, with no significant complications observed. These outcomes provide support for the incorporation of PET into standard periodontal protocols, underscoring its capacity to reshape the treatment landscape for gingival recession.

摘要

在牙周护理中,患者的治疗效果对于指导手术技术的发展至关重要,牙龈退缩的管理是一个关键问题。骨膜翻转技术(PET)作为一种现代策略应运而生,它利用骨膜的内在再生能力来实现牙根覆盖。一项详细的病例研究展示了PET联合富血小板纤维蛋白(PRF)辅助手术在治疗米勒I类牙龈退缩中的有效性。该方法包括有意抬高并翻转骨膜瓣以覆盖退缩区域,并通过缝合进行精细固定。据报道,在为期六个月的观察期内,该方法实现了成功的牙根覆盖、角化组织增加以及患者舒适度提高,且未观察到明显并发症。这些结果支持将PET纳入标准牙周治疗方案,突显了其重塑牙龈退缩治疗格局的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b5/11168571/200116018e2b/cureus-0016-00000060207-i01.jpg

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