Mahapatra Shikha, Suresh Snophia, Sudhakar Uma, Jean S Catherine, Manikandan Monisha
Periodontology, Thai Moogambigai Dental College and Hospital, Chennai, IND.
Periodontics, Thai Moogambigai Dental College and Hospital, Chennai, IND.
Cureus. 2024 Nov 20;16(11):e74114. doi: 10.7759/cureus.74114. eCollection 2024 Nov.
The epitome of periodontal plastic surgical procedures is to achieve coverage of the denuded root surface and flawless esthetics. Connective tissue graft (CTG) along with coronally advanced flap (CAF) is the most frequent approach, which is considered a gold standard remedy. The procurement of CTG requires a second surgical site morbidity. Mucograft and coronally advanced flap procedures are preferable alternative substitutes for root coverage. This case report included two patients with gingival recession. One patient was treated with CAF and CTG; the other was treated with CAF and mucograft. The vascularity was assessed with Doppler flowmetry on days three and five after surgery. The xenogeneic collagen matrix for the management of gingival recession resulted in a comparable amount of vascularization compared to autologous connective tissue graft.
牙周整形手术的精髓在于实现对裸露牙根表面的覆盖以及完美的美学效果。结缔组织移植（CTG）联合冠向推进瓣（CAF）是最常用的方法，被视为金标准治疗手段。获取CTG需要在第二个手术部位产生创伤。黏膜移植和冠向推进瓣手术是牙根覆盖的优选替代方法。本病例报告包含两名牙龈退缩患者。一名患者接受了CAF和CTG治疗；另一名患者接受了CAF和黏膜移植治疗。术后第三天和第五天使用多普勒血流仪评估血管化情况。与自体结缔组织移植相比，用于治疗牙龈退缩的异种胶原基质产生了相当数量的血管化。
