Dello Russo N M
J Periodontol. 1981 Apr;52(4):208-13. doi: 10.1902/jop.1981.52.4.208.
THE MAXILLARY anterior region presents a difficult and unique therapeutic challenge to both the periodontist and restorative dentist. Although access for surgical and prosthetic procedures is certainly easiest in this part of the mouth, the problem of esthetics, in terms of increased tooth length and loss of interdental papillae, creates an environment in which the clinician's therapeutic choices may either be severely limited or the result compromised. The two cases presented show how this area can be successfully treated using fiber retention procedures to eliminate pathologic periodontal pockets effectively while minimizing root exposure, loss of interdental papillae and root sensitivity. This type of procedure enables the clinician to provide the patient with an acceptable biologic, functional and esthetic result.
上颌前部区域给牙周病医生和修复牙医带来了困难且独特的治疗挑战。尽管在口腔的这一部分进行外科手术和修复操作的通路肯定是最容易的，但从牙齿长度增加和牙间乳头丧失方面来看，美学问题营造了一种环境，在这种环境中临床医生的治疗选择可能会受到严重限制，或者治疗结果会受到影响。所呈现的两个病例展示了如何使用纤维固位技术成功治疗该区域，从而有效消除病理性牙周袋，同时将牙根暴露、牙间乳头丧失和牙根敏感降至最低。这类操作能让临床医生为患者提供可接受的生物学、功能和美学效果。
