Miller P D, Craddock R D
University of Tennessee, Memphis, USA.
Curr Opin Periodontol. 1996;3:103-8.
A review of the past year's literature on the coverage of exposed roots reveals that surgical advances have centered on the use of membranes for guided tissue regeneration as well as surgical ingenuity combining subepithelial connective tissue with previously described root coverage techniques. In this review, the articles are critiqued, and their clinical significance is discussed. Surgical correction of exposed roots has become a remarkably successful and predictable procedure with either connective tissue or guided tissue regeneration. In most cases, connective tissue grafting for root coverage should be preferred to guided tissue regeneration, and the use of epithelialized palatal tissue (free gingival graft) for root coverage is a dated procedure.
对过去一年有关暴露牙根覆盖的文献综述显示,外科进展主要集中在使用膜进行引导组织再生,以及将上皮下结缔组织与先前描述的牙根覆盖技术相结合的手术创新。在本综述中,对这些文章进行了批判,并讨论了它们的临床意义。无论是采用结缔组织还是引导组织再生,暴露牙根的外科矫正已成为一种非常成功且可预测的手术。在大多数情况下,牙根覆盖采用结缔组织移植应优于引导组织再生,而使用上皮化腭部组织(游离龈瓣移植)进行牙根覆盖是一种过时的手术方法。