Murphy K G
Int J Periodontics Restorative Dent. 1996 Oct;16(5):463-77.
Guided tissue regeneration procedures often result in the loss of gingival tissue. This postoperative problem is associated with the treatment of interproximal periodontal defects. A surgical technique is presented which preserves the interproximal tissue, facilitating primary and sustained coverage of the guided tissue regeneration barrier. Twelve interproximal defects were treated with this technique using Gore-Tex Periodontal Material. The Gore-Tex Periodontal Material remained in place for 4 months. The sites were reentered at 1 year and clinical parameters were recorded. At 4 months, 11 of 12 sites demonstrated no exposure of the Gore-Tex Periodontal Material. Mean gain in bone fill was 95%, and three sites demonstrated supracrestal bone deposition. Only 0.58 mm of gingival recession occurred. This study suggests that with ideal gingival flap management, enhanced regenerative and esthetic results can be achieved.
引导组织再生术常常会导致牙龈组织丧失。这个术后问题与邻面牙周缺损的治疗相关。本文介绍了一种手术技术，该技术可保留邻面组织，有利于引导组织再生屏障的初期和持续覆盖。使用戈尔特斯牙周材料，采用该技术治疗了12个邻面缺损。戈尔特斯牙周材料在位4个月。1年后再次进入这些部位并记录临床参数。4个月时，12个部位中有11个未出现戈尔特斯牙周材料暴露。骨填充的平均增加量为95%，3个部位出现龈上骨沉积。仅发生了0.58毫米的牙龈退缩。本研究表明，通过理想的牙龈瓣处理，可以获得更好的再生和美学效果。
