摘要
龈乳头形态在口腔软组织美观方面扮演着重要的角色,龈乳头退缩会形成视觉可见的黑三角,引起美观缺陷、发音障碍和食物嵌塞等一系列问题,甚至会危害到牙周组织的健康。龈乳头重建是解决黑三角的有效方法,然而现在治疗缺失或有缺陷的龈乳头的各种方法并不是很成熟,在美学区域重建牙间乳头是最困难和最具有挑战性的牙周治疗。本文通过回顾以往文献,总结出影响龈乳头外形的因素,它包含接触点到牙槽嵴顶之间的距离、根间距、根间分离角、牙间距、邻间隙形态、牙冠外形、牙龈生物型等,本文同时对龈乳头高度丧失的分类和重建龈乳头的非手术方法与手术方法研究进展做一综述,为临床医生开展龈乳头重建工作提供参考依据。
The morphology of the gingival papilla plays an important role in the aesthetics of oral soft tissue.Gingi-val papilla recession forms a visible black triangle,causing a series of problems such as aesthetic defects,pronunciation disorders and food impaction and even endangering the health of periodontal tissue.Gingival papilla reconstruction is an effective way to eliminate the black triangle.However,the treatment of lost or collapsed gingival papilla is unsuccess-ful.Reconstruction of the interdental papilla for aesthetics zone is the most difficult and challenging periodontal treat-ment.In this article,we review the past literature and summarize the factors affecting the appearance of gingival papilla,including the distance between the contact point and the alveolar crest,the distance between roots,divergent roots,inter-dental width,embrasure morphology,crown shape,and gingival biotype.The classification of the gingival papilla based on the loss of papillary height and the nonsurgical and surgical methods for the reconstruction of gingival papilla are re-viewed to provide a reference for doctors to reconstruct the gingival papilla.
作者
胡媛媛(综述)
宗娟娟(校)
HU Yuanyuan;ZONG Juanjuan(Department of muco-sal periodontistry,Hospital of Stomatology Affiliated to Nanchang University,Nanchang 330006,China)
出处
《口腔疾病防治》
2018年第12期804-809,共6页
Journal of Prevention and Treatment for Stomatological Diseases
基金
江西省科技厅重点项目(2014BBG70058)
关键词
牙周组织
龈乳头
重建
黑三角
分型
Periodontium
Gingival papilla
Reconstruction
Black triangle
Classification
作者简介
胡媛媛,医师,在读硕士研究生,Email:Hyy_868686@163.com;【通信作者】宗娟娟,主任医师,副教授,Email:jj-671109@163.com,Tel:0086-0791-86362981
