摘要
目的探索一种简单高效的手术方法,用于增加种植体周围的附着龈宽度并且能缩短种植修复的疗程。探讨根向复位瓣附着龈重建术的效果。方法收集有种植修复需求的患者8例,但种植位点处附着龈宽度小于2 mm,行种植手术同期利用根向复位瓣技术进行附着龈重建。术后2周拆线。8周后常规种植上部修复并负荷。分别观察手术前、术后8周、修复完成即刻、修复完成1年时附着龈宽度的变化情况。结果所有患者种植体周围的附着龈宽度明显增加,修复完成1年后未见明显附着龈退缩。术后2周拆线,除1个种植位点在术后第2天因缝合线脱落致黏膜仍有炎症外,其余位点黏膜愈合良好。结论根向复位瓣附着龈重建术创伤小,并且同期种植手术可以缩短种植修复疗程,术后患者恢复效果较好。可以作为增加种植体周围附着龈宽度的简单高效的方法。
Objective To explore a simple and effective surgical method for increasing the width of attachment gingiva around the implant and shortening the course of implant restoration. Methods Eight patients required for planting repair were collected, whose attachment gingiva width at the implantation sites was less than 2 mm. The apically repositioned flap surgery for attachment gingiva reconstruction was performed during implantation. The suture was removed 2 weeks after surgery. After 8 weeks, the upper part of planting was routinely restored and loaded. The changes of the width of attachment gingiva were observed before surgery, at 8 weeks after surgery, immediately after the repair was completed, and 1 year after the repair was completed. Results The width of the attachment gingiva around the implants was significantly increased in all patients. After 1 year of repair, no obvious attachment gingiva retraction was observed.The suture was removed at 2 weeks after the operation, except for 1 planting site in which the mucosa still had inflammation on the 2 nd day after surgery due to the suture detachment, and the mucosa of the other sites healed well. Conclusion The apically repositioned flap surgery for attachment gingiva reconstruction is less invasive, and the simultaneous implantation surgery can shorten the implantation and repair course. The recovery effect of the postoperative patients is better. It can be used as a simple and efficient method to increase the width of the attachment gingiva around the implant.
作者
闫树伟
YAN Shuwei(Department of Stomatology,731 Hospital of China Aerospace Science and Industry Corporation,Beijing100074,China)
出处
《中国现代医生》
2020年第3期60-62,共3页
China Modern Doctor
关键词
附着龈重建
种植修复
根向复位瓣
附着龈宽度
Attachment gingiva reconstruction
Planting repair
Apically repositioned flap
Attachment gingiva width
