- 期刊
A Modified Approach to the Mucogingival surgery:Apically Replaced Split Thickness Flap,Vestbular Extension with Protected Linear Periosteal Fenestration-Case Report
改良式齒齦粘膜手術法：齒齦半厚瓣根尖移位、前庭加寬合併骨膜線狀開窗術-病例報告
摘要
本改良法乃是綜合齒齦半厚瓣根尖移位、口腔前庭加寬和骨膜線狀開窗等已知的三種的方法於一次齒齦粘膜手術之同時進行的術式。目的首先在於建立或維持足夠固著性齒齦的寬度；其次是消除前庭區異位性繫帶或肌肉對游離或固著齒齦不正常的牽扯；最後是提供足夠的口腔前庭深度，以維持良好的口腔衛生和增加咀嚼時食物的轉折作用。 今提出本改良法臨床應用的病例報告，並評估患者術後齒齦寬度、口腔前庭、不正常頰繫帶及肌肉牽扯等改善的結果，以提供臨床應用的參考。本改良法的優點，可歸納以下幾點 : (1)手術傷口癒合快(2)術後疼痛小(3)口腔前庭寬度明顯增加(4)頰繫常及肌肉的拉扯，幾乎獲得完全改善(5)不易引起手術區周圍齒槽骨的裂開缺損(6)固著性齒齦寬度的增加至為明顯。
關鍵字
無資料並列摘要
Another choice for solving mucogingival problems 15 the use of a modified combination of three known techniques: the split thickness flap (apically replaced), vestibular extension and intemal linear periosteal fenestration. This is a report on a patient who was treated by the modified approach . We evaluated the depth of the vestibule, gingival width, frenal and muscle attachment before and at 3 weeks, 8 weeks, 3 months, and 1 year after the operation . The advantages of this modified technique can be stated as follows : (1) Healing was apparently faster. (2) Postoperative pain was minimal. (3) Depth of vestibular fornix was increased markedly. (4) Frenum and muscle attachment pull almost completely relieved. (5) There was less possibility of exposing a dehiscence or creating bone 1055 on adjacent teeth. (6) A function - ally adequate zone of attached gingiva was numerically increased .