- 期刊
合併間斷縫合法與懸吊縫合法在牙周手術上的應用
Clinical Application of the Combined Method of Interrupted Suture and Sling Suture
摘要
在進行牙冠加長術縫合時，特別是在下顎臼齒遠心區，翻瓣常會自動浮上至牙冠咬合面，無法達到根尖向的預期。許多術者建議製作夾板來壓迫翻瓣至預定的位置，但夾板對患者而言是非常不舒服、且費時的。本報告的目的在介紹合併使用在牙周手術中最常用的間斷縫合法與懸吊縫合法應用於臼齒遠心區的牙周手術翻瓣的縫合。所謂合併法即是利用牙齒解剖構造上的特性，以下顎臼齒遠心端縫合為例，縫合法是從頰側的遠心頰側線角往近心側3-5mm進針，接著至舌側時於遠心舌側線角往近心側3-5mm出針，然後打結；利用牙冠的幅度打結後的翻瓣自然會往根尖向位置固定而達到預期的位置。另外阻生智齒拔除後的第二大臼齒遠心端牙齦縫合及一階段植牙（one-stage dental implant）手術之牙周組織處理，也可以利用此法達到同樣的目的。
並列摘要
The suture in crown lengthening procedure, especially at distal area of mandibular second molar, the flap often moved occlusally. This phenomenon makes pseudopocket in that area and difficult to make a good restoration. The surgical stent may overcome this drawback. But the stent is unconmfortable to the patient and extends the operation time. The aim of this article was to introduce the combined method of interrupted suture and sling suture that applies in periodontal surgery in the distal area of molar, especially the lower second molar. The method uses the characteristics of tooth morphology－“emergence profile”, makes the flap move apically to the expected position when suturing. The same method can be applied both of the flap management of third molar extraction site and one-stage implant surgery.