- 期刊
非切開牙齦乳頭手術方法於牙周再生手術的使用：病例報告
Periodontal Regeneration Surgery With Non-Incised Papillae Surgical Approach: A Case Series
摘要
近年隨著牙周手術的演進，包含生物材料學、顯微器械、手術方式發展的進步。在治療牙周疾病所造成的牙周組織破壞時，以病人為導向的觀點、微創手術的概念、配合上牙齦乳突的保存，已成為牙周再生手術的發展趨勢。近期，學者們紛紛提出不切開牙齦乳突（without papilla elevation）的牙周再生手術方法，目的是為了提升術後軟組織的穩定性、較佳的血液供應並且降低齒間牙齦乳突的萎縮量。許多實驗及臨床病例的研究指出，相對於傳統翻瓣手術，能達到較佳的初期癒合及有效的臨床結果。本篇案例系列報告提出三例相關的手術病例，皆使用非切開牙齦乳突的手術方法於牙周再生手術，術後追蹤觀察至一年後，皆獲得良好的臨床結果。
並列摘要
In recent years, the evolution of periodontal surgery has included advances in biomaterials, microscopic instruments, and surgical approaches. Our treatment plans now are mostly focus on patient-oriented viewpoint. Therefore, when we are treating periodontal bony defects, we try to preserve as much interdental papilla as possible, in the respect of the concept of minimally invasive surgery. Recently, scholars have proposed periodontal regenerative surgery without papilla elevation in order to enhance the stability of soft tissue, improve blood supply and reduce the shrinkage of interdental papillae after surgery. Various animal studies and clinical case studies indicate that it is possible to achieve better initial healing and effective clinical outcomes compared to traditional extended flap surgery. This case series presents three relevant cases of periodontal regeneration surgery using a non-incisional approach technique (NIPSA). All three cases showed stable clinical outcomes and satisfactory bone healing during the one-year follow-up period.