旋轉分層腭側瓣應用於立即植牙手術失敗案例的探討

The Application of Rotated Split Palatal Flap on Immediate Implant: Failure Flap Case Report

曾春祺(Chuen-Chyi Tseng) ； 陳俊榮(Chun-Jung Chen) ； 黃國精(Kuo-Ching Huang)

《中華民國牙周病醫學會雜誌》 8卷4期 (2003/12) Pp. 251-257

摘要

軟組織的初級閉合是所有骨移植及再生手術成功的重要關鍵因素之一，臨床操作上有許多術式可以達到無張力翻瓣而進一步達到初級閉合的效果。1996年Nemcovsky和Serfaty所提出旋轉分層腭側瓣（rotated split palatal flap）用於保存拔牙後上牙齒槽，接著被應用於植牙手術，尤其是立即植牙以達到初級閉合的目的。本報告提出一病例施行立即植牙手術合併旋轉分層側瓣及引導骨再生術，術後發生該瓣壞死的情況並加以探討其失敗發生的原因。

關鍵字

初級閉合 ； 旋轉分層腭側瓣 ； 引導骨再生術 ； 立即植牙

並列摘要

Soft tissue primary closure is a key success step for regeneration procedure. Clinically, there are many techniques to achieve primary closure without tension. Rotated split palatal flap was reported by Nemcovsky and Serfaty in 1996 to preserve the maxillary anterior ridge. This technique is also successfully used to place immediate implant in the same area. The purpose of this paper was to report a immediate placement implant case using rotated split palatal flap and guided bone regeneration. The flap was slough after the procedure although the implant was successful. The related failure factors are discussed to get a predictable result in the future.

並列關鍵字

primary closure ； rotated split palatal flap ； guided bone regeneration ； immediate implant