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Seibert Class Ⅲ Defect Management by Using Connective Tissue Autograft-A Case Report

結締組織自體移植用於改善無牙脊區Seibert第三類型之缺損-病例報告

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摘要


本病例利用肥厚的上顎粗隆的結締組織來修補無牙脊區的缺損(似梯形柱狀上底:6mm,下底:8mm,高:5mm)。病人是一位60歲身體健康的男性。因需製作假牙且又顧及美觀緣故來求診。剛開始的全口復健治療計畫是上顎前牙為固定假牙,而其餘部分為活動假牙。手術部分適在其#12接受處位置使用部分厚翻辦片(partial thickness flap),在其右上粗隆供給部位地區,利用遠心楔形術(distal wedge)以取得結締組織,再加以縫合於#12接受處,術後使用冰敷48小時和使用漱口水數週。病人於1,2, 6,12週回診。術後六個月於#12接受處位置的缺損恢復情形良好,軟組織增加的量適合於美觀要求度高的固定假牙製作。

並列摘要


The goal of this case report was to evaluate the use of the connective tissue graft from tuberosity for soft tissue ridge augmentation. The technique used was a modification of the procedure proposed by Langer and Calagna and involved reflecting a partial-thickness pedicle, placing the connective tissue graft with the pedicle. The increases in the quantity of tissue obtained were adequate to permit placing an esthetic fixed restoration. The use of the connective tissue graft for soft tissue ridge augmentation is a clinically valuable technique.

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