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Connective Tissue Autografts Treating Marginal Tissue Recession on Previously Restored Teeth-A Case Report

以自體結締組織移植覆蓋贗復過之牙齒的牙齦退縮-病例報告

摘要


牙齦退縮是臨床上常見的現象,因牙齦退縮造成的牙根暴露,更易引起牙根齲齒、牙齒敏感等後續問題。而當牙根暴露發生於已贋復過之上額前牙,並有礙美觀時,患者對此問題更顯關切,而其臨床修復技巧則愈形困難。近年來學者提出以自體結締組織移植覆蓋已暴露之牙根,顯示臨床結果良好,將其應用於已贋復過之牙齒,可以改善因牙根暴露所造成贋復上的困擾。本文報告一個以自體結締組織移植為已贋復過之牙齒的牙齦萎縮進行牙根覆蓋之臨床病例,並對此一技術之優缺點進行討論。

並列摘要


Marginal tissue recession has been a therapeutic problem for the clinician. Root exposure due to tissue recession may create subsequent problems such as root caries, tooth hypersensitivity, etc. In most situations patients concern more on esthetics rather than functional needs, especially when recession occurs on the maxillary anterior teeth, which presents a very difficult issue for the dentists. Recently, subepithelial connective tissue autograph has been shown to achieve satisfactory root coverage. By using this technique on previously restored teeth it may attain prosthetic success. This article presents a case using connective tissue autograft for treating marginal tissue recession on previously restored teeth. The advantages and limitations of this procedure are also discussed.

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