冠向位移翻瓣合併結締組織移植治療後牙區域牙齦退縮－病例報告

A Coronally Advanced Flap Combined with a Connective Tissue Graft for the Treatment of Recession Defects in Posterior Teeth: A Case Report

郭博仁(Po-Jan Kuo) ； 張迺旭(Nancy Nie-Shiuh Chang) ； 蔡凰慈(Huang-Tzu Tsai) ； 林慈宜(Tzu-Yi Lin) ； 文萬鈞(Wan-Chun Wen) ； 戴得育(Te-Tu Tai) ； 江正陽(Cheng-Yang Chiang) ； 邱賢忠(Hsien-Chung Chiu) ； 沈一慶(E-Chin Shen)

《臺灣牙周病醫學會雜誌》 18卷3期 (2013/09) Pp. 238-249

https://doi.org/10.6121/TAP.2013.18.3.07

摘要

牙齦退縮常造成牙根敏強烈影響病患生活品質，同時後牙區域頰側牙齦退縮可能會導致美觀瑕疵。適當的牙根覆蓋術不僅有效治療牙齦退縮也能提升牙周預後程度，許多臨床研究顯示牙根覆蓋術式能有效治療牙齦退縮，然而至今治療後牙區牙齦退縮的研究仍然少見，本病例報告提出，應用改良式冠向位移翻瓣配合結締組織，進行後牙區牙根覆蓋手術同時治療牙根分岔侵犯之案例，術後6個月追蹤獲得有效牙根覆蓋，同時分岔侵犯獲得改善。

關鍵字

牙齦退縮 ； 牙根覆蓋 ； 結締組織移植 ； 冠向位移翻瓣

並列摘要

Gingival recession is a highly prevalent problem across all age groups and not only does it affects dentine hypersensitivity, it also reduces the patient's quality of life. In some cases, patients with a deep smile line experience a poor aesthetic appearance due to the presence of gingival recession affecting the buccal side of the posterior teeth. Available studies have shown that gingival recession can be successfully treated by root coverage surgery. On the other hand, very few studies have been carried out up to the present involving the treatment of recession that affects the posterior teeth. This case report focuses on the combined application of a coronally advanced flap and a subepithelial connective tissue graft for the treatment of patients whose posterior teeth are affected by gingival recession and furcation involvement. The results show that optimal root coverage and an improvement in furcation involvement can be obtained following 6 months of mucogingival treatment.

並列關鍵字

gingival recession ； root coverage ； connective tissue graft ； coronally advanced flap