显微牙周外科技术在种植体周附着龈增宽术中的应用

doi:10.7518/hxkq.2018.01.014

华西口腔医学杂志 ›› 2018, Vol. 36 ›› Issue (1): 71-75.doi: 10.7518/hxkq.2018.01.014

显微牙周外科技术在种植体周附着龈增宽术中的应用

容明灯(), 黄雁红, 卢海宾, 徐格林, 李少冰, 苏媛, 陈沛, 姜盼, 张雪洋()

南方医科大学口腔医院（广东省口腔医院）牙周种植科,广州 510280

收稿日期:2017-06-19 修回日期:2017-10-04 出版日期:2018-02-07 发布日期:2018-02-01
作者简介:
容明灯,副主任医师,博士,E-mail:23554800@qq.com
基金资助:
[基金项目] 国家自然科学基金（81600900）

Application of periodontal microsurgery in the augmentation of attached gingiva around an implant

Mingdeng Rong(), Yanhong Huang, Haibin Lu, Gelin Xu, Shaobing Li, Yuan Su, Pei Chen, Pan Jiang, Xueyang. Zhang()

Dept. of Periodontal Implantology, Stomatological Hospital, Southern Medical University, Guangdong Provincial Stomatological Hospital, Guangzhou 510280, China

Received:2017-06-19 Revised:2017-10-04 Online:2018-02-07 Published:2018-02-01
Supported by:
Supported by: The National Natural Science Foundation of China (81600900).

摘要/Abstract

摘要：

目的探讨显微牙周外科技术在种植体附着龈增宽术中的临床应用效果。方法对20例种植体周附着龈不足或缺失的患者,采用显微牙周外科技术增宽种植体周的附着龈。术后观察游离龈瓣的存活状态,并记录术前、术后即刻、术后1年时附着龈的宽度,计算术后1年附着龈的收缩率。结果 20例患者的游离龈瓣均存活,术后1年附着龈宽度为（3.05±0.44）mm,与术前相比增加了（2.56±0.31）mm,与术后即刻相比减小了（2.13±0.28）mm,附着龈收缩率为41.22%±5.04%。结论显微牙周外科技术应用于附着龈增宽术可获得较高的成功率,能较好地提高种植体周附着龈的质量。

关键词: 显微牙周外科技术, 牙种植体, 附着龈, 游离龈移植物

Abstract:

Objective This study aimed to evaluate the clinical effect of periodontal microscopic surgery on the augmen-tation of attached gingiva and determined the clinical principle on how to use minimally invasive surgery to improve the surgery success rate.Methods Twenty patients with insufficient attached gingiva around implants were selected. Periodontal micros-copic surgery for free gingival graft was performed to increase the width of the attached gingiva around the implants. The survival state of the free gingiva was observed after surgery, and the width of the attached gingiva around the implants was recorded before and after surgery and 1 year after surgery. The shrinkage rate of the free gingival flap 1 year after surgery was analyzed to evaluate the stability of the flap. Results The flaps of the 20 cases all survived. One year after the operation, the width of the attached gingiva was (3.05±0.44) mm, which increased compared with that of preoperation (2.56±0.31) mm and decreased compared with that of postoperative day (2.13±0.28) mm. The shrinkage rate of the attached gingiva was 41.22%±5.04%. Conclusion The application of microscopic surgery on the augmentation surgery of attached gingiva can increase the success rate and improve the quality and quantity of attached gingiva around implants.

Key words: periodontal microsurgery, dental implant, attached gingiva, free gingival graft

中图分类号:

R781.05

容明灯, 黄雁红, 卢海宾, 徐格林, 李少冰, 苏媛, 陈沛, 姜盼, 张雪洋. 显微牙周外科技术在种植体周附着龈增宽术中的应用[J]. 华西口腔医学杂志, 2018, 36(1): 71-75.

Mingdeng Rong, Yanhong Huang, Haibin Lu, Gelin Xu, Shaobing Li, Yuan Su, Pei Chen, Pan Jiang, Xueyang. Zhang. Application of periodontal microsurgery in the augmentation of attached gingiva around an implant[J]. West China Journal of Stomatology, 2018, 36(1): 71-75.

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患者	附着龈宽度/mm			附着龈收
序号	W0	W1	W2	缩率/%
1	0.80	6.01	3.50	41.76
2	0.70	5.60	3.31	40.89
3	0.30	5.40	3.01	44.26
4	0.50	5.70	3.34	41.40
5	0.10	5.20	2.52	51.54
6	0.20	5.00	3.31	33.80
7	0.70	5.90	3.80	35.60
8	0.90	5.00	3.22	35.60
9	0.40	5.00	2.78	44.40
10	0.10	4.80	2.53	47.29
11	0.60	4.90	2.60	46.94
12	0.30	4.70	2.91	38.09
13	0.10	4.67	2.52	46.04
14	0.40	4.60	2.51	45.43
15	0.80	5.30	3.53	33.40
16	0.40	4.60	2.67	41.96
17	0.80	6.00	3.90	35.00
18	0.90	5.70	3.40	40.35
19	0.60	4.60	2.87	37.61
20	0.20	4.93	2.80	43.20

项目	附着龈宽度差值	F值	P值
W1-W0	4.69±0.40	1 366.10	<0.001
W2-W0	2.56±0.31	558.29	<0.001
W2-W1	-2.13±0.28	1 701.14	<0.001

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显微牙周外科技术在种植体周附着龈增宽术中的应用

Application of periodontal microsurgery in the augmentation of attached gingiva around an implant

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