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単一フラップアプローチと周辺骨のペディクルフラップを組み合わせた再生手順:ケースレポート
Mattia Severi1,2, Massimo Viola3, Leonardo Trombelli1,2
1Research Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.
Clinical advances in periodontics
|February 19, 2026
まとめ
このケースレポートは,単一フラップアプローチ (SFA) と周辺骨のペディクルフラップ (PPF) を組み合わせることで,重度の骨内欠陥を効果的に治療できることを示しています. 組み合わせたテクニックは,挑戦的なモラー部位で,一次閉塞と重要な骨再生を達成しました.
科学分野:
- 歯周病学 歯周病学について
- 再生歯科は,再生歯科として,
- 口腔外科手術について
背景:
- シングルフラップアプローチ (SFA) は歯周病の治療に有効ですが,複雑な症例では,主閉塞に苦労することがあります.
- 歯間クレーターやモラー部位の位置は,SFAの結果を損なう可能性があります.
- 歯周骨のペディクルフラップ (PPF) は,歯周病手術におけるプライマリ閉塞を強化するために提案されています.
研究 の 目的:
- SFAとPPFの組み合わせによるSFAとPPFの組み合わせによるモラー部位における重度の骨内欠陥の治療に成功したことを報告する.
- SFAとPPFを組み合わせたSFAとPPFの有効性を評価し,一次閉塞と歯周病再生を達成する.
主な方法:
- 深い歯周病ポケットのある歯茎部位 (#19) での重度の骨内欠陥が治療されました.
- 手術は,SFAとPPFの組み合わせでした.
- 骨内欠陥は,牛のタンパク質が除去された骨鉱物,ポリヌクレオチド,およびヒアルロン酸ゲルで移植された.
主要な成果:
- 初期にフラップが消えたにもかかわらず,PPFの基礎となるため,プライマリ閉鎖は維持されました.
- 12ヶ月のフォローアップでポケットの完全な閉塞が観察されました.
- 放射線検査では,骨内欠陥の実質的なリミネラル化が明らかになった.
結論:
- SFAとPPFの組み合わせは,モラー部位で困難な軟組織状態を持つ骨内欠陥の治療に有望なアプローチです.
- 成功の鍵となる要因には,注意深くフラップ解剖,徹底した脱皮,そして第一目的の治癒のためにPPFの適切な安定化が含まれます.
- このテクニックは,複雑な歯周病再生の症例において,一次閉塞を達成することに関連する制限を克服することができます.
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