深度衰退中的根源覆盖与顶部参与:长期案例研究研究
João Batista César Neto1, Rafael Lazarin1, Vitor Mota Freitas1
1Department of Stomatology, Division of Periodontology, College of Dentistry, University of São Paulo, Sao Paulo, Brazil.
Clinical advances in periodontics
|July 17, 2025
概括
该案例研究表明,手术根覆盖与结合性组织移植和切除术相结合,可以有效地治疗根暴露的深衰退. 这些跨学科的治疗方法可以改善牙的预后,并提供稳定,持久的结果.
科学领域:
- 牙周病学 牙周病学
- 恢复性牙科 恢复性牙科
- 在口腔外科手术.
背景情况:
- 根顶暴露的深层牙衰退 (GRs) 带来了重大的临床挑战.
- 在这种情况下,通常需要采用多学科方法来改善牙的预后.
- 这项研究重点是七颗具有深度GRs (≥5毫米) 和露出根茎的牙.
研究的目的:
- 评估内治疗,切除术和根覆盖程序的有效性,用于深度GRs (≥5毫米) 的根顶暴露.
- 评估这些联合治疗的长期结果.
主要方法:
- 七名患有深度GRs和顶峰暴露的患者的回顾性病例研究.
- 外科手术包括横向放置的片或修改的双乳头片技术,用连接组织移植 (CTG).
- 所有的牙都经历了内牙治疗和切除术,然后再进行根部覆盖.
主要成果:
- 平均随访时间为3.86年 (范围为1-11年).
- 观察到GR平均减少7.57毫米,在四个案例中实现了完整的根覆盖.
- 没有需要拔牙的病例;所有病例的预后都改善了.
结论:
- 根覆盖手术与CTG和切除术相结合,可有效治疗严重的膜膜缺陷.
- 这种跨学科的治疗为深度衰退和顶部参与的牙提供了成功和稳定的长期结果.
- 粘膜膜手术应该被视为一线方法,而不是提取和重建.
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