在牙科植入物周围的倒置部分上皮质结合组织移植:报告了三个病例
Ioannis Tsourounakis1, Carlo Sgarbanti1
1Department of Dental Diagnostic and Surgical Sciences, Rady Faculty of Health Sciences, Dr. Gerald Niznick College of Dentistry, University of Manitoba, Winnipeg, MB, Canada.
Journal of Indian Society of Periodontology
|December 26, 2025
概括
一种新的手术技术,倒置部分上皮结合组织移植 (IPE-CTG),有效地增加了质化粘膜的宽度和围部植入物粘膜的厚度. 这种方法在单次手术中提供了牙科植入物周围稳定,改善的软组织体积.
科学领域:
- 牙周病学和植入物牙科 牙科
- 口腔和牙面部外科手术
- 牙科领域的再生医学.
背景情况:
- 乳化粘膜宽度 (KMW) 和周植入物粘膜厚度 (MT) 的不足是牙科植入物常见的临床问题.
- 这些软组织缺陷可能会对植入物周围的美学和长期骨稳定性产生负面影响.
- 当前的接种技术可能需要多个程序或在同时处理KMW和MT时存在局限性.
研究的目的:
- 介绍一项新的手术技术,即反向部分上皮结合组织移植 (IPE-CTG),用于治疗牙科植入物周围软组织缺陷.
- 评估IPE-CTG在同时增加KMW和MT方面的有效性.
- 在12个月的随访期间评估IPE-CTG的稳定性和临床结果.
主要方法:
- 一份病例报告详细介绍了IPE-CTG技术在三名牙连接不足和周围植入物组织体积减少的患者中的应用.
- IPE-CTG涉及将部分上皮化过的移植物放置为onlay,上皮化过的表面以上皮面为导向,去上皮化过的表面以冠状面为导向.
- 记录了KMW和MT的临床测量,并在手术后12个月监测结果.
主要成果:
- 在IPE-CTG程序后,所有三名接受治疗的患者在KMW和MT都表现出显著的改善.
- 通过IPE-CTG技术,成功地解决了附着牙和周围植入物组织体积的缺陷.
- 在12个月的随访期间,在所有病例中都观察到稳定的临床结果.
结论:
- 倒置部分上皮连接组织移植 (IPE-CTG) 是标准移植技术的可行和有效变体,用于增强周围植入物软组织.
- 这种单阶段程序为管理不足的KMW和MT提供了有希望的解决方案,从而改善了美观和功能结果.
- IPE-CTG技术提供了稳定和可预测的结果,有助于更好的长期牙植入成功.
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