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mandibular 深单指牙衰退治疗:放射性硬组织参数对根覆盖的影响. 一个潜在的案例系列
The International journal of periodontics & restorative dentistry
|January 26, 2026
概括
连接组织移植有效地治疗下下深处的牙衰退,实现显著的根覆盖. 治疗前的放射性参数对这两种手术技术的成功结果没有影响.
科学领域:
- 牙周病学 牙周病学
- 在口腔外科手术.
- 恢复性牙科 恢复性牙科
背景情况:
- 深下牙衰退 (≥5毫米) 是一个重大的临床挑战.
- 连接组织移植 (CTG) 是一种常见的治疗方式.
- 了解影响治疗成功的因素对于最佳的患者护理至关重要.
研究的目的:
- 评估硬组织放射学参数对CTG治疗的下下深衰退结果的影响.
- 为了比较双乳头包膜 (DPE) 和侧滑 (LSF) 技术之间的治疗结果.
主要方法:
- 一个潜在的病例系列,包括15名用CTG (n=7 DPE,n=8 LSF) 治疗的下牙深度衰退的患者.
- 在基线和12个月评估的临床参数 (衰退深度,根覆盖,角质组织宽度).
- 预处理的形光束计算机断层扫描 (CBCT) 评估了放射性参数 (根宽,周长,突出,近距离距离).
主要成果:
- 无论是CTG+DPE还是CTG+LSF,都实现了衰退深度的显著降低 (平均6.8mm至0.9mm),以及角质化组织宽度的增加 (平均0.1mm至3.6mm).
- 整体根覆盖率为85.8%,而板设计之间没有显著差异.
- 较大的基线衰退深度与较大的衰退减少相关,但放射性参数与根覆盖结果没有显著的相关性.
结论:
- 评估的硬组织放射性参数没有显著影响深下牙衰退的治疗结果.
- 双乳头包膜和侧滑技术,结合连接组织移植,都有效治疗深下牙衰退.
- 进一步的研究可能会探索除了放射性参数之外的其他潜在影响因素.
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