口腔医学研究 ›› 2026, Vol. 42 ›› Issue (8): 720-722.DOI: 10.13701/j.cnki.kqyxyj.2026.08.015

• 病例报告 • 上一篇    下一篇

引导性组织再生术治疗上颌侧切牙畸形舌侧沟伴重度骨吸收1例

李玲1,2, 潘涛华1,2, 尹丽芬1,2*, 吴昊1,2*   

  1. 1.湖南中医药大学口腔(医)学院 湖南 长沙 410208;
    2.长沙市口腔医院牙周黏膜科 湖南 长沙 410004
  • 收稿日期:2025-11-19 出版日期:2026-08-28 发布日期:2026-08-17
  • 通讯作者: *尹丽芬,E-mail:81840585@qq.com; 吴昊,E-mail:wwhow@sina.com
  • 作者简介:李玲(2001~ ),湖南常德人,女,医师,硕士在读,研究方向:牙周病学。
  • 基金资助:
    湖南省自然科学基金(编号:2024JJ9542)

GTR Treatment of Maxillary Lateral Incisor with PGG and Severe Bone Resorption: A Case Report

LI Ling1,2, PAN Taohua1,2, YIN Lifen1,2*, WU Hao1,2*   

  1. 1. School of Stomatology, Hunan University of Chinese Medicine, Changsha 410208, China;
    2. Department of Periodontology and Oral Mucosal, Changsha Stomatological Hospital, Changsha 410004, China
  • Received:2025-11-19 Online:2026-08-28 Published:2026-08-17

摘要: 畸形舌侧沟是一种牙根表面的发育性异常,该区域难以自洁,因此其周围易伴发局限性牙周组织破坏。本病例报告旨在描述1例上颌侧切牙畸形舌侧沟导致局限性重度牙槽骨吸收,通过采用引导组织再生术结合植骨术进行手术治疗。术后1年的随访发现患牙临床附着丧失显著改善,骨再生效果理想。

关键词: 畸形舌侧沟, 牙周炎, 引导组织再生术, 牙周手术

Abstract: Palatal radicular groove is a developmental anomaly on the root surface, which is difficult to keep clean and thus prone to localized periodontal tissue destruction. This case report describes the treatment of a maxillary lateral incisor with severe localized alveolar bone resorption caused by a palatal radicular groove. The condition was managed surgically using guided tissue regeneration (GTR) combined with bone grafting. At the one-year follow-up, significant improvement in clinical attachment loss and satisfactory bone regeneration were observed.

Key words: palatogingival groove, periodontitis, guided tissue regeneration, periodontal surgery