游离龈移植术治疗牙龈退缩18月随访1例

doi:10.13701/j.cnki.kqyxyj.2025.04.016

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (4): 354-357.DOI: 10.13701/j.cnki.kqyxyj.2025.04.016

• 研究生病例精粹——牙周病系列(4) • 上一篇

游离龈移植术治疗牙龈退缩18月随访1例

勾晓颖¹, 刘欢^1,2*, 张慧慧^1,2*

1.口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医学院湖北武汉 430079;
2.武汉大学口腔医院牙周科湖北武汉 430079

收稿日期:2025-04-01 发布日期:2025-04-24
通讯作者: * 刘欢,E-mail: liu.huan@whu.edu.cn;张慧慧,E-mail:kqstone@whu.edu.cn
作者简介:勾晓颖(2000~ ),女,西安人,硕士在读,医师,研究方向:牙周病学。

Free Gingival Graft for Recession Type 2 Gingival Recession: 18-Month Follow-Up

GOU Xiaoying¹, LIU Huan^1,2*, ZHANG Huihui^1,2*

1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
2. Department of Periodontology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2025-04-01 Published:2025-04-24

摘要/Abstract

摘要： 本文报道1例随访18个月的RT2类牙龈退缩伴广泛型Ⅱ期B级牙周炎患者,经过牙周系统治疗及游离龈移植术,获得良好的根面覆盖及角化组织增量效果。

关键词: 牙龈退缩, 牙周表型, 游离龈移植

Abstract: This article reports an 18-month follow-up of a patient with RT2 gingival recession and generalized stage Ⅱ, grade B periodontitis. Following comprehensive periodontal treatment and free gingival graft procedure, the patient achieved substantial root coverage and a significant increase in keratinized tissue, demonstrating favorable clinical and periodontal outcomes.

Key words: gingival recession, periodontal phenotype, free gingival graft

勾晓颖, 刘欢, 张慧慧. 游离龈移植术治疗牙龈退缩18月随访1例[J]. 口腔医学研究, 2025, 41(4): 354-357.

GOU Xiaoying, LIU Huan, ZHANG Huihui. Free Gingival Graft for Recession Type 2 Gingival Recession: 18-Month Follow-Up[J]. Journal of Oral Science Research, 2025, 41(4): 354-357.

参考文献

[1] Cortellini P, Bissada NF. Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations [J]. J Clin Periodontol, 2018, 45 Suppl 20:S190-S198.
[2] Jepsen S, Caton JG, Albandar JM, et al. Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions [J]. J Periodontol, 2018, 89 Suppl 1:S237-S248.
[3] Chambrone L, Avila-Ortiz G. An evidence-based system for the classification and clinical management of non-proximal gingival recession defects [J]. J Periodontol, 2021, 92(3):327-335.
[4] Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions [J]. J Clin Periodontol, 2018, 45 Suppl 20:S162-S170.
[5] Zucchelli G, Testori T, De Sanctis M. Clinical and anatomical factors limiting treatment outcomes of gingival recession: a new method to predetermine the line of root coverage [J]. J Periodontol, 2006, 77(4):714-721.
[6] Sanz M, Herrera D, Kebschull M, et al. Treatment of stage Ⅰ-Ⅲ periodontitis-The EFP S3 level clinical practice guideline [J]. J Clin Periodontol, 2020, 47 Suppl 22(Suppl 22):4-60.
[7] Zucchelli G.著.束蓉.译. 膜龈美学手术精要[M].沈阳:辽宁科学技术出版社, 2016:134.
[8] Kim DM, Bassir SH, Nguyen TT. Effect of gingival phenotype on the maintenance of periodontal health: An American Academy of Periodontology best evidence review [J]. J Periodontol, 2020, 91(3):311-338.
[9] Tatakis DN, Chambrone L, Allen EP, et al. Periodontal soft tissue root coverage procedures: a consensus report from the AAP Regeneration Workshop [J]. J Periodontol, 2015, 86(2 Suppl):S52-S55.
[10] Cairo F, Nieri M, Cincinelli S, et al. The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study [J]. J Clin Periodontol, 2011, 38(7):661-666.
[11] Miller PD Jr. A classification of marginal tissue recession [J]. Int J Periodontics Restorative Dent, 1985, 5(2):8-13.
[12] César Neto JB, Cavalcanti MC, Silva CO, et al. Digital three-dimensional assessment of free gingival graft remodeling over 12 months [J]. J Dent, 2024, 148:105216.

[1]	文尚, 郭锦材, 张敏轶, 喻玉林, 马飞, 谢辉. 1例重度牙周炎患者牙周种植联合治疗5年观察[J]. 口腔医学研究, 2024, 40(6): 555-558.
[2]	景雪琴, 苗辉. 附着龈增宽临床研究现状[J]. 口腔医学研究, 2024, 40(2): 97-102.
[3]	傅俊博, 笪海芹, 周占豪, 陶珊悦, 陈莹. 不同牙龈表型影响牙周组织再生术临床疗效的回顾性研究[J]. 口腔医学研究, 2024, 40(2): 113-117.
[4]	贺文倩, 杨卫东. 根尖手术切口设计对术后牙龈美学效果影响的研究进展[J]. 口腔医学研究, 2024, 40(12): 1037-1041.
[5]	陆杰, 徐燕, 邹晨阳. 角化龈增量对维护牙周炎患者种植体稳定性的临床研究[J]. 口腔医学研究, 2023, 39(6): 510-514.
[6]	李效宇, 蔡青, 龚浩, 孙毓言, 张霓, 孟维艳. 改良种植体周游离龈移植术增宽角化黏膜1例[J]. 口腔医学研究, 2023, 39(5): 463-465.
[7]	李浩杰, 陈学鹏, 钟佳永. 不同牙周表型对微种植支抗钉稳定性的影响[J]. 口腔医学研究, 2023, 39(2): 124-128.
[8]	蔡松梅, 汪涌. CGF辅助治疗MillerⅠ类牙龈退缩的临床评价[J]. 口腔医学研究, 2023, 39(12): 1069-1074.
[9]	刘冬晓, 夏连松, 黄川. 软组织移植用于治疗正畸后牙龈退缩的临床疗效分析[J]. 口腔医学研究, 2021, 37(8): 708-711.
[10]	梁源, 罗椸, 沈静涛, 王思, 周乔. 浓缩生长因子对游离龈移植术后供区创面愈合的效果评价[J]. 口腔医学研究, 2021, 37(12): 1135-1138.
[11]	张慧慧, 李明丽, 李成章. 侧向转位瓣结合上皮下结缔组织移植治疗重度Miller Ⅲ°牙龈退缩1例[J]. 口腔医学研究, 2018, 34(5): 572-574.
[12]	朱妍菲,谢玉峰. 牙龈生物型的特点及其临床意义[J]. 口腔医学研究, 2015, 31(9): 945-948.
[13]	赵小珩, 孟柳燕, 边专. 大鼠牙龈退缩模型的建立[J]. 口腔医学研究, 2015, 31(6): 564-567.

游离龈移植术治疗牙龈退缩18月随访1例

Free Gingival Graft for Recession Type 2 Gingival Recession: 18-Month Follow-Up

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 13

编辑推荐

Metrics