口腔医学研究 ›› 2025, Vol. 41 ›› Issue (6): 537-542.DOI: 10.13701/j.cnki.kqyxyj.2025.06.016

• 研究生病例精粹——牙周病系列(6) • 上一篇    

基于GRD分类系统的牙龈退缩多术式治疗1例

闻玉婷1, 李四红1#, 白雪颖1, 黄思雨1, 王水凝1, 杨栋1,2*   

  1. 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.武汉大学口腔医学院牙周科 湖北 武汉 430079
  • 收稿日期:2025-05-26 出版日期:2025-06-28 发布日期:2025-06-25
  • 通讯作者: *杨栋,E-mail: ydnba@whu.edu.cn
  • 作者简介:闻玉婷(2001~ ),女,江西宜春人,硕士在读,医师,研究方向:牙周病学。李四红(1998~ ),女,湖南浏阳人,硕士,医师,研究方向:牙周病学。#为共同第一作者

A Case Report of Multiple Surgical Treatments for Gingival Recession Based on the GRD Classification System

WEN Yuting1, LI Sihong1#, BAI Xueying1, HUANG Siyu1, WANG Shuining1, YANG Dong1,2*   

  1. 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:2025-05-26 Online:2025-06-28 Published:2025-06-25

摘要: 牙龈退缩对患者的美观和口腔健康造成显著影响。牙龈退缩导致的根面暴露及角化龈减少使得菌斑控制困难,牙周组织难以维持长期稳定健康。牙龈退缩的治疗方案选择较为多样。本文报道1例多个牙牙龈退缩的患者治疗过程,分析牙龈退缩牙位的具体情况,依据GRD分类(Chambrone,2021)制定了相应的手术治疗方案,实现了良好的根面覆盖效果。

关键词: 牙龈退缩, 上皮下结缔组织移植术, 角化龈移植术, 横刷牙

Abstract: Gingival recession has a non-negligible impact on patients' aesthetics and oral health. The resulting root surface exposure and reduced keratinized gingiva make it difficult to self-control plaque accumulation, thereby challenging the long-term maintenance of periodontal health and stability . The selection of treatment options for gingival recession is relatively diverse. This article reports the entire treatment process of a patient with multiple gingival recessions, analyzed the specific conditions of tooth sites with gingival recession, according to the GRD classification (Chambrone, 2021), corresponding treatment plans were formulated, achieved good root coverage effects.

Key words: gingival recession, subepithelial connective tissue graft, free gingival graft, horizontal toothbrushing