口腔医学研究

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (7): 633-636.DOI: 10.13701/j.cnki.kqyxyj.2025.07.016

• 研究生病例精粹———牙周病系列(7) • 上一篇    

巨细胞性龈瘤手术切除2年随访1例

张爱娟1,2, 张茂奇1,3#, 曹正国1,4*, 王晓璇1,4*   

  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.济南市口腔医院牙周黏膜病诊疗中心 山东 济南 250001;
    3.南昌大学附属口腔医院牙周科 江西 南昌 330006;
    4.武汉大学口腔医院牙周科 湖北 武汉 430079
  • 收稿日期:2025-06-25 出版日期:2025-07-28 发布日期:2025-07-24
  • 通讯作者: *曹正国,E-mail: caozhengguo@whu.edu.cn; 王晓璇,E-mail::wangxiaoxuan@whu.edu.cn
  • 作者简介:张爱娟(1997~ ),女,山东人,硕士,研究方向:牙周病学。张茂奇(1996~ ),女,四川人,硕士,研究方向:牙周病学。#为共同第一作者

Surgical Excision of Peripheral Fiant Cell Granuloma: A 2-year Follow-up Case Report

ZHANG Aijuan1,2, ZHANG Maoqi1,3#, CAO Zhengguo1,4*, WANG Xiaoxuan1,4*   

  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 Periodontics and Oral Mucosa, Jinan Stomatological Hospital, Jinan 250001, China;
    3. Department of Periodontology, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, China; 4. Department of Periodontology, School & Hospitalof Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2025-06-25 Online:2025-07-28 Published:2025-07-24

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摘要： 本文报道1例牙龈瘤切除后2年随访,探讨牙龈瘤术式选择及其复发风险。牙龈瘤切除术式需综合评估角化龈宽度、可能的病理类型及局部刺激因素,对于上皮完整、牙龈瘤波及全部角化龈或术后角化龈宽度小于2 mm者,切除时可保留部分龈上皮,但需警惕高复发倾向病理类型(如巨细胞性肉芽肿)。同时强调牙龈瘤的系统治疗,术前完善牙周基础治疗、去除局部刺激因素及长期维护是控制复发的关键。

关键词: 牙龈瘤, 巨细胞, 复发

Abstract: This article reports a 2-year follow-up of a gingival epulis excision case, exploring surgical approaches selection and recurrence risks. The choice of surgical approaches requires comprehensive evaluation of keratinized tissue width (KTW), potential pathological types, and local irritants.For lesions with intact epithelium, complete involvement of keratinized gingiva, or postoperative KTW＜2 mm, partial gingival epithelium preservation may be considered.However,vigilance is required for pathological types with high recurrence tendencies, (e.g., giant cell granuloma). The study emphasizes systematic management of gingival fibromas, highlighting that preoperative completion of periodontal therapy, elimination of local irritants, and long-term maintenance constitute the cornerstone of recurrence control.

Key words: epulis, giant cell, recurrence