본문 바로가기
KERD
논문KCI 등재

치은 퇴축과 관련된 난해한 증례에서의 상피하 결합조직이식술을 이용한 치근 피개술: 증례보고

Alteration of gingival dimensions in complicated cases using subepithelial connective tissue graft: Case report

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류치의학

초록

Connective tissue grafts (CTGs) are generally viewed as the most successful technique for root coverage. The aim of this case report was to describe the treatment and follow-up outcome of two complicated cases of gingival recession in the maxillary and mandibular anterior teeth using subepithelial CTGs. The operation was performed by the following steps: recipient site formation, removal of grafts from the donor site, and graft placement and immobilization. The grafted connective tissue was submerged by the envelope, modified double papilla flap, and coronally advanced flap techniques. There were no postoperative complications. Soft tissue volumes increased, and gingival biotypes were acquired. Improved esthetics and oral hygiene were obtained. Root coverage using subepithelial CTGs is considered as the proper treatment choice, but it requires long-term observations due to additional coverage by creeping movement or deterioration by relapse.

Abstract

Connective tissue grafts (CTGs) are generally viewed as the most successful technique for root coverage. The aim of this case report was to describe the treatment and follow-up outcome of two complicated cases of gingival recession in the maxillary and mandibular anterior teeth using subepithelial CTGs. The operation was performed by the following steps: recipient site formation, removal of grafts from the donor site, and graft placement and immobilization. The grafted connective tissue was submerged by the envelope, modified double papilla flap, and coronally advanced flap techniques. There were no postoperative complications. Soft tissue volumes increased, and gingival biotypes were acquired. Improved esthetics and oral hygiene were obtained. Root coverage using subepithelial CTGs is considered as the proper treatment choice, but it requires long-term observations due to additional coverage by creeping movement or deterioration by relapse.

참고문헌 (18)

  1. Wennström JL, "Mucogingival therapy", Ann Periodontol, 1, pp.671~701 (1996)
  2. Camargo PM, "The use of free gingival grafts for aesthetic purposes", Periodontol 2000, 27, pp.72~96 (2001)
  3. Löe H, "The natural history of periodontal disease in man: prevalence, severity, and extent of gingival recession", J Periodontol, 63, pp.489~495 (1992)
  4. Serino G, "The prevalence and distribution of gingival recession in subjects with a high standard of oral hygiene", J Clin Periodontol, 21, pp.57~63 (1994)
  5. Löst C, "Depth of alveolar bone dehiscences in relation to gingival recessions", J Clin Periodontol, 11, pp.583~589 (1984)
  6. Källestål C, "Buccal attachment loss in Swedish adolescents", J Clin Periodontol, 19, pp.485~491 (1992)
  7. Steiner GG, "Changes of the marginal periodontium as a result of labial tooth movement in monkeys", J Periodontol, 52, pp.314~320 (1981)
  8. Müller HP, "Gingival phenotypes in young male adults", J Clin Periodontol, 24, pp.65~71 (1997)
  9. Sullivan HC, "Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession", Periodontics, 6, pp.152~160 (1968)
  10. Miller PD Jr, "A classišcation of marginal tissue recession", Int J Periodontics Restorative Dent, 5, pp.8~13 (1985)
  11. Gray JL, "When not to perform root coverage procedures", J Periodontol, 71, pp.1048~1050 (2000)
  12. Bouchard P, "Decision-making in aesthe-tics: root coverage revisited", Periodontol 2000, 27, pp.97~120 (2001)
  13. Borghetti A, "Controlled clinical evaluation of the subpedicle connective tissue graft for the coverage of gingival recession", J Periodontol, 65, pp.1107~1112 (1994)
  14. Pini-Prato G, "The Miller classification of gingival recession: limits and drawbacks", J Clin Periodontol, 38, pp.243~245 (2011)
  15. Murphy EA, "The logic of medicine", pp.119~136 (1997), Johns Hopkins University Press
  16. Chambrone L, "Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review", J Periodontol, 81, pp.452~478 (2010)
  17. Miller PD Jr, "Root coverage and ridge augmen-tation in Class IV recession using a coronally positioned free gingival graft", J Periodontol, 57, pp.360~363 (1986)
  18. Miller PD Jr, "Root coverage grafting for regeneration and aesthetics", Periodontol 2000, 1, pp.118~127 (1993)

관련 논문AI추천

상피하 결합조직 이식술을 이용한 치근피개술 : 임상증례김병옥, 유상준, 이민재, 이상준, 이창규치의학연구원 · Oral Biology Research2011 · 제35권 제2호법랑기질유도체와 결합조직이식술을 이용한 치근피개술: 치은퇴축과 관련된 다양한 증례이재홍대한치과의사협회 · 대한치과의사협회지2017 · 제55권 제3호치은 퇴축 회복을 위한 상피하 결합조직 이식을 동반하는 다양한 치근피개술에 대한 임상적 평가허익, 권영혁, 김성원, 박준봉, 신승일, 정종혁대한치주과학회 · Journal of Periodontal & Implant Science2008 · 제38권 제4호Root coverage with a modified laterally positioned flap combined with a subepithelial connective tissue graft in advanced recessionChun-Teh Lee, Daniel Royzman, Nawar Touchan, Po-Chun Chang대한치주과학회 · Journal of Periodontal & Implant Science2014 · 제44권 제6호Periodontal biotype modification using a volume-stable collagen matrix and autogenous subepithelial connective tissue graft for the treatment of gingival recession: a case series김성태, 김현주, Hyeong-Il Kim, Hyeyoon Chang, Yang-Jo Seol대한치주과학회 · Journal of Periodontal & Implant Science2018 · 제48권 제6호Root coverage using laterally positioned flap and subepithelial connective tissue graft for the treatment of the isolated recession defects on mandibular anterior teeth: case report김현주, 주지영, Eun-Young Kwon, Hye-Mi Jeon, Kyoung-Hwa Jung, Na-Rae Choi, So-Yeun Kim, Youn-Kyung Choi치의학연구원 · Oral Biology Research2023 · 제47권 제1호

이 간행물의 다른 논문 (7건)