상피하결합조직 이식을 동반한 측방변위 판막술을 통한 의원성 치은퇴축 치료 증례보고
Laterally positioned flap using subepithelial connective tissue graft for iatrogenic gingival recession treatment
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초록
치은퇴축의 원인 중 하나인 의원성 치은퇴축은 교정치료 또는 근관치료에 의하여 발생할 수 있다. 이는 기능적, 심미적 문제뿐만 아니라 치료에 대한 만족도도 낮출 수 있다. 이를 위한 치료 방법으로 다양한 술식이 존재하나, 상피하결합조직 이식을 동반한 측방변위판막술은 각화치은량의 증대, 치유된 치은의 수여부 연조직과의 조화로운 형태 및 색을 얻을수 있는 장점이 있다. 술 전 임상적 및 방사선학적 검사를 통한 예지성 있는 적절한 증례 선택을 필요로 하며 술식에 있어 적합한 양의 상피하결합조직 획득과 판막의 피개량을 고려해야 한다. 본 증례보고의 두 가지 다른 원인의 의원성 치은퇴축의 치료 결과를 살펴보았을 때, 상피하결합조직 이식을 동반한 측방변위판막술은 의원성 치은퇴축의 치료법으로 우수한 결과를 나타내었으며, 1년 이상의 추적관찰시 높은 예지성을 보였다.
Abstract
Gingival recession could occur after orthodontic or endodontic treatment. This could influence not only functional and aesthetic problem, but also patient’s treatment satisfaction. There are a lot of techniques for preventing gingival recession, but laterally positioned flap with subepithelial connective tissue graft could get definite advantages such as increase of keratinized gingival width and harmonious color match between graft tissue and surrounding tissue. Clinician should select a right patient case and diagnosis with clinical and radiography exam. In a surgical procedure, getting enough amounts of subepithelial connective tissue and flap coverage should be taken into consideration. The clinical outcomes in this case report shows laterally positioned flap with subepithelial connective tissue graft could be a treatment with predictive outcome.
참고문헌 (20)
- Hall WB, "Present status of soft tissue grafting", J Periodontol, 48, pp.587~597 (1977)
- Melsen B, "Factors of importance for the development of dehiscences during labial movement of mandibular incisors: a retrospective study of adult orthodontic patients", Am J Orthod Dentofacial Orthop, 127, pp.552~561 (2005)
- Seltzer S, "Periodontal effects of root perforations before and during endodontic procedures", J Dent Res, 49, pp.332~339 (1970)
- Miller PD Jr, "A classification of marginal tissue recession", Int J Periodontics Restorative Dent, 5, pp.8~13 (1985)
- Grupe HE, "Repair of gingival defects by a sliding flap operation", J Periodontol, 27, pp.92~95 (1956)
- Grupe HE, "Modified technique for the sliding flap operation", J Periodontol, 37, pp.491~495 (1966)
- Chun-Teh Lee, "Root coverage with a modified laterally positioned flap combined with a subepithelial connective tissue graft in advanced recession", Journal of Periodontal & Implant Science, 44(6), pp.300~306 (2014), 대한치주과학회
- Zucchelli G, "Mucogingival esthetic surgery", pp.330~378 (2013), Quintessenza Edizioni
- Jahnke PV, "Thick free gingival and connective tissue autografts for root coverage", J Periodontol, 64, pp.315~322 (1993)
- Carnio J, "Mineral trioxide aggregate and subepithelial connective tissue graft for treatment of iatrogenic gingival recession: long-term results", Int J Periodontics Restorative Dent, 34, pp.71~77 (2014)
- Jung UW, "Gingival cov-erage of iatrogenically denuded labial bone resulting from thermal trauma", Int J Periodontics Restorative Dent, 33, pp.635~639 (2013)
- Ruben MP, "Rationale for the employment of laterally positioned flaps and free autogenous gingival grafts in periodontics (I)", Quintessence Int Dent Dig, 9, pp.57~61 (1978)
- Ruben MP, "Rationale for the employment of laterally positioned flaps and free autogenous gingival grafts in periodontics (II)", Quintessence Int Dent Dig, 9, pp.53~57 (1978)
- Hall WB, "Gingival augmentation", mucogingival surgery, 1989, VII 1~VII 21[DOI]
- Santana RB, "Clinical evaluation of singlestage advanced versus rotated flaps in the treatment of gingival recessions", J Periodontol, 81, pp.485~492 (2010)
- Zucchelli G, "Laterally moved, coronally advanced flap: a modified surgical approach for isolated recession-type defects", J Periodontol, 75, pp.1734~1741 (2004)
- Zuhr O, "The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution", J Clin Periodontol, 41(suppl 15), pp.S123~S142 (2014)
- Yotnuengnit P, "Relative connective tissue graft size affects root coverage treatment outcome in the envelope procedure", J Periodontol, 75, pp.886~892 (2004)
- Langer B, "Subepithelial connective tissue graft technique for root coverage", J Periodontol, 56, pp.715~720 (1985)
- Miller PD Jr, "Root coverage with the free gingival graft. Factors associated with incomplete coverage", J Periodontol, 58, pp.674~681 (1987)