改良隧道技术联合树脂充填治疗伴非龋性牙颈部缺损的多牙位牙龈退缩的效果分析

R781.4; 目的 ·观察改良隧道技术(modified coronally advanced tunnel technique,MCAT)结合树脂充填治疗伴非龋性牙颈部病变(non-carious cervical lesion,NCCL)的多牙位牙龈退缩临床效果.方法 ·纳入伴NCCL的多牙位牙龈退缩的患者,通过树脂充填结合MCAT+上皮下结缔组织移植物(subepithelial connective tissue graft,sCTG)技术修复患牙冠根部的软硬组织缺损.在术前及术后6个月随访时检查患牙的探诊深度(probing depth,PD)、出血指数(bleeding inde...

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Published in上海交通大学学报（医学版） Vol. 42; no. 11; pp. 1638 - 1643
Main Authors 廖悦, 董家辰, 宋忠臣
Format Journal Article
LanguageChinese
Published 上海交通大学医学院附属第九人民医院牙周病科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011 28.11.2022
Subjects
非龋性牙颈部病变
牙龈退缩
树脂充填
改良隧道技术
Online AccessGet full text
ISSN1674-8115
DOI10.3969/j.issn.1674-8115.2022.11.018

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Abstract R781.4; 目的 ·观察改良隧道技术(modified coronally advanced tunnel technique,MCAT)结合树脂充填治疗伴非龋性牙颈部病变(non-carious cervical lesion,NCCL)的多牙位牙龈退缩临床效果.方法 ·纳入伴NCCL的多牙位牙龈退缩的患者,通过树脂充填结合MCAT+上皮下结缔组织移植物(subepithelial connective tissue graft,sCTG)技术修复患牙冠根部的软硬组织缺损.在术前及术后6个月随访时检查患牙的探诊深度(probing depth,PD)、出血指数(bleeding index,BI)、菌斑指数(plaque index,PLI)、牙龈退缩高度(recession height,RH)、角化龈宽度(keratinized tissue width,KTW)、牙龈厚度(gingival thickness,GT)、龈乳头高度,并行根面覆盖美学评分(root coverage esthetic score,RES).结果 ·共纳入3名患者,9个牙位.术后6个月时,BI、PLI、RH较术前下降;而KTW、GT及龈乳头高度均较术前增加,龈乳头高度较术前增加了(0.67±0.75)mm,术后RES评分为(8.56±1.33)分.结论 ·MCAT结合树脂充填技术能有效改善伴NCCL的多牙位牙龈退缩,获得唇颊侧及邻面软组织增量,并取得良好的美学效果.
AbstractList R781.4; 目的 ·观察改良隧道技术(modified coronally advanced tunnel technique,MCAT)结合树脂充填治疗伴非龋性牙颈部病变(non-carious cervical lesion,NCCL)的多牙位牙龈退缩临床效果.方法 ·纳入伴NCCL的多牙位牙龈退缩的患者,通过树脂充填结合MCAT+上皮下结缔组织移植物(subepithelial connective tissue graft,sCTG)技术修复患牙冠根部的软硬组织缺损.在术前及术后6个月随访时检查患牙的探诊深度(probing depth,PD)、出血指数(bleeding index,BI)、菌斑指数(plaque index,PLI)、牙龈退缩高度(recession height,RH)、角化龈宽度(keratinized tissue width,KTW)、牙龈厚度(gingival thickness,GT)、龈乳头高度,并行根面覆盖美学评分(root coverage esthetic score,RES).结果 ·共纳入3名患者,9个牙位.术后6个月时,BI、PLI、RH较术前下降;而KTW、GT及龈乳头高度均较术前增加,龈乳头高度较术前增加了(0.67±0.75)mm,术后RES评分为(8.56±1.33)分.结论 ·MCAT结合树脂充填技术能有效改善伴NCCL的多牙位牙龈退缩,获得唇颊侧及邻面软组织增量,并取得良好的美学效果.
Author 董家辰
宋忠臣
廖悦
AuthorAffiliation 上海交通大学医学院附属第九人民医院牙周病科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011
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Author_FL LIAO Yue
SONG Zhongchen
DONG Jiachen
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DocumentTitle_FL Efficacy of modified coronally advanced tunnel technique combined with resin restoration for the treatment of multiple gingival recession with non-carious cervical lesions
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Issue 11
Keywords 非龋性牙颈部病变
牙龈退缩
树脂充填
改良隧道技术
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PublicationTitle 上海交通大学学报（医学版）
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Snippet R781.4; 目的 ·观察改良隧道技术(modified coronally advanced tunnel technique,MCAT)结合树脂充填治疗伴非龋性牙颈部病变(non-carious cervical lesion,NCCL)的多牙位牙龈退缩临床效果.方法...
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Title 改良隧道技术联合树脂充填治疗伴非龋性牙颈部缺损的多牙位牙龈退缩的效果分析
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