VISTA联合SCTG治疗连续多颗Miller I度牙龈退缩

裴喜燕

doi:10.12405/j.issn.2097-1486.2022.02.010

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VISTA联合SCTG治疗连续多颗Miller I度牙龈退缩

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- VISTA联合SCTG治疗连续多颗Miller I度牙龈退缩
- Combination of VISTA and SCTG to treat multiple Miller class I gingival recession
- 新兴科学和技术趋势 2022年1卷第2期页码：225-230
- 作者机构：
  
  北京大学口腔医学院·口腔医院门诊部　国家口腔疾病临床医学研究中心　口腔生物材料和数字诊疗装备国家工程研究中心　口腔数字医学北京市重点实验室，北京100034
- 作者简介：
  
  [ "裴喜燕，女，博士学历，副主任医师，任职于北京大学口腔医院，2012年博士毕业于北京大学医学部，专长为牙周和种植，特别是牙周组织再生术、软组织膜龈手术、种植手术、全口无牙颌种植及其它种植软硬组织重建术、种植修复及口腔多学科疑难病例综合诊治。", "于2016年赴美国宾夕法尼亚大学牙学院访学1年，参与国际合作基础科学研究项目。作为项目负责人承担3项临床新技术新疗法项目及1项青年科学研究基金，发表20余篇论文，发表专利1项。多次获得院先进工作者称号及优秀医疗工作奖等荣誉。并于2022年获得北京大学口腔医院第一届优秀青年医师奖。E-mail：peixiyan2545@126.com" ]
- 基金信息：
- DOI：10.12405/j.issn.2097-1486.2022.02.010
  中图分类号： R781.4
- 纸质出版日期：2022-12，
  
  收稿日期：2022-06-20，
  
  修回日期：2022-09-09，
- 稿件说明：
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裴喜燕. VISTA联合SCTG治疗连续多颗Miller I度牙龈退缩[J]. 新兴科学和技术趋势, 2022,1(2):225-230.

PEI Xiyan. Combination of VISTA and SCTG to treat multiple Miller class I gingival recession. [J]. Emerging Science and Technology, 2022,1(2):225-230.
裴喜燕. VISTA联合SCTG治疗连续多颗Miller I度牙龈退缩[J]. 新兴科学和技术趋势, 2022,1(2):225-230. DOI： 10.12405/j.issn.2097-1486.2022.02.010.

PEI Xiyan. Combination of VISTA and SCTG to treat multiple Miller class I gingival recession. [J]. Emerging Science and Technology, 2022,1(2):225-230. DOI： 10.12405/j.issn.2097-1486.2022.02.010.

摘要

牙龈退缩是牙周炎最常见的伴发病变，可导致牙齿敏感影响生活质量，根面暴露影响美观，继而发生楔状缺损及龋坏等。如何早期干预，微创有效地改善牙龈退缩，预防其进展至关重要。本文报告一例患者多颗牙敏感伴牙龈退缩、楔状缺损及扭转，检查发现11-14/21牙龈退缩1~5 mm，Miller Ⅰ度，11伴扭转及楔状缺损，诊断为11-14/21牙龈退缩及11楔状缺损。治疗为根面覆盖术及11树脂充填。具体术式为经前庭沟切口骨膜下隧道入路(VISTA)及上皮下结缔组织移植术（SCTG）。SCTG联合冠向复位瓣（CAF）为经典公认的治疗方法。VISTA技术在此基础上更微创，有效减少术后疼痛等并发症。术后敏感症状消失，术后1.5~2年根面完全覆盖，临床效果稳定。

Abstract

Gingival recession is a common lesion with chronic periodontitis. It leads to tooth sensitivity

esthetic problems

and tooth defect. Therefore

it is meaningful to treat gingival recession at early time and minimally invade. Prevention of advanced recession means a lot. In this paper

the chief complaint was teeth sensitivity and tooth defect lasted for two years. Clinical examination found gingival recession of 11-14/21 1~5 mm

Miller class I type. There was a wedge-shaped defect on labial surface and dislocation of tooth 11. Treatments included root coverage surgery and tooth restoration of 11. The techniques were vestibular incisive subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft (SCTG). Coronally advanced flap (CAF) combined with SCTG were considered as gold standard to treat gingival recession. VISTA could minimally invade and reduce post-operative complications. Tooth sensitivity disappeared after root coverage totally achieved. The gingival margin is stable for a long-term period of 1.5~2 years.

关键词

牙龈退缩经前庭沟切口骨膜下隧道入路根面覆盖术上皮下结缔组织移植术冠向复位瓣

Keywords

gingival recessionvestibular incisive subperiosteal tunnel access (VISTA)root coveragesubepithelial connective tissue graft (SCTG)coronally advanced flap (CAF)

references

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