[1]李 宏,杨卓娅.游离龈移植及单纯应用可吸收膜诱导角化龈生成在种植体周围角化龈缺失中的应用对比[J].中国美容医学,2023,(7):135-139.[doi:10.15909/j.cnki.cn61-1347/r.005803]
　LI Hong,YANG Zhuoya.Comparison of the Application of FGG and Simple Application of Absorbable Membrane to Induce Keratinogenic Gingival Formation in the Absence of Keratinized Gingiva around Implants[J].Medical Aesthetics and Beauty,2023,(7):135-139.[doi:10.15909/j.cnki.cn61-1347/r.005803]
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游离龈移植及单纯应用可吸收膜诱导角化龈生成在种植体周围角化龈缺失中的应用对比()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年7期
页码:
135-139
栏目:
出版日期:
2023-07-10

文章信息/Info

Title:
Comparison of the Application of FGG and Simple Application of Absorbable Membrane to Induce Keratinogenic Gingival Formation in the Absence of Keratinized Gingiva around Implants
文章编号:
1008-6455(2023)07-0135-04
作者:
李 宏; 杨卓娅
(秦皇岛市海港医院口腔科 河北 秦皇岛 066000 )
Author(s):
LI Hong; YANG Zhuoya
(Department of Stomatology,Haigang Hospital,Qinhuangdao 066000,Hebei,China)
关键词:
后牙缺失; 角化龈缺失; 游离龈移植; 可吸收膜; 根向复位术
Keywords:
loss of posterior teeth;  loss of keratinized gingiva;  free gingival graft;  absorbable membrane;  root reduction
分类号:
R783.6
DOI:
10.15909/j.cnki.cn61-1347/r.005803
文献标志码:
A
摘要:
目的：探讨游离龈移植（Free gingival grafts，FGG）及单纯应用可吸收膜诱导角化龈生成在种植体周围角化龈缺 失中的应用效果。方法：选取2018年5月-2021年1月笔者医院收治的10例预行后牙种植术的种植体周围角化龈缺失患者， 于种植二期术前对患者行可吸收膜诱导再生术，术后4周测量种植位点仅生成部分角化龈，再行FGG，并将其以不同术式结 果分为可吸收膜诱导术组和FGG组。比较两组疼痛程度、角化龈厚度和宽度、改良菌斑指数（Modified plaque index， mPI）、改良出血指数（Modified bleeding index，mBI）、探诊深度（Probing depth，PD）水平及患者满意度。结 果：术后3 d、7 d，两组视觉模拟量表（Visual analog scale，VAS）评分均逐渐降低，且同时间段FGG组VAS评分均低于 可吸收膜诱导术组（P＜0.05）；术后8周，FGG组角化龈厚度和宽度均高于可吸收膜诱导术组，FGG组mPI、mBI、PD水平均 低于可吸收膜诱导术组（P＜0.05）；术后6个月，两组PD水平均低于术后8周，可吸收膜诱导术组mBI水平低于术后8周，且 FGG 组均高于可吸收膜诱导术组（P＜0.05）；FGG组软组织美学评分高于可吸收膜诱导术组（P＜0.05）。结论：FGG及单纯 应用可吸收膜诱导角化龈生成均能增量种植体周围角化龈缺失患者角化龈，且FGG对患者疼痛程度更低，角化龈增量效果更 显著，能更有利于维持患者口腔卫生和软组织水平，患者满意度更高。
Abstract:
Objective To investigate the application eff ect of free gingival grafting (FGG) and simple application of absorbable membrane to induce keratinogenic gingiva formation in the absence of keratinized gingiva around implants. Methods Selected 10 patients with keratinized gingival loss around implants who were pre-implanted in the hospital from May 2018 to January 2021, and underwent induction regeneration of absorbable membrane before the second-stage implantation. Four weeks after the operation,only partially keratinized gingiva was formed at the implantation site, and then FGG was performed. The results of diff erent surgical procedures were divided into absorbable membranes induction group and the FGG group. The pain level, thickness and width of keratinized gingiva, modifi ed plaque index ( mPI), modifi ed bleeding index ( mBI), probing depth (PD) and patient satisfaction were compared between the two groups. Results At 3 and 7 days after operation, the visual analog scale (VAS) scores in both groups gradually decreased, and the VAS scores in the FGG group were lower than those in the absorbable membrane induction group at the same time period (P＜0.05). Eight weeks after operation, the thickness and width of keratinized gingiva, satisfaction scale score in FGG group were higher than those in absorbable membrane induction group and the levels of mPI, mBI and PD were lower in the FGG group than in the absorbable membrane induction group (P ＜0.05). At 6 months after operation, PD levels in both groups were lower than at 8 weeks after operation, and the mBI level in absorbable membrane induction group was lower than at 8 weeks after operation, and the FGG group was higher than the absorbable membrane induction group (P ＜0.05). The soft tissue aesthetic score in the FGG group was higher than that in the absorbable membrane induction group (P＜0.05). Conclusion Both FGG and the simple application of absorbable membrane to induce keratinized gingiva can increase keratinized gingiva in patients with missing keratinized gingiva around implants, and FGG is less painful for patients, and has a more signifi cant eff ect on keratinized gingival augmentation, which can be more benefi cial to patients with keratinized gingiva. Maintaining patient oral hygiene and soft tissue level results in higher patient satisfaction.
更新日期/Last Update: 2023-08-08