[1]张 晶,林晓华.游离龈移植术后移植瓣收缩效果对口腔黏膜瘢痕整体外观评价的影响[J].中国美容医学,2023,(4):138-140.
　ZHANG Jing,LIN Xiaohua.Effect of Graft Flap Contraction on the Overall Appearance of Oral Mucosal Scarring after Free Gingival Transplantation?/html>[J].Medical Aesthetics and Beauty,2023,(4):138-140.
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游离龈移植术后移植瓣收缩效果对口腔黏膜瘢痕整体外观评价的影响()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年4期
页码:
138-140
栏目:
出版日期:
2023-04-10

文章信息/Info

Title:
Effect of Graft Flap Contraction on the Overall Appearance of Oral Mucosal Scarring after Free Gingival Transplantation?/html>
文章编号:
1008-6455（2023）04-0138-03
作者:
张 晶; 林晓华
(青岛市城阳区人民医院口腔科 山东 青岛 266109 )
Author(s):
ZHANG Jing; LIN Xiaohua
(Department of Stomatology,Qingdao Chengyang District People’s Hospital,Qingdao 266109, Shandong,China)
关键词:
游离龈移植术; 移植瓣收缩效果; 口腔黏膜瘢痕整体外观; 口腔健康; 疼痛
Keywords:
free gingival transplantation;  contraction eff ect of transplanted valve;  overall appearance of oral mucosal scarring;  oral health;  pain
分类号:
R781.41
文献标志码:
A
摘要:
目的：探讨游离龈移植术后移植瓣收缩效果对口腔黏膜瘢痕整体外观评价的影响。方法：选取2019年3月-2021年 6 月笔者医院口腔科收治的牙龈退缩需行游离龈移植术患者64例，行游离龈移植术。观察并比较患者手术前后角化 龈宽度、龈瓣水平向宽度、龈瓣垂直向宽度、龈瓣表面积、温哥华瘢痕量表（Vancouver scar scale,VSS）评分、 菌斑指数及视觉模拟评分法(Visual analogue score,VAS)评分结果。结果：术后1个月和3个月角化龈宽度分别为 （3.44±0.55）mm、（3.77±0.66）mm，均较术前明显升高（P＜0.05）；术后1个月龈瓣垂直向宽度、水平向宽度及表面 积分别为（8.88±1.45）mm、（3.12±0.32）mm、（32.88±8.12）mm2 ，均较术前降低（P＜0.05）；术后1个月和3个月 VSS 评分分别为（4.44±1.04）分、（2.75±0.67）分，均较术后即刻明显降低（P＜0.05）；术后1个月和3个月牙菌斑指 数分别为1.66±0.33、0.74±0.34，均较治疗前明显降低（P＜0.05）；术后3周、7周VAS评分分别为（2.39±1.11）分、 （0.59±0.35）分，均较术前明显降低（P＜0.05）。结论：牙龈退缩患者行游离龈移植术后移植瓣收缩较小，可促进口腔 健康恢复，减轻疼痛和口腔黏膜瘢痕，改善患者预后，提高口腔黏膜瘢痕整体美观性。
Abstract:
Objective To investigate the eff ect of graft fl ap contraction on the overall appearance of oral mucosal scarring after free gingival transplantation. Methods Sixty four patients with gingival recession who needed free gingival transplantation in the author’s hospital from March 2019 to June 2021 were selected. The patient was treated with free gingival transplantation. The width of keratinized gingiva, the horizontal width of gingival fl ap, the vertical width of gingival fl ap, the surface area of gingiva flap, Vancouver Scar Scale (VSS) score, plaque index and vas score were observed and compared before and after surgery. Results The width of keratinized gingiva 1 month and 3 months after operation were (3.44±0.55) mm and (3.77±0.66) mm respectively, which were significantly higher than that before operation (0.21±0.22) mm (P ＜0.05). One month after operation, the vertical width, horizontal width and surface area of gingival flap were (8.88±1.45) mm, (3.12±0.32) mm, (32.88±8.12) mm2 , Compared with preoperative (9.57±1.34) mm, (4.08±0.46) mm, (40.22±11.38) mm2 (P＜0.05). The VSS scores at 1 month and 3 months after operation were (4.44±1.04) points and (2.75±0.67) points respectively, which were signifi cantly lower than immediately after operation(P ＜0.05). Plaque index at 1 month and 3 months after treatment were 1.66±0.33 and 0.74±0.34 respectively, which were signifi cantly lower than that before treatment (P ＜0.05). The vas scores at 3 and 7 weeks after operation were 2.39±1.11 and 0.59±0.35 respectively, which were signifi cantly lower than those before operation(P ＜0.05). Conclusion After free gingival transplantation, the contraction of transplanted fl ap is reduced, which can promote the recovery of oral health, reduce pain and oral mucosal scarring, improve the prognosis and improve the overall beauty of oral mucosal scarring.

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更新日期/Last Update: 2023-05-16