牙龈瘤切除术后的美学处理与分析  

Aesthetic Processing and Analysis after Resection of Epulis.

作　　者：孙素珍[1] 曹正国[2] 戴杰[3] 吴志芳[4] 

机构地区：[1]宁波市第一医院口腔科,浙江宁波315000 [2]武汉大学口腔医院牙周科 [3]浙江省台州医院路桥院区口腔科 [4]浙江省儿童医院

出　　处：《口腔医学研究》2015年第4期401-403,407,共4页Journal of Oral Science Research

摘　　要：目的：采用用冠向复位瓣法及侧向转位瓣术对牙龈瘤切除后唇颊侧的余留创面进行处理,并观察其疗效。方法：从符合纳入标准的牙龈瘤患者中选择24例,采用牙龈瘤切除＋局部刮治和牙槽骨修整,视牙龈缺损情况采用冠向复位瓣法或侧向转位瓣术来处理唇颊侧创面。结果：观察6个月~1年,24例患者无1例复发,且术后牙龈颜色、形态较理想,仅6例患者出现轻微的牙龈退缩、牙槽骨吸收或黑三角,且该6例牙龈均为薄龈生物型。结论：保留患牙,切除牙龈瘤后,用冠向复位瓣法或侧向转位瓣术处理创面,在牙龈的外形恢复方面能得到较理想的效果,但是薄龈生物型的牙龈较厚龈生物型在术后更容易出现牙龈退缩。Objective：To investigate the feasibility and efficacy of coronally advanced flap（CAF）and laterally positioned flap in the treatment of labiobuccal residual wounds after the epulis resection.Methods：24cases were selected from epulis patients.After epulis resection and local scaling and alveoloplasty,the patients were dealed with the labiobuccal wound by coronally advanced flap（CAF）and laterally positioned flap according to the condition of gingival defects.Results：There were no recurrence during the 3-6months follow up period.Postoperative gum color and shape was ideal,but only 6cases with thin gingiva biotype showed mild gum recession,alveolar bone absorption or black triangle.Conclusion：Using of coronally advanced flap（CAF）and laterally positioned flap in excision of epulis could get better gingival recover and esthetic results.The prognosis of thin gingiva biotype was a little worse and prone to gum recession.

关 键 词：牙龈瘤 冠向复位瓣法 侧向转位瓣法 牙龈生物型 

分 类 号：R739.8[医药卫生—肿瘤]