牙周膜龈手术联合冠修复改善伴中度牙槽骨吸收的上前牙严重龈乳头缺陷的初步探索(附1例1年随访报告)  

Preliminary exploration of periodontal mucogingival surgical technique combined with crown restorations for the reconstruction of severe interdental papilla defect of maxillary anterior teeth with moderate alveolar bone resorption:a case report of 1-year follow-up

作　　者：韦宁 许砚耕 胡文杰[1] 刘云松[2] 周倜 徐钰倩 WEI Ning;XU Yan-geng;HU Wen-jie;LU Yun-song;ZHOU Ti;XU Yur-qian(Department of Periodontology,Pehing Unirersiy School and Hospital of Stomatology&National Cen-ter for Stomatology&National Clinical Research Center for 0ral Diseases&National Engineering Laboratory for Digital and Material Teehnology of Stomatology&National Health Commission Research Center of Engineering and Technology for Compueried Denistry,Bejig 10081,China;不详)

机构地区：[1]北京大学口腔医学院·口腔医院牙周科,北京100081 [2]北京大学口腔医学院·口腔医院修复科、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔数字化医疗技术和材料国家工程实验室、国家卫生健康委员会口腔医学计算机应用工程技术研究中心,北京100081

出　　处：《中国实用口腔科杂志》2023年第3期288-295,共8页Chinese Journal of Practical Stomatology

基　　金：国家科技基础资源调查专项(2018FY101003);北京市卫健委住培质量提升探索及推广项目(住培-2022jy01203);北京大学口腔医学院教改项目(2021-PT-04)。

摘　　要：上前牙的龈乳头缺陷(黑三角)是临床常见的美学问题,其发生受到牙根相对位置关系、牙冠外形、牙周软硬组织等多因素影响,如何针对病因进行多学科综合治疗是最终体现良好美学效果的关键。文章展示1例伴有中度牙槽骨吸收的上前牙严重龈乳头缺陷的病例诊治过程,介绍了针对该问题的病情分析和采用牙周膜龈手术结合全冠修复的治疗细节,为类似病例的临床诊治和美学效果改善提供参考。Interdental papilla defect(black triangle)in aesthetic area of maxillary anterior teeth is a common aesthetic defect in clinical practice,caused by various factors such as the relative position of the tooth root,the shape of the crown,and the periodontal tissue.Multidisciplinary comprehensive treatment targeting the causes is the key to reflecting the good final aesthetic results.This article illustrates a case of severe interdental papilla defect accompanied with moderate alveolar bone resorption which received periodontal mucogingival surgery and crown restorations including aesthetic analysis and planning and clinical implementation process,providing references for clinical practice.

关 键 词：经前庭沟切口的骨膜下隧道技术 上皮下结缔组织移植术 龈乳头缺陷 牙周炎 美学治疗 

分 类 号：R78[医药卫生—口腔医学]