游离龈移植术在种植位点角化黏膜增宽中的应用  

Free gingival graft for augmenting peri-implant keratinized mucosa

作　　者：黄宝鑫 陈卓凡[2] Huang Baoxin;Chen Zhuofan(Department of oral Implantology,Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University&Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510055,China;Clinic of Zhujiang New Town,Hospital of Stomatology,Guanghua School of Stomatology,Sun Yat-sen University&Guangdong Provincial Key Laboratory of Stomatology,Guangzhou 510623,China)

机构地区：[1]中山大学附属口腔医院口腔种植科·中山大学光华口腔医学院·广东省口腔医学重点实验室,广州510055 [2]中山大学附属口腔医院珠江新城门诊·中山大学光华口腔医学院·广东省口腔医学重点实验室,广州510623

出　　处：《中华口腔医学杂志》2025年第2期191-196,共6页Chinese Journal of Stomatology

基　　金：国家自然科学基金(82271005)。

摘　　要：种植位点角化黏膜不足是常见的临床问题。虽然角化黏膜宽度是否影响种植修复的远期成功仍然存在争议,但种植体周围角化黏膜宽度不足2mm增加了局部菌斑堆积、软组织炎症及黏膜退缩的风险已成为共识。游离龈移植术是目前种植位点角化黏膜增宽术的金标准,临床上其应用存在一定的技术敏感性。因此,本文阐述游离龈移植术的意义及疗效、手术时机、常规手术步骤与方法、常见并发症以及游离龈移植术的改良方法,以期为临床应用提供参考。Insufficient keratinized mucosa is a common clinical problem.Although there is no consistent data on the long-term success of implant restorations relative to the presence or absence of peri-implant keratinized mucosa,it is widely accepted that the presence of keratinized mucosa width<2 mm is associated with increased biofilm accumulation,soft-tissue inflammation,and mucosal recession.Free gingival graft(FGG)is the standard surgical intervention for augmenting the width of keratinized gingiva.However,the clinical application of FGG is technique-sensitive.Therefore,this article describes the significance and efficacy,surgical timing,conventional procedures and techniques,common complications,as well as some modified approaches of the FGG,aiming to provide guidelines for its clinical application.

关 键 词：牙种植 牙种植体 角化黏膜增宽 游离龈移植术 

分 类 号：R783.6[医药卫生—口腔医学]