闭合瓣牙冠延长术的临床应用进展  

Progress in clinical application of flapless crown lengthening

作　　者：张瑞清 徐颖婕[1] 吴迎涛[1] ZHANG Ruiqing;XU Yingjie;WU Yingtao(Department of Periodontology,Qingdao Stomatological Hospital Affiliated to Qingdao University,Qingdao 266001,China)

机构地区：[1]青岛大学附属青岛市口腔医院牙周科,山东青岛266001

出　　处：《口腔医学》2025年第2期151-155,共5页Stomatology

基　　金：青岛市医疗卫生重点学科建设(2022-2024);青岛市口腔疾病临床医学研究中心(22-3-7-lczx-7-nsh);山东省医药卫生口腔内科学重点学科(青岛大学附属青岛市口腔医院)(2024-2026);青岛市口腔医院青年基金(2022QN01)。

摘　　要：牙冠延长术是为实现功能、美观、牙周健康等多种目的而实施的常见牙周手术之一。近年来,随着微创理念不断发展,闭合瓣牙冠延长术在临床应用中得到更多关注。闭合瓣牙冠延长术借助激光、超声骨刀等工具由龈沟入路去骨,无需翻瓣和缝合,避免了牙槽骨的直接暴露,具有出血少、创伤小、愈合快、操作简便、患者舒适度高等优势。本文就近年来闭合瓣牙冠延长术的手术方法、适应证选择和临床应用效果进行综述,为临床医师开展闭合瓣牙冠延长术提供参考。Crown lengthening is one of the common periodontal surgeries for the purposes of function,aesthetic and periodontal health.In recent years,with the continuous development of minimally invasive concept,flapless crown lengthening surgery has been receiving increasing attention in clinical practice.With the help of laser,piezosurgery and other tools,flapless crown lengthening surgery is used to remove alveolar bone through gingival sulcus without open-flap approach and suture.This minimally invasive flapless approach can avoid direct exposure of alveolar bone,and has the advantages of less bleeding,less trauma,fast healing,simple operation and high patients comfort.The review demonstrates surgical methods,indication selection and clinical application results of flapless crown lengthening,aiming at providing reference for clinicians to carry out this novel technique.

关 键 词：微创 闭合瓣 牙冠延长术 激光 超声骨刀 

分 类 号：R781.4[医药卫生—口腔医学]