腭侧带蒂结缔组织转瓣移植联合冠修复重建美学区龈乳头1例  

Vascularized interpositional periopel connective tissue flap combined with crown restoration for reconstruction of esthetic gingival papillae:a case report

作　　者：周婕妤 赵蕾[1] 吴亚菲[1] 李勇[2] 赵寰[1] Zhou Jieyu;Zhao Lei;Wu Yafei;Li Yong;Zhao Huan(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of Periodontics,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China;State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases&Dept.of ProsthodonticsⅠ,West China Hospital of Stomatology,Sichuan University,Chengdu 610041,China)

机构地区：[1]口腔疾病防治全国重点实验室、国家口腔医学中心、国家口腔疾病临床医学研究中心、四川大学华西口腔医院牙周病科,成都610041 [2]口腔疾病防治全国重点实验室、国家口腔医学中心、国家口腔疾病临床医学研究中心、四川大学华西口腔医院修复Ⅰ科,成都610041

出　　处：《国际口腔医学杂志》2025年第3期323-332,共10页International Journal of Stomatology

基　　金：国家自然科学基金(82301089,82170970);四川大学华西口腔医院探索与研发项目(RD-02-202407)。

摘　　要：前牙美学区由于牙周炎、局部解剖因素、机械损伤或异常力等原因易出现牙龈退缩、牙齿移位形成的“黑三角”的现象,是目前口腔临床治疗的难点之一。血管化腭骨膜间结缔组织(VIP-CT)瓣是一种上腭前蒂结缔组织瓣,血供充足,可促进骨移植物成骨,改善邻间隙软组织缺损。本文报道了1例前牙区牙龈退缩伴牙齿移位、龈乳头缺失的病例,经过VIP-CT转瓣移植和骨增量手术后软硬组织状况显著改善,随后联合冠修复恢复邻面触点,最终有效重建了美学区龈乳头,获得了理想的美学结果。The“black triangle”formed by gingival recession and tooth displacement in the aesthetic area of anterior teeth due to periodontitis,local anatomical factors,mechanical injury,or abnormal occlusal force is a difficulty in oral clinical treatment.The vascularized interpositional periopel connective tissue(VIP-CT)flap is a connective tissue flap from the palate that has sufficient blood supply.It can promote bone graft osteogenesis and improve soft tissue defects in the labial and adjacent spaces.In this paper,we report a case of gingival recession in the aesthetic area with tooth displace‐ment and absence of gingival papillae.The soft and hard tissue status was significantly improved after VIP-CT rotary flap transplantation and bone graft augmentation.This ap‐proach was combined with crown repair to restore the adjacent contact.The gingival papillae in the aesthetic area were effectively reconstructed,obtaining ideal aes‐thetic results.

关 键 词：牙龈退缩 龈乳头缺陷 黑三角 血管化腭骨膜间结缔组织瓣 修复治疗 

分 类 号：R781.4[医药卫生—口腔医学]