一种新的牙龈微创美容缝合术应用于前牙牙冠延长术的疗效观察
|
摘要
前牙区牙冠延长术后需通过缝线进行龈瓣缝合以关闭手术创面,促进愈合。拆线前前牙区存在缝线与线结暴露而影响美观;并且唇侧缝线暴露也会加重菌斑的滞留,术后感染风险增加。本研究拟提出一种新的牙龈微创美容缝合技术,通过唇侧上皮下结缔组织内缝合及腭侧打结,达到隐藏前牙唇侧缝线,减少术后反应的方法。15例患者通过此缝合方式,术后5d均达到了良好的甲级愈合,患者美观感受及舒适度提高。
After crown lengthening surgery for anterior teeth,surgical suture should be proceeded to close gingival flap.Suture and knots exposure on labial surface will affect the aesthetic outcome before suture removal.And dental biofilm and plaque will accumulate rapidly on sutures,then lead to infection and inflammation.We design a new minimal invasive aesthetic suture technique to hide labial suture by sub-epithelial suture and palatal knotted.Fifteen patients,who was performed with this suture technique after upper anterior teeth crown lengthening surgery,get satisfied aesthetic outcomes and feel little uncomfortable.
After crown lengthening surgery for anterior teeth,surgical suture should be proceeded to close gingival flap.Suture and knots exposure on labial surface will affect the aesthetic outcome before suture removal.And dental biofilm and plaque will accumulate rapidly on sutures,then lead to infection and inflammation.We design a new minimal invasive aesthetic suture technique to hide labial suture by sub-epithelial suture and palatal knotted.Fifteen patients,who was performed with this suture technique after upper anterior teeth crown lengthening surgery,get satisfied aesthetic outcomes and feel little uncomfortable.
引文
[1]赵海燕,李姣,丁一.牙被动萌出异常的研究进展[J].国际口腔医学杂志,2013,40(1):98-101.
[2]杨阳,刘策励,郭晖,等.汉族青年露龈笑的调查[J].中华医学美学美容杂志,2015,21(2):84-86.
[3]徐明明,胡文杰.上前牙美学牙冠延长术及术后修复[J].国际口腔医学杂志,2008,35(1):16-18.
[4] Venema S,Abbas F,Van De Belt-Gritter B,et al.In vitro oral biofilm formation on triclosan-coated sutures in the absence and presence of additional antiplaque treatment[J].J Oral Maxillofac Surg,2011,69(4):980-985.
[5] Jemt T.Regeneration of gingival papillae after single-implant treatment[J].Int J Periodontics Restorative Dent,1997,17(4):326-333.
[6]李浩,张纲,郑维银,等.美容缝合技术在颌面部创伤中应用的疗效观察[J].国际口腔医学杂志,2013,40(2):169-171.
[7]孙振龙,雷情,张春连.美容缝合技术在口腔颌面外伤中的应用价值[J].中国医疗美容,2018,8(5):26-29.
[8] Powell CA,Mealey BL,Deas DE,et al.Post-surgical infections:prevalence associated with various periodontal surgical procedures[J].J Periodontol,2005,76(3):329-333.
[9] Holger JS,Wandersee SC,Hale DB.Cosmetic outcomes of facial lacerations repaired with tissue-adhesive,absorbable,and nonabsorbable sutures[J].Am J Emerg Med,2004,22(4):254-257.
[10]祖青,杨川,陈文君.上前牙区角化龈宽度和牙龈厚度之间的相关性分析[J].中国美容医学杂志,2017,26(11):98-100.
[2]杨阳,刘策励,郭晖,等.汉族青年露龈笑的调查[J].中华医学美学美容杂志,2015,21(2):84-86.
[3]徐明明,胡文杰.上前牙美学牙冠延长术及术后修复[J].国际口腔医学杂志,2008,35(1):16-18.
[4] Venema S,Abbas F,Van De Belt-Gritter B,et al.In vitro oral biofilm formation on triclosan-coated sutures in the absence and presence of additional antiplaque treatment[J].J Oral Maxillofac Surg,2011,69(4):980-985.
[5] Jemt T.Regeneration of gingival papillae after single-implant treatment[J].Int J Periodontics Restorative Dent,1997,17(4):326-333.
[6]李浩,张纲,郑维银,等.美容缝合技术在颌面部创伤中应用的疗效观察[J].国际口腔医学杂志,2013,40(2):169-171.
[7]孙振龙,雷情,张春连.美容缝合技术在口腔颌面外伤中的应用价值[J].中国医疗美容,2018,8(5):26-29.
[8] Powell CA,Mealey BL,Deas DE,et al.Post-surgical infections:prevalence associated with various periodontal surgical procedures[J].J Periodontol,2005,76(3):329-333.
[9] Holger JS,Wandersee SC,Hale DB.Cosmetic outcomes of facial lacerations repaired with tissue-adhesive,absorbable,and nonabsorbable sutures[J].Am J Emerg Med,2004,22(4):254-257.
[10]祖青,杨川,陈文君.上前牙区角化龈宽度和牙龈厚度之间的相关性分析[J].中国美容医学杂志,2017,26(11):98-100.