Combination of VISTA and SCTG to treat multiple Miller class I gingival recession

PEI Xiyan

doi:10.12405/j.issn.2097-1486.2022.02.010

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Combination of VISTA and SCTG to treat multiple Miller class I gingival recession

更新时间：2024-11-01

- Combination of VISTA and SCTG to treat multiple Miller class I gingival recession
- Emerging Science and Technology Vol. 1, Issue 2, Pages: 225-230(2022)
- 作者机构：
  
  北京大学口腔医学院·口腔医院门诊部　国家口腔疾病临床医学研究中心　口腔生物材料和数字诊疗装备国家工程研究中心　口腔数字医学北京市重点实验室，北京100034
- 作者简介：
- 基金信息：
- DOI：10.12405/j.issn.2097-1486.2022.02.010
  CLC： R781.4
- Published：2022-12，
  
  Received：20 June 2022，
  
  Revised：09 September 2022，
- 稿件说明：
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PEI Xiyan. Combination of VISTA and SCTG to treat multiple Miller class I gingival recession. [J]. Emerging Science and Technology, 2022,1(2):225-230.
DOI：

PEI Xiyan. Combination of VISTA and SCTG to treat multiple Miller class I gingival recession. [J]. Emerging Science and Technology, 2022,1(2):225-230. DOI： 10.12405/j.issn.2097-1486.2022.02.010.

摘要

牙龈退缩是牙周炎最常见的伴发病变，可导致牙齿敏感影响生活质量，根面暴露影响美观，继而发生楔状缺损及龋坏等。如何早期干预，微创有效地改善牙龈退缩，预防其进展至关重要。本文报告一例患者多颗牙敏感伴牙龈退缩、楔状缺损及扭转，检查发现11-14/21牙龈退缩1~5 mm，Miller Ⅰ度，11伴扭转及楔状缺损，诊断为11-14/21牙龈退缩及11楔状缺损。治疗为根面覆盖术及11树脂充填。具体术式为经前庭沟切口骨膜下隧道入路(VISTA)及上皮下结缔组织移植术（SCTG）。SCTG联合冠向复位瓣（CAF）为经典公认的治疗方法。VISTA技术在此基础上更微创，有效减少术后疼痛等并发症。术后敏感症状消失，术后1.5~2年根面完全覆盖，临床效果稳定。

Abstract

Gingival recession is a common lesion with chronic periodontitis. It leads to tooth sensitivity

esthetic problems

and tooth defect. Therefore

it is meaningful to treat gingival recession at early time and minimally invade. Prevention of advanced recession means a lot. In this paper

the chief complaint was teeth sensitivity and tooth defect lasted for two years. Clinical examination found gingival recession of 11-14/21 1~5 mm

Miller class I type. There was a wedge-shaped defect on labial surface and dislocation of tooth 11. Treatments included root coverage surgery and tooth restoration of 11. The techniques were vestibular incisive subperiosteal tunnel access (VISTA) with subepithelial connective tissue graft (SCTG). Coronally advanced flap (CAF) combined with SCTG were considered as gold standard to treat gingival recession. VISTA could minimally invade and reduce post-operative complications. Tooth sensitivity disappeared after root coverage totally achieved. The gingival margin is stable for a long-term period of 1.5~2 years.

关键词

牙龈退缩经前庭沟切口骨膜下隧道入路根面覆盖术上皮下结缔组织移植术冠向复位瓣

Keywords

gingival recessionvestibular incisive subperiosteal tunnel access (VISTA)root coveragesubepithelial connective tissue graft (SCTG)coronally advanced flap (CAF)

references

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