华西口腔医学杂志2018，Vol.36Issue(2)：117-122,6.DOI:10.7518/hxkq.2018.02.001
牙周膜龈手术的临床应用Ⅱ:异体材料的应用
The applications of periodontal gingival surgery. Ⅱ: alternative materials
毛尔加1
作者信息
- 1. 美国华盛顿大学牙周病学系,西雅图 98195;美国西北牙周病种植牙中心,西雅图 98133
- 折叠
摘要
Abstract
The main purposes of periodontal graft surgery include achieving root coverage, improving the clinical attach-ment level and keratinized tissue, and advancing the procedure of periodontal plastic surgery. Autogenous graft, such as sube-pithelial connective tissue graft-based procedure, provide the best outcomes for mean and complete root coverage, as well as increase in keratinized tissue. However, a disadvantage of the procedure is in the location of the operation itself: the additional surgical site (palate). Therefore, clinicians are always looking for graft substitutes. This article will discuss the evidence sup-porting the use of 1) acellular dermal matrix (ADM); 2) xenogeneic collagen matrix (XCM); 3) recombinant human platelet-derived growth factor (rhPDGF); 4) enamel matrix derivative (EMD); 5) guided tissue regeneration (GTR); 6) living cellular construct (LCC), all of which are used in conjunction with coronally advanced flaps as alternatives to autogenous donor tissue. The decision tree for treatments of Miller recession-type defects are also discussed.关键词
牙周/膜龈手术/异体材料/牙龈退缩/附着龈Key words
periodontics/gingival surgery/alternative material/gingival recession/attached gingiva分类
医药卫生引用本文复制引用
毛尔加..牙周膜龈手术的临床应用Ⅱ:异体材料的应用[J].华西口腔医学杂志,2018,36(2):117-122,6.
