口腔疾病防治2019，Vol.27Issue(5)：331-336,6.DOI:10.12016/j.issn.2096-1456.2019.05.012
牙龈退缩的病因和临床治疗进展
Progress in clinical treatment and etiology of gingival recession
摘要
Abstract
Gingival recession is one of the common oral symptoms. Periodontal soft tissue defects caused by gingival recession and problems related to aesthetics, prosthetics and orthodontic treatment have garnered increasing attention. This article reviews the etiology, classification and treatment of gingival recession to provide, a reference for the diagnosis and treatment of gingival recession. Anatomical characteristics of teeth, bacterial and viral infection, Occlusion trauma, Improperbrushing methods and other daily behaviors and iatrogenic factors may lead to gingival recession. Miller classification is the most commonly used classification standard. It is divided int0 4 degrees according to the relationship between gingival recession and the association between the gingival membrane and the loss of adjacent alveolar bone or interdental papilla. Gingival surgeries, such as coronally advanced flap, laterally positioned flap, subepithelial connective tissue graft for Miller Ⅰ degrees and Ⅱ gingival recession retreat, obtain a more satisfactory success rate. Regarding theⅠⅡdegree gingival recession, the postoperative curative effect is poor and can only cover part of the root. RegardingⅣdegrees gingival recession, surgery cannot reach the root surface coverage. For patients with MillerⅣgingival recession caused by severe periodontitis, the surgical treatment is poor, and repair methods, such as sputum , can also be considered. In recent years, a variety of biological materials have been jointly applied to gingival surgery, such as tooth enamel matrix derivative (EMD), allograft acellular dermal matrix (ADM), porcine collagen matrix (PCM) and plate let-rich fibrin (PRF). The use of these biomaterials can improve root coverage, increase gingival thickness and keratinized gingival width, avoid the requirement of palatal flap removal, reduce the surgical risk and increase patient compliance.关键词
牙龈退缩/Miller分类/根面覆盖/膜龈手术/牙釉质基质衍生物/脱细胞真皮基质Key words
Gingival recession/ Miller classification/ Root coverage/ Mucogingival surgery/ Tooth enamel matrix derivative/ Acellular dermal matrix分类
医药卫生引用本文复制引用
陆丽珠1,丘洪添2,蔡秋云2,周薇1..牙龈退缩的病因和临床治疗进展[J].口腔疾病防治,2019,27(5):331-336,6.基金项目
南方医科大学科研启动计划立项项目(PY2018N107) （PY2018N107）
