国际口腔医学杂志2025，Vol.52Issue(3)：323-332,10.DOI:10.7518/gjkq.2025039
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
摘要
Abstract
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Key words
gingival recession/papillary deficiency/black triangle/vascularized palatine periosteal connective tissue flap/prosthodontic treatment分类
口腔医学引用本文复制引用
周婕妤,赵蕾,吴亚菲,李勇,赵寰..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[J].国际口腔医学杂志,2025,52(3):323-332,10.基金项目
National Natural Science Foundation of China(82301089,82170970) （82301089,82170970）
Research and Develop Program,West China Hospital of Stomatology,Sichuan University(RD-02-202407) 国家自然科学基金(82301089,82170970) （RD-02-202407）
四川大学华西口腔医院探索与研发项目(RD-02-202407) （RD-02-202407）
