国际口腔医学杂志2025，Vol.52Issue(3)：333-340,8.DOI:10.7518/gjkq.2025049
Ⅲ期C级牙周炎正畸患者上前牙龈乳头缺陷伴牙龈退缩1例
Treatment of gingival papilla loss with gingival recession in orthodontic patients with stage Ⅲ grade C periodonti-tis:a case report
摘要
Abstract
Comprehensive periodontal nonsurgical treatment and orthodontic treatment can improve the oral health,function,and aesthetics of patients with periodontitis.For patients with severe periodontitis,aesthetic problems,such as gingival recession and gingival papillary defects,may occur after periodontal system treatment,requiring personalized multidisciplinary collaborative treatment.This article reports a case of a patient with stage Ⅲ grade C periodontitis who underwent periodontal nonsurgical,simple flap,and orthodontic treatments in the anterior tooth area and labial-gingival retraction and gingival papillary defect repair in the anterior teeth.Preoperative X-ray measurement and diagnostic mock-up analysis revealed that the distance from the contact point to the alveolar ridge crest could be reduced to less than or equal to 5 mm and an ideal aesthetic effect of the dental crown could be achieved.A T-shaped connective tissue flap and lip coronal-positioned flap were designed to re-construct the gingival papilla and improve the lip gingi-val recession.Composite resin veneers were used to lower the contact point position and repair black triangles.Re-markable improvement in clinical attachment level,ideal root coverage effect,and good gingival papilla morphology were achieved two years after surgery.These changes improved the prognosis of the affected teeth and facilitated the long-term maintenance of aesthetic effects.Long-term cli-nical outcomes require further clinical observation.关键词
黑三角/牙周炎/正畸/翻瓣术/牙龈退缩/龈乳头重建/根面覆盖/贴面Key words
black triangle/periodontitis/orthodontics/open flap debridement/gingival recession/interdental pa-pilla reconstruction/root coverage/veneer分类
口腔医学引用本文复制引用
赵美林,赵依琼,黄姣..Ⅲ期C级牙周炎正畸患者上前牙龈乳头缺陷伴牙龈退缩1例[J].国际口腔医学杂志,2025,52(3):333-340,8.基金项目
Chongqing Municipal Science and Technology Bureau Project(CSTB2022BSXM-JCX0047) 重庆市科学技术局项目(CSTB2022BSXM-JCX0047) （CSTB2022BSXM-JCX0047）
