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ID 116166
Title Alternative
A case of dental maxillary protrusion with gingival recession of mandibular central incisor induced during orthodontic treatment and treated with subepithelial connective tissue graft : Long term follow-up
矯正治療中に歯肉退縮した下顎中切歯に対して結合組織移植を行った長期保定症例
Author
Sakamaki, Takuma Tokushima University
Nakamura, Tatsuya Kawakami Orthodontic Office
Keywords
歯肉退縮
結合組織移植
上顎前突
長期保定
Content Type
Journal Article
Description
歯肉退縮は,矯正治療中や治療後にしばしば生じるリスクのひとつであり,歯根面の露出により審美障害ならびに知覚過敏や根面う蝕などの問題を誘発する.
歯肉退縮の予防を目的とした,矯正治療前の歯周外科処置も報告されているが,現時点では一般的ではなく,実際に歯肉退縮が発生した後,結合組織移植術(CTG)などの歯周形成外科手術によって対応しているのが現状である.
今回我々は,歯性上顎前突患者の矯正治療中に下顎左側中切歯に生じた歯肉退縮に対して,1年10か月間の矯正治療終了後にCTGを施行し,術後6年経過した現在も歯肉退縮の再発を認めず,良好な状態が維持された症例を経験したため報告する.
Description Alternative
Gingival recession is one of the common risks in clinical orthodontics, and it results in dentinal hyperesthesia and root caries with esthetic problems. Periodontal surgical therapy including connective tissue graft (CTG) has not been routinely performed to prevent gingival recession before orthodontic treatment, and CTG has been conducted when causing gingival recession after orthodontic treatment.
In this study, we report a case of dental maxillary protrusion who induced gingival recession in the left lower central incisor during orthodontic treatment. After 1-yesr 10-month orthodontic treatment, a subepithelial CTG procedure was performed. Healing was uneventful, and the grafted site showed a favorable outcome at 6 years postoperatively.
Journal Title
Orthodontic Waves : Japanese Edition
ISSN
13490303
NCID
AA11917839
Publisher
日本矯正歯科学会
Volume
80
Issue
1
Start Page
27
End Page
33
Published Date
2021-03-25
EDB ID
FullText File
language
jpn
TextVersion
Author
departments
Oral Sciences