ID 109797
タイトルヨミ
コンメン ヒフクジュツ ニツイテ
タイトル別表記
Root coverage procedures
著者
大石, 慶二 徳島大学大学院ヘルスバイオサイエンス研究部再生修復医歯学部門顎口腔病態制御学講座歯周歯内治療学分野
永田, 俊彦 徳島大学大学院ヘルスバイオサイエンス研究部再生修復医歯学部門顎口腔病態制御学講座歯周歯内治療学分野 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
根面被覆
歯肉退縮
結合組織移植術
資料タイプ
学術雑誌論文
抄録
Localized gingival recession and root exposure may cause an esthetic problem, root dentin hypersensitivity, root caries, and difficulties in plaque control. To solve the problems, root coverage procedures have been developed since 1950s. These surgical procedures are classified as pedicle soft tissue graft procedures, free soft tissue graft procedures, and regenerative procedures. Pedicle soft tissue graft procedures include the laterally repositioned flap procedure, the double papilla flap, the oblique rotational flap, the coronally advanced flap procedure, and a semi-lunar coronally repositioned flap procedure. Free soft tissue graft procedures contain the free gingival graft and the connective tissue graft. Regenerative procedures are the modifications of coronally advanced flap utilizing barrier membranes or enamel matrix derivatives.
Histological observations of the human root surface treated with soft tissue graft showed that new connective tissue attachment was formed in some areas, and epithelial attachment was found in other areas. Based on the literatures, the connective tissue graft results in superior root coverage comparing with other procedures. Similarly, complete root coverage was expected in highest predictability in the connective tissue graft, especially in class I or II recession defects. The color match of the grafted area to the adjacent gingiva is esthetically more favorable with the connective tissue graft than that of a free gingival graft. However, only partial coverage may be expected in class III or IV recession defects.
掲載誌名
四国歯学会雑誌
ISSN
09146091
cat書誌ID
AN10050046
出版者
四国歯学会
22
2
開始ページ
185
終了ページ
190
並び順
185
発行日
2010-01-31
EDB ID
211611
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
歯学系