种植体周围的牙龈退缩及自体软组织移植治疗的研究进展

Abstract

Abstract: Gingival recession is a common clinical symptom. Periodontal tissue defects caused by gingival retraction will lead to aesthetic risks, which often causes serious aesthetic complications during the implantation of anterior teeth. Bacterial infection, periodontal biotype and prosthesis design have an effect on gingival recession. The surgical treatment of gingival recession has long been studied, among which autogenous soft tissue graft, including free gingival graft and subepithelial connective tissue graft, is a more reliable method. This review summarizes these two techniques of autologous soft tissue graft.

Key words: Gingival recession, Free gingival graft, Subepithelial connective tissue graft

CLC Number:

R781.44

References 46

[1]	KASSAB M M, COHEN R E. The etiology and prevalence of gingival recession [J]. J Am Dent Assoc, 2003, 134(2): 220-5.
[2]	GOODACRE C J, KAN J Y, RUNGCHARASSAENG K. Clinical complications of osseointegrated implants [J]. J Prosthet Dent, 1999, 81(5): 537-52.
[3]	THOMA D S, NAENNI N, FIGUERO E, et al. Effects of soft tissue augmentation procedures on peri-implant health or disease: A systematic review and meta-analysis [J]. Clin Oral Implants Res, 2018, 29 Suppl 15(32-49.
[4]	KAMMA J J, CONTRERAS A, SLOTS J. Herpes viruses and periodontopathic bacteria in early-onset periodontitis [J]. J Clin Periodontol, 2001, 28(9): 879-85.
[5]	OCHSENBEIN C, ROSS S. A reevaluation of osseous surgery [J]. Dent Clin North Am, 1969, 13(1):
[6]	RASPERINI G, ACUNZO R, CANNALIRE P, et al. Influence of Periodontal Biotype on Root Surface Exposure During Orthodontic Treatment: A Preliminary Study [J]. Int J Periodontics Restorative Dent, 2015, 35(5): 665-75.
[7]	SULLIVAN H C, ATKINS J H. Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession [J]. Periodontics, 1968, 6(4): 152-60.
[8]	MILLER P D. A classification of marginal tissue recession [J]. Int J Periodontics Restorative Dent, 1985, 5(2):
[9]	NORDLAND W P, TARNOW D P. A classification system for loss of papillary height [J]. J Periodontol, 1998, 69(10): 1124-6.
[10]	BUSER D, MARTIN W, BELSER U C. Optimizing esthetics for implant restorations in the anterior maxilla: anatomic and surgical considerations [J]. Int J Oral Maxillofac Implants, 2004, 19 Suppl(43-61.
[11]	EVANS C D J, CHEN S T. Esthetic outcomes of immediate implant placements [J]. Clin Oral Implants Res, 2008, 19(1): 73-80.
[12]	ZUCCHELLI G, TAVELLI L, STEFANINI M, et al. Classification of facial peri-implant soft tissue dehiscence/deficiencies at single implant sites in the esthetic zone [J]. J Periodontol, 2019, 90(10): 1116-24.
[13]	NABERS J M. Free gingival grafts [J]. Periodontics, 1966, 4(5): 243-5.
[14]	DEEB G R, DEEB J G. Soft Tissue Grafting Around Teeth and Implants [J]. Oral Maxillofac Surg Clin North Am, 2015, 27(3): 425-48.
[15]	CAIRO F. Periodontal plastic surgery of gingival recessions at single and multiple teeth [J]. Periodontol 2000, 2017, 75(1): 296-316.
[16]	DEO S D, SHETTY S K, KULLOLI A, et al. Efficacy of free gingival graft in the treatment of Miller Class I and Class II localized gingival recessions: A systematic review [J]. J Indian Soc Periodontol, 2019, 23(2): 93-9.
[17]	CHAMBRONE L, TATAKIS D N. Long-Term Outcomes of Untreated Buccal Gingival Recessions: A Systematic Review and Meta-Analysis [J]. J Periodontol, 2016, 87(7): 796-808.
[18]	LIN G-H, CHAN H-L, WANG H-L. The significance of keratinized mucosa on implant health: a systematic review [J]. J Periodontol, 2013, 84(12): 1755-67.
[19]	MONJE A, BLASI G. Significance of keratinized mucosa/gingiva on peri-implant and adjacent periodontal conditions in erratic maintenance compliers [J]. J Periodontol, 2019, 90(5): 445-53.
[20]	SCHROTT A R, JIMENEZ M, HWANG J-W, et al. Five-year evaluation of the influence of keratinized mucosa on peri-implant soft-tissue health and stability around implants supporting full-arch mandibular fixed prostheses [J]. Clin Oral Implants Res, 2009, 20(10): 1170-7.
[21]	PERUSSOLO J, SOUZA A B, MATARAZZO F, et al. Influence of the keratinized mucosa on the stability of peri-implant tissues and brushing discomfort: A 4-year follow-up study [J]. Clin Oral Implants Res, 2018, 29(12): 1177-85.
[22]	MEITNER S, PAPADIMITRIOU D, KOTSAILIDI E A, et al. An alternative approach for vestibular extension using temporary coverage of epithelialized palatal grafts [J]. Quintessence Int, 2020, 2-8.
[23]	YILDIZ M S, GUNPINAR S. Free gingival graft adjunct with low-level laser therapy: a randomized placebo-controlled parallel group study [J]. Clin Oral Investig, 2019, 23(4): 1845-54.
[24]	DE RESENDE D R B, GREGHI S L A, SIQUEIRA A F, et al. Acellular dermal matrix allograft versus free gingival graft: a histological evaluation and split-mouth randomized clinical trial [J]. Clin Oral Investig, 2019, 23(2): 539-50.
[25]	WESSEL J R, TATAKIS D N. Patient outcomes following subepithelial connective tissue graft and free gingival graft procedures [J]. J Periodontol, 2008, 79(3): 425-30.
[26]	RAOOFI S, ASADINEJAD S M, KHORSHIDI H. Evaluation of Color and Width of Attached Gingiva Gain in Two Surgical Techniques: Free Gingival Graft and Connective Tissue Graft Covered By Thin Mucosal Flap, a Clinical Trial [J]. J Dent (Shiraz), 2019, 20(4): 224-31.
[27]	LANGER B, CALAGNA L. The subepithelial connective tissue graft [J]. J Prosthet Dent, 1980, 44(4): 363-7.
[28]	REISER G M, BRUNO J F, MAHAN P E, et al. The subepithelial connective tissue graft palatal donor site: anatomic considerations for surgeons [J]. Int J Periodontics Restorative Dent, 1996, 16(2): 130-7.
[29]	CAIRO F, NIERI M, PAGLIARO U. Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review [J]. J Clin Periodontol, 2014, 41 Suppl 15(S44-S62.
[30]	ZUCCHELLI G, FELICE P, MAZZOTTI C, et al. 5-year outcomes after coverage of soft tissue dehiscence around single implants: A prospective cohort study [J]. Eur J Oral Implantol, 2018, 11(2): 215-24.
[31]	TAVELLI L, BAROOTCHI S, NGUYEN T V N, et al. Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and meta-analysis [J]. J Periodontol, 2018, 89(9): 1075-90.
[32]	ZUHR O, B?UMER D, HüRZELER M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution [J]. J Clin Periodontol, 2014, 41 Suppl 15(S123-S42.
[33]	MAZZOTTI C, STEFANINI M, FELICE P, et al. Soft-tissue dehiscence coverage at peri-implant sites [J]. Periodontol 2000, 2018, 77(1): 256-72.
[34]	CAIRO F, CORTELLINI P, PILLONI A, et al. Clinical efficacy of coronally advanced flap with or without connective tissue graft for the treatment of multiple adjacent gingival recessions in the aesthetic area: a randomized controlled clinical trial [J]. J Clin Periodontol, 2016, 43(10): 849-56.
[35]	KAN J Y K, RUNGCHARASSAENG K, MORIMOTO T, et al. Facial gingival tissue stability after connective tissue graft with single immediate tooth replacement in the esthetic zone: consecutive case report [J]. J Oral Maxillofac Surg, 2009, 67(11 Suppl): 40-8.
[36]	HOSSEINI M, WORSAAE N, GOTFREDSEN K. Tissue changes at implant sites in the anterior maxilla with and without connective tissue grafting: A five-year prospective study [J]. Clin Oral Implants Res, 2020, 31(1): 18-28.
[37]	BIANCHI A E, SANFILIPPO F. Single-tooth replacement by immediate implant and connective tissue graft: a 1-9-year clinical evaluation [J]. Clin Oral Implants Res, 2004, 15(3): 269-77.
[38]	ZUCCHELLI G, TAVELLI L, MCGUIRE M K, et al. Autogenous soft tissue grafting for periodontal and peri-implant plastic surgical reconstruction [J]. J Periodontol, 2020, 91(1):
[39]	AGUDIO G, NIERI M, ROTUNDO R, et al. Periodontal conditions of sites treated with gingival-augmentation surgery compared to untreated contralateral homologous sites: a 10- to 27-year long-term study [J]. J Periodontol, 2009, 80(9): 1399-405.
[40]	YADAV N, KHATTAK B P, MISRA S, et al. Comparative evaluation of the relative efficacy of the free mucosal graft and periosteal fenestration for increasing the vestibular depth - A clinical study [J]. Contemp Clin Dent, 2014, 5(3): 366-70.
[41]	OH S-L, MASRI R M, WILLIAMS D A, et al. Free gingival grafts for implants exhibiting lack of keratinized mucosa: a prospective controlled randomized clinical study [J]. J Clin Periodontol, 2017, 44(2): 195-203.
[42]	STEFANINI M, ZUCCHELLI G, MARZADORI M, et al. Coronally Advanced Flap with Site-Specific Application of Connective Tissue Graft for the Treatment of Multiple Adjacent Gingival Recessions: A 3-Year Follow-Up Case Series [J]. Int J Periodontics Restorative Dent, 2018, 38(1): 25-33.
[43]	ZELTNER M, JUNG R E, H?MMERLE C H F, et al. Randomized controlled clinical study comparing a volume-stable collagen matrix to autogenous connective tissue grafts for soft tissue augmentation at implant sites: linear volumetric soft tissue changes up to 3 months [J]. J Clin Periodontol, 2017, 44(4): 446-53.
[44]	RUNGCHARASSAENG K, KAN J Y K, YOSHINO S, et al. Immediate implant placement and provisionalization with and without a connective tissue graft: an analysis of facial gingival tissue thickness [J]. Int J Periodontics Restorative Dent, 2012, 32(6): 657-63.
[45]	BOZKURT DO?AN ?, ?NG?Z DEDE F, BALL? U, et al. Concentrated growth factor in the treatment of adjacent multiple gingival recessions: a split-mouth randomized clinical trial [J]. J Clin Periodontol, 2015, 42(9): 868-75.
[46]	TONETTI M S, JEPSEN S. Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology [J]. J Clin Periodontol, 2014, 41 Suppl 15(S36-S43.

Research progress of autogenous soft tissue graft in treating gingival recession around teeth and implants

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[1]	. Digital analysis of gingival retraction effects following two methods [J]. , 2021, 41(7): 618-622.
[2]	. A case report of subepithelial connective tissue graft for gingival recession after orthodontic treatment [J]. , 2018, 38(1): 62-65.