闭合瓣牙冠延长术的临床应用进展

doi:10.13591/j.cnki.kqyx.2025.02.013

摘要/Abstract

摘要：

牙冠延长术是为实现功能、美观、牙周健康等多种目的而实施的常见牙周手术之一。近年来,随着微创理念不断发展,闭合瓣牙冠延长术在临床应用中得到更多关注。闭合瓣牙冠延长术借助激光、超声骨刀等工具由龈沟入路去骨,无需翻瓣和缝合,避免了牙槽骨的直接暴露,具有出血少、创伤小、愈合快、操作简便、患者舒适度高等优势。本文就近年来闭合瓣牙冠延长术的手术方法、适应证选择和临床应用效果进行综述,为临床医师开展闭合瓣牙冠延长术提供参考。

关键词: 微创, 闭合瓣, 牙冠延长术, 激光, 超声骨刀

Abstract:

Crown lengthening is one of the common periodontal surgeries for the purposes of function, aesthetic and periodontal health. In recent years, with the continuous development of minimally invasive concept, flapless crown lengthening surgery has been receiving increasing attention in clinical practice. With the help of laser, piezosurgery and other tools, flapless crown lengthening surgery is used to remove alveolar bone through gingival sulcus without open-flap approach and suture. This minimally invasive flapless approach can avoid direct exposure of alveolar bone, and has the advantages of less bleeding, less trauma, fast healing, simple operation and high patients’ comfort. The review demonstrates surgical methods, indication selection and clinical application results of flapless crown lengthening, aiming at providing reference for clinicians to carry out this novel technique.

Key words: minimally invasive, flapless surgery, crown lengthening, laser, piezosurgery

中图分类号:

R781.4

张瑞清, 徐颖婕, 吴迎涛. 闭合瓣牙冠延长术的临床应用进展[J]. 口腔医学, 2025, 45(2): 151-155.

ZHANG Ruiqing, XU Yingjie, WU Yingtao. Progress in clinical application of flapless crown lengthening[J]. Stomatology, 2025, 45(2): 151-155.

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