결합조직이식을 이용한 노출된 치근피개
Connective tissue graft for root coverage
박재영, 김윤상, 피성희, 김완수, 윤우혁, 유형근, 신형식,
소속 상세정보
박재영 ( Park Jae-Young ) - 원광대학교 치과대학 치주과학교실
김윤상 ( Kim Yun-Sang ) - 원광대학교 치과대학 치주과학교실
피성희 ( Pi Sung-Hee ) - 원광대학교 치과대학 치주과학교실
김완수 ( Kim Wan-Su ) - 원광대학교 치과대학 치주과학교실
윤우혁 ( Yun Woo-Hyuk ) - 원광대학교 치과대학 치주과학교실
유형근 ( You Hyung-Keun ) - 원광대학교 치과대학 치주과학교실
신형식 ( Shin Hyoung-Shik ) - 원광대학교 치과대학 치주과학교실
KMID : 0363020080380020231
Abstract
Purpose: The treatment of gingival recessions is needed to reduce root sensitivity and improve esthetical satisfaction. Several surgical techniques have been proposed to achieve these goals. The use of connective tissue grafts has made esthetic root coverage a predictable procedure. Numerous clinical studies have represented that using connective tissue grafts to cover exposed root surface showed high success rates. This is a case report which demonstrates the technique to obtain root coverage of a buccal recession defect.
Materials and Methods: A 35-year-old patient with a high level of oral hygiene was selected for the study. This patient had one Class I Miller recession defect in the mandible. A coronally advanced flap in combination with the connective tissue graft was chosen for the treatment. After surgery, the patient was told to visit the hospital once a week for his oral management and professional prophylaxis. The depth of initial recession was 4.0 mm.
Result: After three months, it reduced to 0.0 mm, and the average recession reduction was 4.0 mm. The average root coverage was 100%.
Conclusion: The connective tissue graft is both effective and predictable way to produce root coverage in increasing the width of CAL and KT of various adjacent gingival recessions.
키워드
connective tissue graft; coronally advanced flap; root coverage
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