Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone:a case report and literature review
Interproximal tunneling combined with customized connective tissue graft to improve severe papillary defects in the aesthetic zone:a case report and literature review
Objective To explore the treatment plan for severe papillary defects in the aesthetic zone caused by severe periodontitis,providing a reference for clinical practice.Methods A patient with severe periodontitis leading to severe papillary defects in the upper anterior teeth from 12 to 23 was treated using interdental tunnel technique combined with personalized connective tissue grafting for periodontal plastic surgery,and stable soft tissue augmentation was achieved.Resin restoration was conducted to modify the crown shape of the aesthetic zone teeth,reconstruct white aesthetics,guide the shaping of the gingival papillae,reduce"black triangles,"and enhance the patient's confidence in smiling.Results The patient's periodontal condition and the regeneration of soft tissues in the aesthetic zone were good,and the smile aesthetics were restored.After a 3-year follow-up,the gingival morphology,color,and texture were good,and the ef-fect was stable.The literature review indicates that for papillary defects in the aesthetic zone,analysis should be conduct-ed based on the following aspects:whether a defect is present in periodontal hard and soft tissues,crown shape,and the distance from the most apical part of the crown contact area to the top of the alveolar crest.Based on the analysis of aes-thetic defects and surgical indications,a personalized treatment plan should be designed.Conclusion For patients with obvious papillary defects in the aesthetic zone due to the reduction of periodontal support tissues caused by severe peri-odontitis,factors such as periodontal hard and soft tissue defects,crown shape,and the distance from the most apical part of the crown contact area to the top of the alveolar crest should be fully considered,and a personalized treatment plan should be formulated after multidisciplinary joint consultation.
关键词
龈乳头/重建/个性化/隧道技术/结缔组织移植/牙龈退缩/粉白美学/牙周炎
Key words
gingival papilla/reconstruction/customized/tunnel technique/connective tissue graft/gingival recession/pink and white aesthetics/periodontitis
维普
万方数据