摘要
新型手术器械、影像学技术以及倒充填材料的进步与发展,使得根尖手术的成功率得到很大提升,而牙龈退缩、"黑三角"及术区瘢痕等术后牙龈问题也被广大医师关注.既往学者认为不同根尖手术切口设计对术后牙龈美学效果的影响不同,但近年此类文献报道却较少.本文从不同切口设计的特点及适应证入手,就切口类型对根尖手术后牙龈美学效果的影响及相关评价指标作一综述,以期为临床工作中选择合适的切口设计提供参考.
Abstract
The progress and development of new surgical techniques,imaging technology,and back-fill materials have greatly improved the success rate in endodontic surgery.At the same time,doctors have also begun to pay attention to the aesthetic defect of gingiva following surgery,such as gingival recession,"black triangles",and scar formation.Previous scholars believed that different incision designs had varying effects on postoperative gingival aesthetics,but in recent years,there have been few literature reports on this topic.Starting from the characteristics and indications of different incision designs,this article reviews the impact of incision types on the aesthetic effect of gingiva after apical surgery and related evaluation indicators,in order to provide some references for selecting appropriate incision designs in clinical work.