摘要
目的:探究血小板浓缩生长因子(platelet Concentration Growth Factor,pCGF)联合冠向复位瓣修复对牙龈退缩患者根面覆盖效果及美学评价的影响。方法:选取2016年6月-2017年6月笔者医院口腔科收治的32例牙龈退缩患者,观察组:16例患者(28颗患牙),接受pCGF+冠向复位瓣修复手术治疗;对照组:16例患者(26颗患牙),接受上皮下结缔组织瓣+冠向复位瓣修复手术治疗。测量对比两组患者术前及术后6个月角化龈宽度(KTW)、探诊深度(PD)、牙龈退缩深度(RD)、临床附着水平(CAL)及牙龈厚度(GT),根面覆盖情况以及美学评价指标。结果:术后6个月,两组患者KTW、GT明显大于术前,PD、RD及CAL明显小于术前(P<0.05);且观察组患者GT值明显大于对照组(P<0.05);观察组患者术后PES、VAS评分明显高于对照组,就诊满意度总分明显高于对照组(P<0.05)。结论:应用血小板浓缩生长因子联合冠向复位瓣修复治疗牙龈退缩与上皮下结缔组织瓣联合冠向复位瓣修复手术的临床疗效相当,但前者美观度更高,患者就诊体验更好。
Objective To investigate the effect of platelet Concentration Growth Factor combined with coronary reduction flap on the root surface coverage and aesthetic evaluation of patients with gingival recession.Methods 32 patients with gingival recession admitted to our hospital from June 2016 to June 2017 were enrolled in this study.The observation group was 16 patients(28 teeth)who underwent pCGF+coronary reduction flap surgery,and The control group consisted of 16 patients(26 teeth)who underwent subepithelial connective tissue flap+coronary reduction flap surgery.The keratosis width(KTW),depth of probing(PD),depth of gingival recession(RD),clinical attachment level(CAL),and gingival thickness(GT),and the root surface coverage and Aesthetic evaluation indicators were measured and compared before and after surgery in the two groups.Results At 6 months after operation,the KTW and GT were signi ficantly larger and the preoperative,PD,RD and CAL were signi ficantly smaller than those before operation(P<0.05).The GT value of the observation group was signi ficantly higher than that of the control group(P<0.05).The PES and VAS scores of the patients in the group were signi ficantly higher than those in the control group,and the total score of satisfaction was signi ficantly higher than that of the control group(P<0.05).Conclusion The application of platelet-concentrated growth factor can further improve the aesthetic score,the aesthetics are higher,and the patient's experience of visiting is better.
作者
于文凤
于兰
吕敏敏
纪坤
张志媛
路茜
崔凤林
YU Wen-feng;YU Lan;LV Min-min;JI Kun;ZHANG Zhi-yuan;LU Xi;CUI Feng-lin(Department of Stomatology,Cangzhou People’s Hospital,Cangzhou 061000,Hebei,China)
出处
《中国美容医学》
CAS
2019年第10期117-120,共4页
Chinese Journal of Aesthetic Medicine
基金
沧州市重点研发计划指导项目(编号:172302016)
关键词
牙龈退缩
血小板浓缩生长因子
上皮下结缔组织瓣
根面覆盖
gingival recession
platelet concentration growth factor
subepithelial connective tissue flap
root cover
