国际口腔医学杂志

国际口腔医学杂志 ›› 2020, Vol. 47 ›› Issue (6): 686-692.doi: 10.7518/gjkq.2020087

• 综述 • 上一篇    下一篇

硬腭获取游离软组织移植物的应用进展

吴洁林1,2(),高莺2()   

  1. 1.山西医科大学口腔医学院·口腔医院 太原 030001
    2.山西医科大学第一医院口腔多学科诊疗中心 太原 030001
  • 收稿日期:2020-01-11 修回日期:2020-05-28 出版日期:2020-11-01 发布日期:2020-11-06
  • 通讯作者: 高莺
  • 作者简介:吴洁林,硕士,Email： 2207420903@qq.com

Application progress on free soft-tissue grafts harvested from palatal mucosa

Wu Jielin1,2(),Gao Ying2()   

  1. 1. School and Hospital of Stomatology, Shanxi Medical University, Taiyuan 030001, China
    2. Dental Medicine MDT Center, First Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2020-01-11 Revised:2020-05-28 Online:2020-11-01 Published:2020-11-06
  • Contact: Ying Gao

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摘要：

软组织增量手术是目前改善天然牙与种植体周围软组织宽度、厚度欠佳的理想术式,硬腭黏膜是该手术的常用供区。术前精准定位腭大神经血管束,术中重视所获取移植物的厚度和成分,术后保证游离移植物稳固及贴合,是提高硬腭来源游离软组织移植物成活率、确保有效实施软组织增量手术的重要基础。本文就硬腭黏膜获取游离软组织移植物的相关解剖基础、游离软组织移植物存活要素及其临床应用等方面进行总结,以期为手术提供依据。

关键词: 硬腭黏膜, 牙周, 牙种植, 移植

Abstract:

The hard palate is a common site for soft-tissue augmentation procedures, which have been widely performed to increase width and thickness of keratinized tissue around teeth and implants. Surgeons have to assess the location of the greater palatine neurovascular bundle, attach great importance to the thickness and histological composition of the grafts, and maintain their post-operative stabilization to achieve improved clinical performance. To guide clinical practices, our review summarizes relevant knowledge on the anatomy of the palate donor site, survival factors of the free soft-tissue grafts and their clinical applications.

Key words: hard palate mucosa, periodontics, dental implantation, transplantation

中图分类号: 

  • R782.2

图1

腭大动脉主干与腭大神经主干的位置关系 GPF：腭大孔;GPA：腭大动脉;GPN：腭大神经;PS：腭部骨嵴。"

图2

4种腭大动脉分支类型 A~D：第1~4类;GPF：腭大孔;GPA：腭大动脉;PS：腭部骨嵴。"

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