国际口腔医学杂志

国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (3): 341-348.doi: 10.7518/gjkq.2025059

• 牙周病例展示 • 上一篇    

改良冠向复位隧道技术联合双交叉悬吊缝合技术治疗多牙位牙龈退缩1例

高丽1,2(),程佳佳1,2,王妮1,2,葛颂1,2   

  1. 1.遵义医科大学口腔医学院口腔内科教研室 遵义 563099
    2.遵义医科大学附属口腔医院牙周科 遵义 563099
  • 收稿日期:2024-09-24 修回日期:2025-02-04 出版日期:2025-05-01 发布日期:2025-04-30
  • 通讯作者: 高丽
  • 作者简介:高丽，副教授，硕士，Email：467278759@qq.com
  • 基金资助:
    遵义市科技计划项目(遵市科合HZ（2024）347);国家临床重点专科建设项目(国卫办医政函［2023］213号)

Multiple adjacent gingival recessions using modified coronally advanced tunnel and double-cross suspension suture technique: a case report

Li Gao1,2(),Jiajia Cheng1,2,Ni Wang1,2,Song Ge1,2   

  1. 1.Dept. of Oral Medicine, School of Stomatology, Zunyi Medical University, Zunyi 563099, China
    2.Dept. of Periodontics, Affiliated Stomatological Hospital of Zunyi Medical University, Zunyi 563099, China
  • Received:2024-09-24 Revised:2025-02-04 Online:2025-05-01 Published:2025-04-30
  • Contact: Li Gao
  • Supported by:
    Science and Technology Cooperation Foundation of Zunyi [Zunshi Kehe HZ (2024) 347];National Clinical Key Specialty Construction Manuscript (Medical Administration Letter from the National Health Office [2023] 213)

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摘要：

本文报道了1例改良冠向复位隧道技术联合上皮下结缔组织移植术，并采用双交叉悬吊缝合技术治疗多牙位牙龈退缩的病例。该患者主要表现为Cairo 1类与2类多牙位牙龈退缩，治疗过程中，首先进行了牙周基础治疗，其次分期采用改良冠向复位微创隧道下结缔组织移植术联合双交叉悬吊缝合技术完成根面覆盖术。术后随访12、24及36个月，根面覆盖率达100%，颜色、形态均符合美学要求，且长期疗效稳定。

关键词: 多牙位牙龈退缩, 根面覆盖, 改良冠向复位隧道技术, 双交叉悬吊缝合技术

Abstract:

This article reports a case of multiple adjacent gingival recessions (MAGR) treated with a modified coronally advanced tunnel (MCAT) technique combined with a subepithelial connective tissue graft (SCTG), utilizing a double-cross suspension suture technique. The patient primarily presents with Class Ⅰ and Class Ⅱ gingival recession at multiple tooth sites according to the Cairo classification. The treatment protocol involved initial periodontal nonsurgical therapy, followed by staged root coverage procedures using a minimally invasive MCAT technique with SCTG and double-cross suspension suture technique. Postoperative follow-ups at 12, 24, and 36 months demonstrated 100% root coverage, favorable aesthetic outcomes in terms of color match and contour, and stable long-term therapeutic results.

Key words: multiple adjacent gingival recession, root coverage, modified coronally advanced tunnel technology, double-cross suspension suture technique

中图分类号: 

  • R781.4

图 1

初诊口内照、牙周探诊检查及影像学检查A~C：牙龈退缩口内照；D~E：牙周探诊检查，F：影像学检查。"

图 2

牙周基础治疗1个月后口内照及牙周检查A：口内照，B、C：牙周探诊检查。"

图 3

流体树脂制备悬吊缝合点及隧道瓣制备A、D：酸蚀；B、E：悬吊缝合点；C、F：隧道瓣的制备。"

图 4

结缔组织的获取A：信封瓣制备；B：上腭部获取的上皮下结缔组织。"

图 5

结缔组织植入隧道，龈乳头双交叉悬吊缝合技术缝合A、B：结缔组织植入隧道内；C：双交叉悬吊缝合示意图；D、E：双交叉悬吊缝合。"

图 6

术后即刻及术后2周拆线后牙龈情况A：术后即刻上塞治剂；B、C：术后2周拆线。"

图 7

术前与术后口内照对比A~C：术前口内照；D~F：术后口内照；G、H：供区术后口内照。"

图 8

12—22、33—43牙术前与术后对比照A、F：术前；B、G术后2周；C、H术后1年；D、I术后2年；E：上前牙术后3年。"

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