การปลูกถ่ายเหงือกด้วยเนื้อเยื่อยึดต่อร่วมกับเทคนิคอุโมงค์เพื่อแก้ไขเหงือกร่น บริเวณฟันหน้าบน 3 ตำแหน่ง : กรณีศึกษาในผู้ป่วย 1 ราย
คำสำคัญ:
เหงือกร่นหลายตำแหน่ง, การผ่าตัดปิดรากฟัน, การปลูกถ่ายเนื้อเยื่อยึดต่อ, เทคนิคอุโมงค์บทคัดย่อ
ปัญหาเหงือกร่นเป็นสิ่งที่พบได้บ่อยในผู้ป่วยวัยผู้ใหญ่ พบได้ทั้งในฟันซี่เดียวหรือหลายซี่ติดกันและสัมพันธ์กับการแปรงฟันไม่ถูกวิธีและการอักเสบของอวัยวะปริทันต์ นอกจากจะทำให้เกิดอาการเสียวฟันแล้วบางครั้งก็ส่งผลในเรื่องความสวยงามโดยเฉพาะในบริเวณฟันหน้า เหงือกร่นบางประเภทสามารถคาดหวังผลจากการผ่าตัดปิดเหงือกร่นด้วยวิธีการต่างๆ ได้ กรณีศึกษานี้ได้นำเสนอหลักการคิดและขั้นตอนการปลูกถ่ายเนื้อเยื่อยึดต่อร่วมกับเทคนิคอุโมงค์เพื่อแก้ไขปัญหาเหงือกร่นในฟันหน้าบน 3 ตำแหน่งติดกัน โดยแสดงผลทางคลินิกที่ระยะเวลา 8 เดือนและปัจจัยที่มีผลต่อการรักษาที่เกิดขึ้น
เอกสารอ้างอิง
Chan HL, Chun YH, MacEachern M,Oates TW. Does Gingival Recession Require Surgical Treatment? Dent Clin
North Am; 2015;59(4):981-96.
Kasaj A. Gingival recession coverage:Do we still need autogenous grafts?Quintessence Int; 2016;47(9):775-83.
Kassab MM, Badawi H, Dentino AR.Treatment of gingiva l recession. Dent Clin North Am. 2010;54(1):129-40.
Al-Zahrani MS, Bissada NF. Predictability of connective tissue grafts for root coverage:clinical perspectives and a
review of the literature. Quintessence Int; 2005;36(8):609-16.
Zucchelli G, Mounssif I. Periodontal plastic surgery.Periodontol 2000; 2015;68(1):333-68.
Saadoun AP. Current trends in gingval recession coverage--part I: the tunnel connective tissue graft. Pract Proced
Aest het Dent; 2006;18(7):433-8; quiz 40.
Atieh MA, Leichter J. The Octagon Model: a clinical tool for assessing marginal tissue recession. Int J Esthet
Dent; 2016;11(1):98-109.
Miller PD, Jr. A classification of marginal tissue recession. Int J Periodontics Re-storative Dent; 1985;5(2):8-13.
Wang HL, Romanos GE, Geurs NC,Sullivan A, Suarez-Lopez Del Amo F,Eber RM. Comparison of two differently
processed acellular dermal matrix products for root coverage procedures:a prospective, randomized multicenter
study.J Periodontol; 2014;85(12):1693-701.
Santos A, Goumenos G, Pascual A.Management of gingival recession by the use of an acellular dermal graft
material: a 12-case series. J Periodon-tol; 2005;76(11):1982-90.
Zabalegui I, Sicilia A, Cambra J, Gil J,Sanz M. Treatment of multiple adjacentgingival recessions with the tunnel sub-
epithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent; 1999;19(2):199-206.
Flemmig TF. Periodontitis. Ann Peri-odontol; 1999;4(1):32-8.
McGuire MK, Nunn ME. Prognosis versus actual outcome. II. The effec-tiveness of clinical parameters in developing an accurate prognosis. J Periodontol;1996;67(7):658-65.
Liu CL, Weisgold AS. Connective tis-suegraft: a classification for incisio design from the palatal site and clinical
case reports. Int J Periodontics Restorative Dent; 2002;22(4):373-9.
Reiser GM, Bruno JF, Mahan PE, Larkin LH.The subepithelial connective tissue graft palatal donor site: anatomic
considerations for surgeons. Int J Periodontics Restorative Dent;1996;16(2):130-7.
Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery proce-dures in the treatment of localized
facial gingival recessions. A systematic review. J Clin Periodontol; 2014;41 Suppl 15:S44-62.
Thalmair T, Fickl S, Wachtel H. Cover-age of Multiple Mandibular Gingival Recessions Using Tunnel Technique
with Connective Tissue Graft: A Prospective Case Series. Int J Periodontics Restora-tive Dent; 2016;36(6):859-67.
Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000;2017;75(1):296-316.
Wennstrom JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root
coverage procedures? A 2-year prospective clinical study. J Clin Peri-odontol; 1996;23(8):770-7.
Tatakis DN, Chambrone L, Allen EP,Langer B, McGuire MK, Richardson CR, et al. Periodontal soft tissue root
coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol; 2015;86
(2 Suppl):S52-5.
Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue r eplacement grafts in plastic periodontal and implant
surgery:critical elements in design and execution. J Clin Periodontol;2014;41 Suppl 15:S123-42.
Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. Rationale and technique.
Int J Periodontics Restorative Dent;1994;14(3):216-27.
Harris RJ, Miller R, Miller LH, Harris C.Complications with surgical procedures utilizing connective tissue grafts: a
follow-up of 500 consecutively treated cases.Int J Periodontics Restorative Dent; 2005;25(5):449-59.
Fickl S, Fischer KR, Jockel-Schneider Y,S tappert CF, Schlagenhauf U, Kebschull M.Early wound healing and patient morbidity after single-incision vs. trap-doorgraft harvesting from the palate--a clinical study. Clin Oral Investig; 2014;18(9):2213-9.
Graziani F, Gennai S, Roldan S, Discepoli N,Buti J, Madianos P, et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions.J Clin Periodontol; 2014;41 Suppl 15:63-76.
Santamaria MP, Neves F, Silveira CA,Mathias IF, Fernandes-Dias SB, Jardini MAN,et al. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions:a randomized clinical trial. J Clin Periodontol; 2017;44(5):540-7.
Azaripour A, Kissinger M, Farina VS, Van Noorden CJ, Gerhold-Ay A, Wil-lershausen B, et al. Root coverage with
connective tissue graft associated with coronally advanced flap or tunnel technique: a randomized, double-blind,
mono-centre clinical trial. J Clin Peri-odontol; 2016;43(12):1142-50.
Dembowska E, Drozdzik A. Subepi-thelial connective tissue graft in the treatment of multiple gingival recession.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2007;104(3):e1-7.
Georges P, Nisand D, Etienne D, Mora F.Efficacy of the supraperiosteal envelope technique: a preliminary
comparative clinical study. Int J Periodontics Restorative Dent; 2009;29(2):201-11.
Zuhr O, Rebele SF, Schneider D, Jung RE,Hurzeler MB. Tunnel technique Miller class III recessions: a report of
five cases. Clin Adv Periodontics, 2012;2:217-22.
North Am; 2015;59(4):981-96.
Kasaj A. Gingival recession coverage:Do we still need autogenous grafts?Quintessence Int; 2016;47(9):775-83.
Kassab MM, Badawi H, Dentino AR.Treatment of gingiva l recession. Dent Clin North Am. 2010;54(1):129-40.
Al-Zahrani MS, Bissada NF. Predictability of connective tissue grafts for root coverage:clinical perspectives and a
review of the literature. Quintessence Int; 2005;36(8):609-16.
Zucchelli G, Mounssif I. Periodontal plastic surgery.Periodontol 2000; 2015;68(1):333-68.
Saadoun AP. Current trends in gingval recession coverage--part I: the tunnel connective tissue graft. Pract Proced
Aest het Dent; 2006;18(7):433-8; quiz 40.
Atieh MA, Leichter J. The Octagon Model: a clinical tool for assessing marginal tissue recession. Int J Esthet
Dent; 2016;11(1):98-109.
Miller PD, Jr. A classification of marginal tissue recession. Int J Periodontics Re-storative Dent; 1985;5(2):8-13.
Wang HL, Romanos GE, Geurs NC,Sullivan A, Suarez-Lopez Del Amo F,Eber RM. Comparison of two differently
processed acellular dermal matrix products for root coverage procedures:a prospective, randomized multicenter
study.J Periodontol; 2014;85(12):1693-701.
Santos A, Goumenos G, Pascual A.Management of gingival recession by the use of an acellular dermal graft
material: a 12-case series. J Periodon-tol; 2005;76(11):1982-90.
Zabalegui I, Sicilia A, Cambra J, Gil J,Sanz M. Treatment of multiple adjacentgingival recessions with the tunnel sub-
epithelial connective tissue graft: a clinical report. Int J Periodontics Restorative Dent; 1999;19(2):199-206.
Flemmig TF. Periodontitis. Ann Peri-odontol; 1999;4(1):32-8.
McGuire MK, Nunn ME. Prognosis versus actual outcome. II. The effec-tiveness of clinical parameters in developing an accurate prognosis. J Periodontol;1996;67(7):658-65.
Liu CL, Weisgold AS. Connective tis-suegraft: a classification for incisio design from the palatal site and clinical
case reports. Int J Periodontics Restorative Dent; 2002;22(4):373-9.
Reiser GM, Bruno JF, Mahan PE, Larkin LH.The subepithelial connective tissue graft palatal donor site: anatomic
considerations for surgeons. Int J Periodontics Restorative Dent;1996;16(2):130-7.
Cairo F, Nieri M, Pagliaro U. Efficacy of periodontal plastic surgery proce-dures in the treatment of localized
facial gingival recessions. A systematic review. J Clin Periodontol; 2014;41 Suppl 15:S44-62.
Thalmair T, Fickl S, Wachtel H. Cover-age of Multiple Mandibular Gingival Recessions Using Tunnel Technique
with Connective Tissue Graft: A Prospective Case Series. Int J Periodontics Restora-tive Dent; 2016;36(6):859-67.
Cairo F. Periodontal plastic surgery of gingival recessions at single and multiple teeth. Periodontol 2000;2017;75(1):296-316.
Wennstrom JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of root
coverage procedures? A 2-year prospective clinical study. J Clin Peri-odontol; 1996;23(8):770-7.
Tatakis DN, Chambrone L, Allen EP,Langer B, McGuire MK, Richardson CR, et al. Periodontal soft tissue root
coverage procedures: a consensus report from the AAP Regeneration Workshop. J Periodontol; 2015;86
(2 Suppl):S52-5.
Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue r eplacement grafts in plastic periodontal and implant
surgery:critical elements in design and execution. J Clin Periodontol;2014;41 Suppl 15:S123-42.
Allen AL. Use of the supraperiosteal envelope in soft tissue grafting for root coverage. Rationale and technique.
Int J Periodontics Restorative Dent;1994;14(3):216-27.
Harris RJ, Miller R, Miller LH, Harris C.Complications with surgical procedures utilizing connective tissue grafts: a
follow-up of 500 consecutively treated cases.Int J Periodontics Restorative Dent; 2005;25(5):449-59.
Fickl S, Fischer KR, Jockel-Schneider Y,S tappert CF, Schlagenhauf U, Kebschull M.Early wound healing and patient morbidity after single-incision vs. trap-doorgraft harvesting from the palate--a clinical study. Clin Oral Investig; 2014;18(9):2213-9.
Graziani F, Gennai S, Roldan S, Discepoli N,Buti J, Madianos P, et al. Efficacy of periodontal plastic procedures in the treatment of multiple gingival recessions.J Clin Periodontol; 2014;41 Suppl 15:63-76.
Santamaria MP, Neves F, Silveira CA,Mathias IF, Fernandes-Dias SB, Jardini MAN,et al. Connective tissue graft and tunnel or trapezoidal flap for the treatment of single maxillary gingival recessions:a randomized clinical trial. J Clin Periodontol; 2017;44(5):540-7.
Azaripour A, Kissinger M, Farina VS, Van Noorden CJ, Gerhold-Ay A, Wil-lershausen B, et al. Root coverage with
connective tissue graft associated with coronally advanced flap or tunnel technique: a randomized, double-blind,
mono-centre clinical trial. J Clin Peri-odontol; 2016;43(12):1142-50.
Dembowska E, Drozdzik A. Subepi-thelial connective tissue graft in the treatment of multiple gingival recession.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod; 2007;104(3):e1-7.
Georges P, Nisand D, Etienne D, Mora F.Efficacy of the supraperiosteal envelope technique: a preliminary
comparative clinical study. Int J Periodontics Restorative Dent; 2009;29(2):201-11.
Zuhr O, Rebele SF, Schneider D, Jung RE,Hurzeler MB. Tunnel technique Miller class III recessions: a report of
five cases. Clin Adv Periodontics, 2012;2:217-22.
ดาวน์โหลด
เผยแพร่แล้ว
2018-01-01
รูปแบบการอ้างอิง
บุญรอด ค. (2018). การปลูกถ่ายเหงือกด้วยเนื้อเยื่อยึดต่อร่วมกับเทคนิคอุโมงค์เพื่อแก้ไขเหงือกร่น บริเวณฟันหน้าบน 3 ตำแหน่ง : กรณีศึกษาในผู้ป่วย 1 ราย. วารสารวิชาการแพทย์เขต 11, 32(3), 1131–1142. สืบค้น จาก https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/157954
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