关键词: dental implants laser mouth mucosa oral surgical procedures peri implantitis solid state vestibuloplasty

Mesh : Humans Vestibuloplasty / methods Lasers, Solid-State / therapeutic use Dental Implants Surgical Flaps Plastic Surgery Procedures

来  源:   DOI:10.3390/medicina59101884   PDF(Pubmed)

Abstract:
Various vestibuloplasty techniques have been reported to increase the attached mucosa (AM) and vestibular depth around dental implants. However, these surgical methods have disadvantages, such as limitations in manipulation, necessity of suturing, postoperative discomfort, swelling, and pain. This study aimed to evaluate the efficacy of laser-assisted periosteal fenestration (LA-PF) in treating patients with a shallow vestibule and insufficient AM around dental implants. LA-PF was performed using an Erbium YAG laser (Er:YAG laser). First, a partial-thickness, apically positioned flap was used. A horizontal periosteal fenestration was performed using an Er:YAG laser to expose the bones. Periosteal suturing was not required. After 12 months, sufficient AM and deep vestibules were obtained and maintained. Thus, the LA-PF technique may be a simple and predictable treatment modality for shallow vestibules with insufficient AM around dental implants.
摘要:
据报道,各种前庭成形术技术可增加牙科植入物周围的附着粘膜(AM)和前庭深度。然而,这些手术方法都有缺点,例如操纵的限制,缝合的必要性,术后不适,肿胀,和痛苦。这项研究旨在评估激光辅助骨膜开窗术(LA-PF)在治疗前庭浅和牙科植入物周围AM不足的患者中的疗效。使用铒YAG激光器(Er:YAG激光器)进行LA-PF。首先,局部厚度,使用顶端定位的皮瓣。使用Er:YAG激光进行水平骨膜开窗以暴露骨。不需要骨膜缝合。12个月后,获得并维持了足够的AM和深前庭。因此,LA-PF技术可能是一种简单且可预测的治疗方式,用于种植牙周围AM不足的浅前庭。
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