PDF(Pubmed)
Abstract：
Innovations in surgical techniques have improved the esthetic outcome and predictability of root coverage procedures in recent years. A free gingival graft (FGG) augments the attached gingiva, but the compromised blood supply precludes its use in root coverage. In the surgical technique described in this case report, the FGG kept over a laterally placed periosteal flap enhanced the outcome. A laterally flipped periosteal flap was adapted over the root surface using resorbable sutures. The free graft was secured at the recipient site with cyanoacrylate adhesive, and adaptation was ensured with suspensory sutures. Satisfactory root coverage was appreciated and maintained at 6 months with excellent functional outcomes. Adequate width of the attached gingiva and vestibular depth were also noticed at the recipient site. The patient was highly satisfied with the obtained results, which were maintained until the 1-year postoperative period.
摘要：
近年来，外科技术的创新改善了根部覆盖程序的美学效果和可预测性。游离牙龈移植物（FGG）可增强附着的牙龈，但是受损的血液供应阻止了它在根保险中的使用。在此病例报告中描述的手术技术中，FGG保留在侧向放置的骨膜瓣上可增强结果。使用可吸收的缝合线将横向翻转的骨膜瓣适应于根部表面。游离移植物用氰基丙烯酸酯粘合剂固定在受体部位，并通过悬吊缝线确保了适应性。满意的根覆盖率得到了赞赏，并在6个月时保持了良好的功能结果。在受体部位也注意到附着的牙龈的足够宽度和前庭深度。病人对取得的结果非常满意,一直维持到术后1年。
