대한치과의사협회지 (The Journal of the Korean dental association)

  • 제55권3호
  • /
  • Pages.240-248
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  • 2017
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

각화조직 회복을 위한 근단변위 판막술과 유리치은 이식술에 관한 고찰

Various considerations of apically positioned flap operation and free gingival graft

  • 조인우 (단국대학교 치과대학 치주과학교실)
  • Cho, In-Woo (Department of Periodontology, College of Dentistry, Dankook University)
  • 투고 : 2017.01.23
  • 심사 : 2017.02.02
  • 발행 : 2017.03.01
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초록

A keratinized gingiva is important to the natural teeth and it is more essential to the health of the peri-implant mucosa of the implants. There are various surgical methods to restore a keratinized gingiva. First, a clinician could utilize apically positioned flap operation. This flap operation technique could be used as a full or partial thickness. If there is little keratinized gingival tissue available for the apically positioned flap operation, free gingival grafting should be used. Its technique sensitivity is relatively high, but using various surgical techniques and disciplines makes it simple and have the good predictability. There have been many considerations for those surgical techniques. Clinicians who treat for periodontitis or operate implant surgeries have to know the considerations and surgical methods.

키워드

참고문헌

  1. Wennstrom J, Lindhe J. Role of attached gingiva for maintenance of periodontal health. Journal of Clinical Periodontology 1983;10:206-221. https://doi.org/10.1111/j.1600-051X.1983.tb02208.x
  2. Wennstrom JL. Lack of association between width of attached gingiva and development of soft tissue recession. Journal of Clinical Periodontology 1987;14:181-184. https://doi.org/10.1111/j.1600-051X.1987.tb00964.x
  3. Bowers GM. A study of the width of attached gingiva. Journal of Periodontology 1963;34:201-209. https://doi.org/10.1902/jop.1963.34.3.201
  4. Lin GH, Chan HL, Wang HL. The significance of keratinized mucosa on implant health: a systematic review. J Periodontol 2013;84:1755-1767. https://doi.org/10.1902/jop.2013.120688
  5. Friedman N. Mucogingival surgery: The apically repositioned flap. Journal of periodontology 1962;33:328-340. https://doi.org/10.1902/jop.1962.33.4.328
  6. Fagan F, Freeman E. Clinical comparison of the free gingival graft and partial thickness apically positioned flap. J Periodontol 1974;45:3-8. https://doi.org/10.1902/jop.1974.45.1.3
  7. Kim C-S, Duong HP, Park J-C, Shin H-S. Preservation of keratinized mucosa around implants using a prefabricated implant-retained stent: a case-control study. Journal of Periodontal & Implant Science 2016;46:329-336. https://doi.org/10.5051/jpis.2016.46.5.329
  8. Park J-C, Yang K-B, Choi Y, et al. A simple approach to preserve keratinized mucosa around implants using a pre-fabricated implant-retained stent: a report of two cases. Journal of periodontal & implant science 2010;40:194-200. https://doi.org/10.5051/jpis.2010.40.4.194
  9. Linkevicius T, Puisys A, Linkeviciene L, Peciuliene V, Schlee M. Crestal bone stability around implants with horizontally matching connection after soft tissue thickening: a prospective clinical trial. Clinical implant dentistry and related research 2015;17:497-508. https://doi.org/10.1111/cid.12155
  10. Sohn J-Y, Park J-C, Cho K-S, Kim C-S. Simultaneous placement of an interpositional free gingival graft with nonsubmerged implant placement. Journal of periodontal & implant science 2014;44:94-99. https://doi.org/10.5051/jpis.2014.44.2.94
  11. Lindhe J. Textbook of clinical periodontology: WB Saunders Company; 1983.
  12. Griffin TJ, Cheung WS, Zavras AI, Damoulis PD. Postoperative complications following gingival augmentation procedures. Journal of periodontology 2006;77:2070-2079. https://doi.org/10.1902/jop.2006.050296
  13. Brasher WJ, Rees TD, Boyce WA. Complications of free grafts of masticatory mucosa. Journal of periodontology 1975;46:133-138. https://doi.org/10.1902/jop.1975.46.3.133
  14. Lorenzo R, Garcia V, Orsini M, Martin C, Sanz M. Clinical efficacy of a xenogeneic collagen matrix in augmenting keratinized mucosa around implants: a randomized controlled prospective clinical trial. Clinical oral implants research 2012;23:316-324. https://doi.org/10.1111/j.1600-0501.2011.02260.x
  15. Lee K-H, Kim B-O, Jang H-S. Clinical evaluation of a collagen matrix to enhance the width of keratinized gingiva around dental implants. Journal of periodontal & implant science 2010;40:96-101. https://doi.org/10.5051/jpis.2010.40.2.96
  16. Wei P-C, Laurell L, Geivelis M, Lingen MW, Maddalozzo D. Acellular dermal matrix allografts to achieve increased attached gingiva. Part 1. A clinical study. Journal of periodontology 2000;71:1297-1305. https://doi.org/10.1902/jop.2000.71.8.1297
  17. Gapski R, Parks CA, Wang H-L. Acellular dermal matrix for mucogingival surgery: a meta-analysis. Journal of periodontology 2005;76:1814-1822. https://doi.org/10.1902/jop.2005.76.11.1814