Pokrycie mnogich recesji dziąsłowych całego łuku zębowego na jednej wizycie (...)

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MS 2021; 11: 10-18.

Pokrycie mnogich recesji dziąsłowych całego łuku zębowego na jednej wizycie zmodyfikowaną techniką tunelową z zastosowaniem podnabłonkowej tkanki łącznej oraz białek matrycy szkliwa (EMD). Opis przypadków

Covering multiple adjacent recessions of the entire dental arch in one visit with a modified tunneling technique using subepithelial connective tissue and enamel matrix proteins (EMD). Case study

Bartłomiej Górski, Beata Wyrębek, Daniel Poszytek

Streszczenie
Chirurgiczne leczenie mnogich recesji dziąsłowych jest wymagającym klinicznie zabiegiem ze względu na duże pole zabiegowe, różne ustawienie poszczególnych zębów w łuku (często ich znaczne doprzedsionkowe wychylenie), różne wymiary recesji przy każdym zębie, cienki fenotyp i wąską strefę dziąsła skeratynizowanego lub jej brak przy wielu zębach. Optymalnym postępowaniem w leczeniu mnogich recesji może być zabieg chirurgiczny przy wszystkich zębach w łuku na jednej wizycie. Czas zabiegu jest dłuższy, ale pacjent nie musi kilkakrotnie powtarzać zabiegów oraz ponownie stosować farmakoterapii i zaleceń pozabiegowych. Celem pracy było przedstawienie zabiegów pokrycia mnogich recesji dziąsłowych po stronie prawej i lewej łuku zębowego podczas jednej wizyty. Zabiegi przeprowadzono z wykorzystaniem zmodyfikowanej techniki tunelowej i przeszczepu podnabłonkowej tkanki łącznej, dodatkowo stosując białka pochodne matrycy szkliwa w miejscu biorczym.

Abstract
The treatment of multiple adjacent recession appears to be more challenging for the clinician due to large surgical field, variation in teeth position in the dental arch (prominent roots), variation in recession size, thin phenotype and insufficient keratinized tissue in many teeth. Surgical treatment of all multiple recessions in one dental arch during one session appears to be optimum. Surgical treatment time is longer, however patients don’t need to undergo multiple surgeries, pharmacological therapies and postsurgical instructions. The aim of this article was to present surgical treatment of multiple adjacent gingival recessions with the use of modified tunnel technique, subepithelial connective tissue graft and enamel matrix protein derivatives during one session.

Hasła indeksowe: mnogie recesje dziąsłowe, technika tunelowa, podnabłonkowa tkanka łączna, białka pochodne matrycy szkliwa (EMD)

Key words: multiple gingival recessions, tunnel technique, subepithelial connective tissue, enamel matrix protein derivatives (EMD)

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