腭側(cè)帶蒂結(jié)締組織轉(zhuǎn)瓣移植聯(lián)合冠修復(fù)重建美學(xué)區(qū)齦乳頭1例

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[中圖分類(lèi)號(hào)]R781.4[文獻(xiàn)標(biāo)志碼]B[doi]10.7518/gjkq.2025039

Vascularized interpositionalperiopel connective tissue flapcombined with crown restoration for reconstruction of esthetic gingival papillae：acasereport

ZhouJieyu，ZhaoLei，WuYafei，LiYong2，ZhaoHuan

1.StateKeyLaboratoryofOralDiseases&National CenterforStomatology&National ClinicalResearchCenter for OralDiseases&Dept.ofPeriodontics，WestChinaHospitalofStomatologySichuan UniversityChengdu60041，China；2.StateKeyLaboratoryofOralDiseases&NationalCenterforStomatology&NationalClinicalResearchCenter forOralDiseases&DeptofProsthodonticsIWestChinaHospitalofStomatologySichuanUniversityChengdu 610041，China

Supported by：National NaturalScienceFoundationofChina （82301089，82170970）；Research andDevelopProgram， WestChinaHospitalofStomatology，SichuanUniversity（RD-02-202407）

Correspondence：Zhao Huan，Email：cdzhaohuan@qq.com

[Abstract]The“black triangle”formed by gingivalrecesionand toth displacement inthe aestheticareaofaterior tethduetoperiodontitis，localanatomicalfactors，mechanicalinjuryorabnormalocclusalforceisadiicultyinoral clinicaltreatment.Thevascularized interpositional periopelconnective tissue （VIP-CT）flapisaconnective tissue flap fromthe palate thathassuffcient blood supply.Itcanpromote bonegraft osteogenesisand improve soft tisse defects in thelabialandadjacent spaces.Inthis paper，wereportacaseof gingivalrecesionintheaestheticarea withtoothdisplacementandabsenceof gingival papillae.The soft and hardtissue status was significantly improvedafterVIP-CTrotary flap

transplantation and bone graft augmentation. This approach was combined with crown repair to restore the adjacentcontact.The gingival papillaeintheaesthetic areawere effectivelyreconstructed，obtaining ideal aesthetic results.

[Key words] gingival recession； papillary deficiency；

black triangle； vascularized palatine periosteal connective tissue flap； prosthodontic treatment

近年來(lái)，隨著自我美觀需求意識(shí)的提高，臨床醫(yī)生和患者對(duì)牙齒的審美需求迅速增加。（剩余13679字）