腭侧带蒂结缔组织转瓣移植联合冠修复重建美学区龈乳头1例

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[中图分类号]R781.4[文献标志码]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

近年来，随着自我美观需求意识的提高，临床医生和患者对牙齿的审美需求迅速增加。（剩余13679字）