Ⅲ期C级牙周炎正畸患者上前牙龈乳头缺陷伴牙龈退缩1例

打开文本图片集

[中图分类号]R781.4[文献标志码]B [doi]10.7518/gjkq.2025049

Treatment gingivalpapillaloss with gingival recession inorthodontic patients with stage I grade Cperiodontitis：a case report iomedical ， ， 401147，China

Supportedby： Science Technology BureauProject（CSTB2022BSXM-JCX0047）

Correspondence：Huang Jiao，Email：huangjiao@hospital.cqmu.edu.cn [Abstract]Comprehensive periodontal nonsurgicaltreatment orthodontic treatmentcan improve the oral health， function，aestheticspatientswithperiodontitis.Forpatientswithsevereperiodontitis，aestheticproblemssuchas gingival recession gingival papillrydefects，mayoccurafter periodontal system treatment，requiring personalized multidisciplinary collaborative treatment.This article reports a case a patient with stage I I grade C periodontitis who underwentperiodontalnonsurgical，simpleflap，orthodontictreatmentsintheanteriortootharealabialingival retraction gingival papilary defectrepair in the anterior teeth.Preoperative X-ray measurement diagnostic mockupanalysis revealedthatthe distance fromthecontact point to thealveolar ridge crest couldbereduced to less than or

equal to 5 m m anidealaestheticeffectthedental crowncould beachieved.AT-shapedconnective tissue flaplipcoronal-positioned flapweredesignedtoreconstructthe gingival papilla improve the lipgingival recession.Composite resin veneerswere used to lower thecontact point position repairblack triangles.Remarkable improvement in clinical attachment level，

ideal rootcoverage efect， good gingival papill morphology were achieved two years after surgery.Thesechanges improvedthe prognosistheaffected teeth facilitatedthe long-term maintenanceaesthetic effects.Long-term clinicaloutcomesrequire furtherclinical observation.

[words]black triangle；periodontitis；orthodontics；open flapdebridement；gingivalrecession；interdentalpapilla reconstruction； root coverage； veneer

随着牙周炎发展到中重度，患者容易出现牙龈退缩，龈乳头的缺陷，黑三角的形成，甚至牙齿移位。（剩余10896字）