교정 치료와 관련된 하악 전치부 협측 치은 퇴축의 위험성을 최소화하기 위한 골이식 : 증례보고 |
유지수1, 백승진2, 정재숙3, 지숙4 |
1아주대학교 치과병원 치주과 2아주대학교 치과병원 치주과 3아주대학교 치과병원 치주과 4아주대학교 치과병원 치주과 |
Hard tissue augmentation to minimize a risk of buccal gingival recession in lower anterior teeth associated with orthodontic treatment: case report |
Ji-Soo Yoo1, Seung-Jin Baek2, Jae-Suk Jung3, Suk Ji4 |
1Department of Periodontology, Ajou University School of Medicine 2Department of Periodontology, Ajou University School of Medicine 3Department of Periodontology, Ajou University School of Medicine 4Department of Periodontology, Ajou University School of Medicine |
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Abstract |
Patients with malocclusion may present with preexisting mucogingival problems susceptible to attachment loss during or after orthodontic treatment. Lower anterior teeth especially show a high prevalence of gingival recession following orthodontic treatment. This case report demonstrates hard tissue augmentation of labially thin or deficient alveolar bone (dehiscences and fenestrations) to prevent attachment loss during or after orthodontic treatment. Three patients presented clinically prominent root surfaces and dehiscences and fenestrations on cone-beam computed tomography (CBCT) in lower anterior teeth. Labial hard tissue augmentation of lower anterior teeth was performed with deproteinized bovine bone mineral and collagen membrane. Six months later, hard tissue augmentation reduced root prominence and created a greater volume of hard tissue on lower anterior area in clinical and radiographic findings. Hard tissue augmentation using xenograft could prevent attachment loss associated with orthodontic treatment and maintain stability of healthy periodontium. |
Key Words:
Orthodontic treatment;Gingival recession;Dehiscences;Fenestrations;Hard tissue augmentation;Conebeam computed tomography (CBCT); |