問題詳情

68.關於牙根覆蓋手術的選擇,下列敘述何者錯誤?
(A)冠向移位翻瓣術(coronal advanced flap),在單一的或多處的牙齦萎縮都可使用
(B)表皮下結締組織移植術(subepithelial connective tissue graft)有較好的顏色相配
(C)半月形的冠向移位翻瓣術(coronal advanced flap),建議使用在下顎牙齒
(D)使用游離牙齦移植術比引導組織再生術,可以得到較多的附連牙齦

參考答案

答案:C
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Yang Yeh】評論

參考Lindhe 7eCh39 p1010 Selection of surgical procedure for root coverage原文摘錄:For maxillary teeth, the coronally advanced flap may be considered as the basic procedure to be used for single as well as multiple recessions. If the quality of the mucosa apical to the recessions is considered inadequate for root coverage, the procedure is combined with the placement of a CTG.In the mandible, the placement of a free CTG with an “envelope” or a “tunnel” preparation is preferred because of a thin mucosa apical to the recession and often the presence of multiple frenula, that is, condi‐tions not suitable for a coronally advanced flap. In case of a localized single recession defect of moder‐ate depth, a rotational flap may be used if keratinized mucosa of sufficient dimensions is available lateral to the recession.整理如下上顎:Coronally advanced flap: Single / Multiple recessionMucosa條件不好就加CTG下顎:通常用Envelope or Tunnel都加CTG (因為多thin phenotype或kt不夠 所以也不適合coronally advanced)如果條件夠(KT足夠) rotational flap也可以