浓缩生长因子应用于下颌前牙区牙龈瘤切除术后角化龈修复1例
Application of CGF in Keratinized Gingiva Repair after Epulis Resection
DOI: 10.12677/ACM.2020.103029, PDF,   
作者: 马 玉, 魏 泰, 马斐斐, 陈红梅, 孙 凤:北京大学口腔医院第一门诊部特诊科,北京
关键词: 牙龈瘤CGF角化龈修复Epulis CGF Keratinized Gingiva Repair
摘要: 目的:总结牙龈瘤的临床特点,为牙龈瘤术后角化龈缺损修复提供新的治疗方法。方法:选择临床上下颌前牙区牙龈瘤患者1例,术前进行系统牙周治疗后行牙龈瘤切除术,术后使用浓缩生长因子(Concentrated growth factor, CGF)覆盖术区角化龈缺损创面,观察角化龈的修复水平。结果:CGF覆盖术区创面后,患者未述明显的术后疼痛、肿胀等反应;术后1个月及6个月复查时可见一定程度的角化龈组织再生,效果满意。结论:CGF作为一种临床制备较易的生物材料,能够在牙龈瘤术后覆盖角化龈缺损创面,缓解术后疼痛,同时CGF覆盖创面能够促进角化龈再生,是一种较好的修复角化龈缺损的治疗方法。
Abstract: Epulis is the neoplastic lesion of gingiva derived from the periodontal ligament and/or the alveolar connective tissues. Surgical resection is the primary treatment of epulis. Epulis is frequently involved in the gingival papilla and surgery usually causes local keratinized gingiva loss, resulting in the anesthetic defect and tissue dysfunction. Clinical experiments have indicated the positive roles of concentrated growth factor (CGF) in promoting the healing of soft and hard tissues. The paper presents a case of keratinized gingiva repair after epulis resection by use of CGF, which pro-vides a new method for gingiva repair.
文章引用:马玉, 魏泰, 马斐斐, 陈红梅, 孙凤. 浓缩生长因子应用于下颌前牙区牙龈瘤切除术后角化龈修复1例[J]. 临床医学进展, 2020, 10(3): 179-184. https://doi.org/10.12677/ACM.2020.103029

参考文献

[1] 张志愿. 口腔颌面外科学[M]. 第7版. 北京: 人民卫生出版社, 2012: 311-312.
[2] 李红梅, 王春, 董维理. 61例牙龈瘤的临床特点及疗效分析[J]. 口腔医学研究, 2016, 32(11): 1176-1178.
[3] 张志愿. 口腔颌面肿瘤手术彩色图谱[M]. 济南: 山东科学技术出版社, 2001: 59-61.
[4] 胡顺广. 鱼肝油酸钠治疗牙龈瘤疗效观察[J]. 广东牙病防治, 2003, 11(1): 48-49.
[5] 周庆豪. 瘤体内注射平阳霉素治疗牙龈瘤52例的疗效观察[J]. 广西医学, 2009, 31(3): 403-404.
[6] Truschnegg, A., Pichelmayer, M., Acham, S., et al. (2016) Nonsurgical Treatment of an Epulis by Photodynamic Therapy. Photodiagnosis and Photodynamic Therapy, 14, 1-3. [Google Scholar] [CrossRef] [PubMed]
[7] 朱光勋, 彭志庆, 徐莉. 规范化牙周基础治疗联合手术切除治疗纤维型牙龈瘤临床疗效观察[J]. 临床口腔医学杂志, 2014, 30(9): 570-572.
[8] 刘珍珍, 周延民, 孙晓琳, 等. 富血小板纤维蛋白诱导角化龈增量一例[J]. 中华口腔医学杂志, 2017, 52(5): 314-315.
[9] 孙素珍, 曹正国, 戴杰, 等. 牙龈瘤切除术后的美学处理与分析[J]. 口腔医学研究, 2015, 31(4): 401-403, 407.
[10] Masuki, H., Okudera, T., Watanebe, T., et al. (2016) Growth Factor and Pro-Inflammatory Cytokine Contents in Platelet-Rich Plasma (PRP), Plasma Rich in Growth Factors (PRGF), Advanced Platelet-Rich Fibrin (A-PRF), and Concentrated Growth Factors (CGF). International Journal of Implant Dentistry, 2, 19. [Google Scholar] [CrossRef] [PubMed]
[11] 王君玲, 邵苗苗, 何建亚, 等. 血小板中生长因子在口腔种植中促进软组织与硬组织愈合的效应[J]. 中国组织工程研究, 2018, 22(20): 3250-3255.
[12] Sohn, D.S., Moon, J.W., Moon, Y.S., et al. (2009) The Use of Concentrated Growth Factor (CGF) for Sinus Augmentation. Journal of Oral Implantology, 38, 25-38.
[13] 葛宇飞, 乔光伟, 葛长艺, 等. 自体浓缩生长因子膜在口腔黏膜组织缺损中的应用[J]. 中华整形外科杂志, 2018, 34(9): 724-728.
[14] 张晓, 董福生, 任贵云, 等. 富自体CGF纤维蛋白膜对人牙龈成纤维细胞黏附及增殖的影响[J]. 现代口腔医学杂志, 2014, 28(4): 197-201.