微创美学缝合技术用于前牙美学牙冠延长手术:随访 24 个月的病例系列。

Maoqi Zhang, Huihui Zhang, Zhengguo Cao
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引用次数: 0

摘要

背景:美容冠延长手术(ACLS)中采用了一种微创美容缝合技术。本报告旨在评估该技术在 ACLS 中的临床和患者报告结果:方法:15 位接受 ACLS 的患者采用了所述缝合技术。在基线、术后即刻以及 5 天至 24 个月的随访期间记录了临床参数,包括牙菌斑指数 (PI)、牙龈指数 (GI)、出血指数 (BI)、乳头指数评分 (PIS)、早期伤口愈合指数 (EHI)、视觉模拟评分 (VAS)、粉色美观评分和白色美观评分 (PES/WES)。结果:100% 的患者都表示非常满意,术后 VAS 评分稳定在较高水平。从基线到术后 5 天,PI 没有统计学意义上的显著增加,但观察到 GI(0.13Å}0.23,P<0.05)和 BI(0.49Å}0.55,P<0.05)略有恶化。所有患者在术后 5 天均实现了早期伤口愈合(EHI 1)。此外,3 名患者在术后最初 3 个月内出现了 PIS 变化,之后所有患者的乳头充填度都达到了最佳水平(III 度):结论:微创美容缝合技术在 ACLS 中的应用在患者满意度和长期稳定性方面都取得了良好的效果。然而,在 ACLS 中应用微创美容缝合技术优于传统缝合方法的论断还需要通过精心设计的随机对照临床试验进行严格的调查来证实。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Minimally Invasive Esthetic Suturing Technique for Anterior Esthetic Crown Lengthening Surgery: A Case Series with 24-Month Follow-up.

Purpose: To evaluate the clinical and patient-reported outcomes of a minimally invasive suturing technique for esthetic crown lengthening surgery (ECLS).

Materials and methods: A total of 15 patients who underwent ECLS were treated using the described suturing technique. Clinical parameters, including plaque index (PI), gingival index (GI), bleeding index (BI), papilla index score (PIS), early wound healing index (EHI), visual analog scale (VAS), pink esthetic score (PES), and white esthetic score (WES), were recorded at baseline, immediately postsurgery, and during follow-up visits spanning 5 days to 24 months. Two-sample t test was performed to evaluate statistical significance (α = .05).

Results: All patients (100%) reported a high level of satisfaction, with stable high postoperative VAS scores. From baseline to 5 days postoperative, there was no statistically significant increase in PI, although there was a slight deterioration observed in GI (0.13 ± 0.23, P < .05) and BI (0.49 ± 0.55, P < .05). Early wound healing (EHI 1) was achieved by all patients at 5 days postsurgery. Additionally, 3 patients exhibited changes in PIS within the initial 3 months following surgery, after which all patients attained an optimal degree of papilla fill (degree III).

Conclusions: The application of the minimally invasive esthetic suturing technique in ECLS demonstrates favorable outcomes in terms of patient satisfaction and long-term stability. However, the assertion of its superiority over conventional suturing methods for ECLS necessitates substantiation through rigorous investigation via well-designed randomized controlled clinical trials.

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