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显微根尖手术中的软组织处理考量OA

Considerations for soft tissue management in endodontic microsurgery

中文摘要英文摘要

随着显微根尖手术技术的成熟,其在临床中的应用正逐步推广.手术中软组织处理会对手术疗效产生重要影响,尤其目前有较多手术涉及前牙美学区,兼顾美学与功能的双重恢复符合当代牙科治疗理念,是显微根尖手术的重要环节.本文系统性地梳理显微根尖手术中软组织的处理要点,从手术瓣的设计原则、术前评估、实施操作要点以及慢性根尖周合并软组织开窗等特殊问题的处理展开,以期深化临床医师对显微根尖手术中软组织处理环节的认知,提高临床治疗水平.

With the development of microsurgical endodontic techniques,their clinical application is gradually ex-panding.As a critical component,soft tissue management significantly affects surgical outcomes,especially because many cases involve the aesthetic zone of anterior teeth.Balancing aesthetic and functional restorations aligns with mo-dern dental principles.In this article,the key points in soft tissue management during microsurgical endodontics were systematically outlined,covering flap design principles,preoperative assessment,operative techniques,and the manage-ment of a particularly challenging issue,that is,chronic periapical lesions combined with soft tissue fenestration.This work aims to enhance clinicians'understanding of soft tissue handling in microsurgical endodontics and improve clinical treatment standards.

黄婧;顾申生

上海交通大学医学院附属第九人民医院牙体牙髓科,上海交通大学口腔医学院,国家口腔医学中心,口腔疾病国家临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011上海交通大学医学院附属第九人民医院牙体牙髓科,上海交通大学口腔医学院,国家口腔医学中心,口腔疾病国家临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

医药卫生

显微根尖手术软组织牙科美学手术瓣开窗

endodontic microsurgerysoft tissuedental estheticssurgical flapsfenestration

《华西口腔医学杂志》 2026 (3)

319-328,10

Biobank Construction Project of Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine(YBK202524)Fundamental Research Program Funding of Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine(JYZZ245) 上海交通大学医学院附属第九人民医院样本库建设项目(YBK202524)上海交通大学医学院附属第九人民医院医学研究培育基金(JYZZ245)

10.7518/hxkq.2026080

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