61例牙龈瘤的临床特点及疗效分析

目的:分析牙龈瘤的临床特点、分型以及改良式牙龈瘤切除术的疗效。方法:收集61例牙龈瘤患者的临床资料,分析临床特点,以改良牙龈瘤切除术治疗,观察术后疗效。结果:61例牙龈瘤患者,平均年龄为33.2岁,20~29岁年龄段女性多发,好发于前牙区唇侧;其中,49.2%为纤维型,29.5%为肉芽肿型,21.3%为血管型;术后1、3、6个月定期复查,60例均取得了良好疗效。结论:术前常规牙周基础治疗控制口腔卫生,以松弛切口转瓣方式增加瘤区角化龈,有助于牙龈瘤切除后牙龈形态的恢复和长期疗效的维持。

Clinical Characteristics and Outcomes of Epulis: 61 Cases Report

Objective: To investigate the clinical characteristics and outcomes of epulis treated with modified epulis resection. Methods: Sixty-one patients with epulis were collected and treated with modified epulis resection, clinical characteristics and outcomes were recorded and analyzed. Results: The mean age of patients was 33.2 years. It was often occurred in female at 20-29 years old and affected labial region of anterior teeth: fibrous epulis (49.2%), granuloma epulis(29.5%), and vascular epulis(21.3%). Only one case was relapsed after 1, 3 and 6 months follow up. Conclusion: Preoperative routine periodontal treatment to improve oral hygiene and increasing the keratinized gingiva by relaxing incision and repositioned flap contribute to restore the contour of gingiva and maintain long-term effect.