一步一步学习牙龈切除术

doi:10.12337/zgkqjxjyzz.2025.04.002

中国口腔医学继续教育杂志 ›› 2025, Vol. 28 ›› Issue (4): 194-198.DOI: 10.12337/zgkqjxjyzz.2025.04.002

• 一步一步学牙周（一） • 上一篇下一篇

一步一步学习牙龈切除术

董家辰, 李虎虓, 宋忠臣^*

上海交通大学医学院附属第九人民医院·牙周病科,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

出版日期:2025-07-31 发布日期:2025-07-31
通讯作者: ^*宋忠臣,联系方式：021-53315510,电子邮箱：szhongchen@sina.com,通讯地址：上海市黄浦区瞿溪路500号,200011

Learn Gingivectomy Step by Step

Jiachen Dong, Huxiao Li, Zhongchen Song^*

Department of Periodontology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. College of Stomatology, Shanghai Jiao Tong University & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & Research, Shanghai, P.R. China

Online:2025-07-31 Published:2025-07-31
Contact: Zhongchen Song. Tel: 021-53315510. Email: szhongchen@sina.com. Address: No.500 Quxi Road, Huangpu District, Shanghai 200011, P.R. China.

摘要/Abstract

摘要： 牙龈切除术常用于牙龈增生及肥大患者,是牙周基础手术之一,其操作简便,注意事项包括外斜切口的切入角度,切除后牙龈外形的修整等。随着其治疗理念的发展,有新技术应用在牙龈切除术中。本文介绍了牙龈切除术的手术概念、适应证、手术步骤等研究进展,旨在为各位口腔医师提供手术参考及学习思路,为做好牙龈切除术打好理论基础。

关键词: 牙龈切除术, 牙龈成形术, 外斜切口, 牙龈肥大, 牙周手术

Abstract: Gingivectomy is frequently performed on patients with gingival hyperplasia and hypertrophy. This operation is a fundamental periodontal surgery and is relatively simple to perform. Precautions include the cutting angle of the external oblique incision and the trimming of the gingival shape after resection, among other important factors. As surgical concepts evolve, numerous new technologies are being applied in gingivectomy. This paper discusses the concept, indications, procedures, and recent research developments related to gingivectomy. Its aim is to provide surgical references and educational insights for stomatologists, while also establishing a theoretical foundation for the practice of gingivectomy.

Key words: gingivectomy, gingivoplasty, external oblique incision, gingival enlargement, periodontal surgery

董家辰, 李虎虓, 宋忠臣. 一步一步学习牙龈切除术[J]. 中国口腔医学继续教育杂志, 2025, 28(4): 194-198.

Jiachen Dong, Huxiao Li, Zhongchen Song. Learn Gingivectomy Step by Step[J]. Chinese Journal of Stomatological Continuing Education, 2025, 28(4): 194-198.

参考文献

[1] Koerniadi MMU, Tadjoedin FM, Hutomo DI, et al.Bibliometric Network Analysis and Visualization of Research Trends in Gingivectomy[J]. Clin Cosmet Investig Dent, 2024, 16:209-218.
[2] Mavrogiannis M, Ellis JS, Thomason JM, et al.The management of drug-induced gingival overgrowth[J]. J Clin Periodontol, 2006, 33(6):434-439.
[3] WOLFSOHN MD.Modified gingivectomy[J]. J Periodontol(1930), 1951, 22(4):212-215.
[4] Silva DFB, de Freitas GA, Leite LLCC, et al. Gingi-vectomy with high-power laser for correction of the gummy smile resulting from altered passive eruption-a case series[J]. Lasers Med Sci, 2022, 37(7):2999-3009.
[5] 孟焕新. 牙周病学[M]. 第5版. 北京: 人民卫生出版社, 2020: 241.
[6] Huang X, Zhu W, Zhang X, et al.Modified gingivoplasty for hereditary gingival fibromatosis: two case reports[J]. BMC Oral Health, 2022, 22(1):523.
[7] 曹正国,高雅. 牙龈肥大相关疾病的诊疗策略[J]. 牙体牙髓牙周病学杂志, 2024, 29(4):187-199.
[8] Mavrogiannis M, Ellis JS, Seymour RA, et al.The efficacy of three different surgical techniques in the management of drug-induced gingival overgrowth[J]. J Clin Periodontol, 2006, 33(9):677-682.
[9] Hempton TJ, Dominici JT.Contemporary crown-lengthening therapy: a review[J]. J Am Dent Assoc, 2010, 141(6):647-655.
[10] Shankar BS, T R, S NM, Reddy PS, Saritha G, Reddy JM. Chronic inflammatory gingival overgrowths: laser gingivectomy & gingivoplasty[J]. J Int Oral Health, 2013, 5(1):83-87.
[11] Kaliyaperumal R, Appusamy K, Gokulraj S, et al.Laser-Assisted Gingivectomy in Amlodipine-Induced Gingival Enlargement: A Case Report. Cureus, 2024, 16(12):e75761.
[12] Kelman MM, Poiman DJ, Jacobson BL.Laser gingivectomy for pediatrics[J]. Todays FDA, 2010, 22(1):41-45.
[13] Sykara M, Ntovas P, Markou N, et al.Individualized digitally designed surgical template for guided soft tissue surgery in cases with severe gingival enlargement: A clinical application in hereditary gingival fibromatosis[J]. Int J Comput Dent, 2024, 27(1):99-107.
[14] Benítez CG, Azevedo LH, da Silva ILS, et al. Use of both the diode and Er: YAG lasers in esthetic crown lengthening with the aid of digitally guided dual technique: 3 years follow-up[J]. J Esthet Restor Dent, 2024, 36(5):695-701.
[15] Jurado CA, Villalobos-Tinoco J, Lackey MA, et al.Three Dimensional-Printed Gingivectomy and Tooth Reduction Guides Prior Ceramic Restorations: A Case Report. Dent J(Basel), 2024, 12(8):245.
[16] Villa-Martínez L, Mendoza-Espinosa BI, Jacinto-Alemán LF, et al.Gingivectomy-Gingivoplasty for Oral Physiological Melanosis Depigmentation: A Case Report Involving Human Papillomavirus. Dent J(Basel), 2024, 12(7):203.
[17] Dalal AM, Oza RR, Shirbhate U, et al.Conventional Gingivectomy Procedure in the Management of Orthodontic-Induced Gingival Overgrowth: A Case Report. Cureus, 2024, 16(7):e64556.
[18] Bozkurt E, Uslu MÖ.Evaluation of the effects of platelet-rich fibrin, concentrated growth factors, and autologous fibrin glue application on wound healing following gingivectomy and gingivoplasty operations: a randomized controlled clinical trial[J]. Quintessence Int, 2022, 53(4):328-341.
[19] Powell CA, Mealey BL, Deas DE, et al.Post-surgical infections: prevalence associated with various periodontal surgical procedures[J]. J Periodontol, 2005, 76(3):329-333.
[20] Balaji A, Jennifer W, Mohanasatheesh S, et al.The Unilateral Enigma: An Oral-contraceptive Related Gingival Enlargement[J]. J Pharm Bioallied Sci, 2024, 16(Suppl 2):S1490-S1493.

一步一步学习牙龈切除术

Learn Gingivectomy Step by Step

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