こんにちは さいたま市なると歯科院長の小林成人です。
ISCT西堀勉強会 Inter-disciplinary Study Club Tokyoに参加してきました。
論文抄読1本目は
Stability of root coverage
outcomes at single maxillary
gingival recession with loss of
interdental attachment: 3-year
extension results from a
randomized, controlled, clinical
trial
Cairo F, Cortellini P, Tonetti M, Nieri M, Mervelt J, Pagavino G, Pini-Prato GP. Stability of root coverage outcomes at single maxillary gingival recession with loss of interdental attachment: 3-year extension results from a randomized, controlled, clinical trial. J Clin Periodontol 2015; 42: 575–581. doi:10.1111/jcpe.12412.
歯茎が退縮して根が露出してしまった場合、歯がしみてしまったり、見た目が悪かったりします。
そこで根面被覆術という手術をすると改善するのですが、CTG(結合組織移植)をした場合としない場合で3年後に差は出るのかを調べた論文。
半分はCAF:Coronally Advanced Flap歯冠側移動術のみ
半分はCAF:Coronally Advanced Flap歯冠側移動術+CTG併用
で比較しました。
結論は多少の隣在歯のアタッチメントロスがある場合でもCTGを併用した方が角化歯肉もできやすいし、完全被覆も起こりやすいということでした。
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiy8ICEvKkLH0QmBaj3p9kx3G-cNDduPQ0lqfVnCQ4a7O3-MGDfwsItcvDFQ1AAUfiyOzrw9dufqLths0cX0D9W6F1t3nrOpRqLGvfM2OnWM5nC1VJxDLPBMLWMfta8I2p0EZ0bHnDF6OQ/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.32.17.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgB9Ioo7fUc6_bz5PoTlz1YFhUDrTGU5jgJR4nVQO1x2NkqNJH9WdNYmL18S4EWnucnvY9fytTeVAMO8VnN1VvLYXN5BKrTM6GZWhM3j_oc7X8CmnWZmi5wJht9pQvEKV9hJ_-dPe9GUD4/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.32.43.jpg)
2本目は
Cairo F, Cortellini P, Tonetti M, Nieri M, Mervelt J, Pagavino G, Pini-Prato GP. Stability of root coverage outcomes at single maxillary gingival recession with loss of interdental attachment: 3-year extension results from a randomized, controlled, clinical trial. J Clin Periodontol 2015; 42: 575–581. doi:10.1111/jcpe.12412.
歯茎が退縮して根が露出してしまった場合、歯がしみてしまったり、見た目が悪かったりします。
そこで根面被覆術という手術をすると改善するのですが、CTG(結合組織移植)をした場合としない場合で3年後に差は出るのかを調べた論文。
半分はCAF:Coronally Advanced Flap歯冠側移動術のみ
半分はCAF:Coronally Advanced Flap歯冠側移動術+CTG併用
で比較しました。
結論は多少の隣在歯のアタッチメントロスがある場合でもCTGを併用した方が角化歯肉もできやすいし、完全被覆も起こりやすいということでした。
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiy8ICEvKkLH0QmBaj3p9kx3G-cNDduPQ0lqfVnCQ4a7O3-MGDfwsItcvDFQ1AAUfiyOzrw9dufqLths0cX0D9W6F1t3nrOpRqLGvfM2OnWM5nC1VJxDLPBMLWMfta8I2p0EZ0bHnDF6OQ/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.32.17.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgB9Ioo7fUc6_bz5PoTlz1YFhUDrTGU5jgJR4nVQO1x2NkqNJH9WdNYmL18S4EWnucnvY9fytTeVAMO8VnN1VvLYXN5BKrTM6GZWhM3j_oc7X8CmnWZmi5wJht9pQvEKV9hJ_-dPe9GUD4/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.32.43.jpg)
2本目は
Influence of inter-dental tissues
and root surface condition on
complete root coverage following
treatment of gingival recessions:
a 1-year retrospective study
Pini-Prato G, Magnani C, Zaheer F, Rotundo R, Buti J. Influence of inter-dental tissues and root surface condition on complete root coverage following treatment of gingival recessions: a 1-year retrospective study. J Clin Periodontol 2015; 42: 567– 574. doi:10.1111/jcpe.12407.
根面被覆の論文で
1 FGG
2 CAF
3 CAF+CTG
4 GTR
を比較したところCAFとCAF+CTGが成功率が高かった。
また、タバコを吸う方、隣接面のアタッチメントロスがある方、NCCL(根面の段差)がある方は成功率が低かった。
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPgV_3inTlhhkvZBcNHWHMxw0Zw9hbV7rjY7RDR3cQ4ECj0vl4E-0rFFcsXKB8MUIJd_icVezZmst6V0Gw-yPdeCr-WIsuz72BgiGX_uEiguRfY8mk4g9wx0jgf526oF-D0nr9Ad6-dcE/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.43.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpjIJgtaHOm2Gm4-VvZA3cDMwZJZORbHFXNM7x1bbh02UDinFyfiyNuRFS2RVQixaKFb2Ut5d4UEph7kPCil2jmn5fVMvexcZAAnIzpJuU6T-omY-MzSoW1f8LvVvn5mGZAENOkxRKPq0/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.45.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNBLLzD3Jj5O8i4Tb2iN2ARbCLdbIM3jXeY6w1S4CKUE5lhbJm0QTYIxhyphenhyphenbQFytViM8x5t5VVXAkJWqFykIoYiUFn60qoiO8VqShyphenhyphenfE9_ViuLax-NRGXvbWrcXYGUnUZmpHH85o5F8MdA/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.49.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjar-wKSbT9rEzY1UgIMNTaGX07FV9azYgsVJ1gjGJnqn4LmoATw22BK4By_J33nvF_jTNs3hBhWKwmry0EFqzY05HLRtTUARpN0-bTX7sXr4u7k8tnStx4wz27kVOCQpy_1K1dFUeoJMA/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.39.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmIeW2nojN2_9Wu_4enonyF67aKzIPcHuDWDBNrJa-g_GKLiVS3c5CskMa_6gbWLJiRDgeWKJH4yd394eY2BEjwCW78JPknrwXsRmdwVlVz4qrn5bfXzY_z8EJEWw9aEHxfb08BgSIFt4/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.37.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhu5HHmW9oT7yROsjxIgYCu_k8TnlQDM20T1-2Y__YcoEobk8K09rWQWcD0TbHLeODHmMovdlnCXJwdSiJFZUNSjitVKwizGW-L28DiH_GpeUBoxp56Z0iGKJH0W98oStiCxuS6TwM-FV0/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.33.jpg)
Pini-Prato G, Magnani C, Zaheer F, Rotundo R, Buti J. Influence of inter-dental tissues and root surface condition on complete root coverage following treatment of gingival recessions: a 1-year retrospective study. J Clin Periodontol 2015; 42: 567– 574. doi:10.1111/jcpe.12407.
根面被覆の論文で
1 FGG
2 CAF
3 CAF+CTG
4 GTR
を比較したところCAFとCAF+CTGが成功率が高かった。
また、タバコを吸う方、隣接面のアタッチメントロスがある方、NCCL(根面の段差)がある方は成功率が低かった。
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhPgV_3inTlhhkvZBcNHWHMxw0Zw9hbV7rjY7RDR3cQ4ECj0vl4E-0rFFcsXKB8MUIJd_icVezZmst6V0Gw-yPdeCr-WIsuz72BgiGX_uEiguRfY8mk4g9wx0jgf526oF-D0nr9Ad6-dcE/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.43.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpjIJgtaHOm2Gm4-VvZA3cDMwZJZORbHFXNM7x1bbh02UDinFyfiyNuRFS2RVQixaKFb2Ut5d4UEph7kPCil2jmn5fVMvexcZAAnIzpJuU6T-omY-MzSoW1f8LvVvn5mGZAENOkxRKPq0/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.45.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjNBLLzD3Jj5O8i4Tb2iN2ARbCLdbIM3jXeY6w1S4CKUE5lhbJm0QTYIxhyphenhyphenbQFytViM8x5t5VVXAkJWqFykIoYiUFn60qoiO8VqShyphenhyphenfE9_ViuLax-NRGXvbWrcXYGUnUZmpHH85o5F8MdA/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.49.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjar-wKSbT9rEzY1UgIMNTaGX07FV9azYgsVJ1gjGJnqn4LmoATw22BK4By_J33nvF_jTNs3hBhWKwmry0EFqzY05HLRtTUARpN0-bTX7sXr4u7k8tnStx4wz27kVOCQpy_1K1dFUeoJMA/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.39.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjmIeW2nojN2_9Wu_4enonyF67aKzIPcHuDWDBNrJa-g_GKLiVS3c5CskMa_6gbWLJiRDgeWKJH4yd394eY2BEjwCW78JPknrwXsRmdwVlVz4qrn5bfXzY_z8EJEWw9aEHxfb08BgSIFt4/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.37.jpg)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhu5HHmW9oT7yROsjxIgYCu_k8TnlQDM20T1-2Y__YcoEobk8K09rWQWcD0TbHLeODHmMovdlnCXJwdSiJFZUNSjitVKwizGW-L28DiH_GpeUBoxp56Z0iGKJH0W98oStiCxuS6TwM-FV0/s400/%25E3%2582%25B9%25E3%2582%25AF%25E3%2583%25AA%25E3%2583%25BC%25E3%2583%25B3%25E3%2582%25B7%25E3%2583%25A7%25E3%2583%2583%25E3%2583%2588+2015-12-19+8.44.33.jpg)