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ISSN : 0376-4672
치주질환으로 손상된 치간유두의 재생은 아주 도전적인 과제이다. 지금까지 많은 치과의사들이 훌륭한 수술적인 방법을 고안하여 소개하였다. 지금까지 소개된 술식들을 순서대로 비교해보고 장단점을 비교해 치간유두를 재생을 위한 최적의 방법을 고안해보았다. 치주수술만으로 해결하기 어려운 좁은 치간유두 사이의 공간을 부분교정치료를 통하여 공간을 일시적으로 만들어 주는 것이 치은이식을 위해 큰 도움이 되었다. 치은이식은 마이크로 블레이드를 이용하여 박리를 시행하고 치은경계부에서 떨어진 수직절개를 하나만 시행해 여기를 통해 추가적인 박리와 이식편을 넣어서 치은이식을 시행하였다. 이렇게 교정치료를 동반하여 좁은 치간유두 사이의 폭을 벌려서 치은이식이 더 용이한 상태로 만들어 치은이식을 진행하고, 치은이 성숙한 뒤 교정력으로 다시 치아사이를 모아주는 술식(ELSA technique)을 통해 치간유두 재생을 할 수 있었다.
Regeneration of interdental papilla damaged by periodontal disease has been a very challenging task. Up until now, many dentists have devised and introduced great surgical methods. When I compared the pros. and cons. of these many methods, I came up with the best way to regenerate interdental papilla. Temporarily creating space between narrow interdental papilla, which could not be solved by periodontal surgery alone, was a great help for connective tissue graft (CTG). The CTG was performed using a microblade, and only one vertical incision was required from the gingival margin. The graft was then performed by inserting the grafts through this incision. Along with the orthodontic treatment, the area between the narrow interdental papilla was widened, which made it easier to carry out the CTG. After a period of maintenance, I was able to bring the teeth together again using orthodontic force and regenerate the interdental papilla. I named this method the ELSA (Enlargement of space - Labial graft - Squeezing - for Augmentation of papilla) technique.
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