目的探讨腭带蒂黏膜瓣在上颌前牙种植修复中的临床意义。方法 52例上颌前牙种植2期修复时,在种植区正中采取牙槽嵴顶的水平切口,切开深度只达黏骨膜下层。形成带蒂的瓦合式骨膜一结缔组织瓣。锐性剥离唇侧龈组织瓣,取出覆盖螺丝。唇腭侧角化龈分别反向做“C”形切口或松弛切口,制备适当宽度带蒂角化龈瓣,旋转植入近远中龈乳头瓣下方,愈合基台挤压龈乳头瓣诱导种植体周围龈乳头成形。2周后上部结构修复。结果缺牙区唇侧外观丰满,唇侧龈缘基本对称。结论腭带蒂黏膜瓣改善唇侧丰满度及龈乳头重建方法简单、易行,是解决上颌前牙美观区域种植义齿的软组织美学问题的方法之一。 Objective To investigate the clinical significance of palatal pedicle mucosal flap implantation in maxillary anterior teeth. Methods Twenty - two cases of maxillary anterior teeth were implanted in the second phase. The horizontal incision of alveolar crest was taken in the middle of the planting area, and the depth of incision was only reached to the subperiosteal space. The formation of the pedicle of a periosteal-connective tissue flap. Sharply peel the labial gingival flap and remove the covering screw. Lip palatal keratosis gingiva were reverse to do “C” -shaped incision or laxity incision, preparation of appropriate width of the keratinized gingiva flap, revolving implants near the bottom of the papillogastric papillae, healing abutment extrusion gingival papillae Induction of implant around the papilla formation. 2 weeks after the repair of the superstructure. Results In the edentulous area, the labial appearance was full, and the gingival margin was basically symmetrical. Conclusion The palatal pedicled mucosal flap is a simple and easy way to improve the lip fullness and the reconstruction of the papilla. It is one of the methods to solve the soft tissue aesthetic problem of implant denture in the esthetic region of the maxillary anterior.