Parker S
30 East Parade, Harrogate, North Yorkshire, UK.
Br Dent J. 2007 Mar 10;202(5):247-53. doi: 10.1038/bdj.2007.172.
Within a general practice setting, there are few benign pathological conditions of the attached or keratinised gingival complex that are not amenable to simple surgical intervention. The majority of surgical procedures are adjunctive to the delivery of restorative dentistry. There is an understandable dogma worldwide towards the management of soft tissues as they interface with restorative procedures. Contemporary teaching, both at undergraduate and postgraduate level, would recognise the need for a period of wound healing and stability, based on scalpel-induced incisional therapy. The use of laser wavelengths, based on predictable evidence-based protocols, has re-defined the surgical management of keratinised mucosa that is bound to the underlying periosteum and bone. This can be seen as being of benefit to the clinician in determining the outcome, and the patient in achieving quality results.
在一般的临床环境中,附着龈或角化龈复合体中很少有良性病理状况不能通过简单的外科手术干预来处理。大多数外科手术是修复牙科治疗的辅助手段。在软组织与修复程序的衔接管理方面,全球存在一种可以理解的教条观念。当代本科和研究生阶段的教学都认识到,基于手术刀切开治疗,需要一段伤口愈合和稳定的时期。基于可预测的循证方案使用激光波长,重新定义了与下方骨膜和骨骼相连的角化黏膜的外科管理。这对临床医生确定治疗结果有益,对患者获得优质疗效也有益。