Politis Constantinus, Schoenaers Joseph, Jacobs Reinhilde, Agbaje Jimoh O
OMFS-IMPATH Research Group, Department of Imaging and Pathology, Katholieke Universiteit LeuvenLeuven, Belgium; Oral and Maxillofacial Surgery, Leuven University HospitalsLeuven, Belgium.
Oral and Maxillofacial Surgery, Leuven University Hospitals Leuven, Belgium.
Front Physiol. 2016 Nov 2;7:507. doi: 10.3389/fphys.2016.00507. eCollection 2016.
Wound healing is a primary survival mechanism that is largely taken for granted. The literature includes relatively little information about disturbed wound healing, and there is no acceptable classification describing wound healing process in the oral region. Wound healing comprises a sequence of complex biological processes. All tissues follow an essentially identical pattern to complete the healing process with minimal scar formation. The oral cavity is a remarkable environment in which wound healing occurs in warm oral fluid containing millions of microorganisms. The present review provides a basic overview of the wound healing process and with a discussion of the local and general factors that play roles in achieving efficient would healing. Results of oral cavity wound healing can vary from a clinically healed wound without scar formation and with histologically normal connective tissue under epithelial cells to extreme forms of trismus caused by fibrosis. Many local and general factors affect oral wound healing, and an improved understanding of these factors will help to address issues that lead to poor oral wound healing.
伤口愈合是一种基本的生存机制,在很大程度上被视为理所当然。文献中关于伤口愈合紊乱的信息相对较少,并且没有可接受的分类来描述口腔区域的伤口愈合过程。伤口愈合包括一系列复杂的生物学过程。所有组织都遵循基本相同的模式来完成愈合过程,同时使瘢痕形成最小化。口腔是一个特殊的环境,伤口在含有数百万微生物的温热口腔液体中愈合。本综述提供了伤口愈合过程的基本概述,并讨论了在实现有效伤口愈合中起作用的局部和全身因素。口腔伤口愈合的结果差异很大,从临床上愈合且无瘢痕形成、上皮细胞下结缔组织组织学正常的伤口,到由纤维化导致的极端形式的牙关紧闭。许多局部和全身因素影响口腔伤口愈合,更好地了解这些因素将有助于解决导致口腔伤口愈合不良的问题。