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牙周及种植手术后软组织伤口愈合的术后临床监测

Post-Surgical Clinical Monitoring of Soft Tissue Wound Healing in Periodontal and Implant Surgery.

作者信息

Pippi Roberto

机构信息

Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Italy.

出版信息

Int J Med Sci. 2017 Jul 18;14(8):721-728. doi: 10.7150/ijms.19727. eCollection 2017.

Abstract

Clinical features of surgical soft tissue wound healing in dentistry have been rarely discussed in the international literature. The aim of the present paper is to highlight both the main clinical findings of surgical wound healing, especially in periodontal and implant dentistry, and the wound healing monitoring procedures which should be followed. Wound inspection after careful food and plaque debridement is the essential part of wound healing monitoring. Periodontal and peri-implant probing should be performed only after tissue healing has been completed and not on a weekly basis in peri-implant tissue monitoring. Telephone follow-up and patient self-assessment scales can also be used the days following surgery to monitor the most common surgical complications such as pain, swelling, bleeding, and bruising. Wound healing monitoring is an important concern in all surgical procedures since it allows to identify signs or/and symptoms possibly related to surgical complications.

摘要

牙科手术软组织伤口愈合的临床特征在国际文献中鲜有讨论。本文旨在突出手术伤口愈合的主要临床发现,尤其是在牙周病学和种植牙科学领域,以及应遵循的伤口愈合监测程序。在仔细清除食物和牙菌斑后进行伤口检查是伤口愈合监测的重要部分。牙周和种植体周围探诊应仅在组织愈合完成后进行,在种植体周围组织监测中不应每周进行。术后几天也可使用电话随访和患者自我评估量表来监测最常见的手术并发症,如疼痛、肿胀、出血和瘀伤。伤口愈合监测是所有外科手术中的一个重要问题,因为它有助于识别可能与手术并发症相关的体征或/和症状。

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本文引用的文献

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Assessment of pain perception following periodontal and implant surgeries.牙周手术和种植手术后疼痛感知的评估。
J Clin Periodontol. 2016 Dec;43(12):1151-1159. doi: 10.1111/jcpe.12618. Epub 2016 Nov 2.
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Influence of suturing on wound healing.缝合对伤口愈合的影响。
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Alveolar socket healing: what can we learn?牙槽窝愈合:我们能学到什么?
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