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牙周重建术中悬雍垂缝合技术的最新进展。

Update on suspensory suture techniques in reconstructive periodontal surgeries.

机构信息

Department of Stomatology, The First Medical Center, Chinese PLA General Hospital, Beijing, 100853, China.

Department of Cardiovascular Medicine, Air Force Medical Center, PLA, Beijing, China.

出版信息

Oral Maxillofac Surg. 2024 Jun;28(2):539-545. doi: 10.1007/s10006-023-01185-z. Epub 2023 Oct 19.

DOI:10.1007/s10006-023-01185-z
PMID:37857796
Abstract

PURPOSE

Reconstructive periodontal surgery, which has received more and more interest in modern periodontology, can help save severely compromised teeth and solve aesthetic problems caused by the destruction of periodontal tissues in periodontal diseases. Unfortunately, there is few literatures reviewing the use of suspensory suture techniques in reconstructive periodontal surgeries.

METHODS

An electronic search of the PubMed and Web of Science was performed. Full-text articles were obtained from the records after screening in the title and abstracts.

RESULTS

Effective suture is of central importance to a successful treatment outcome of periodontal surgeries, especially incremental soft or hard tissue surgeries. Limitations in suture techniques may negatively affect the intimate contact of the affected tissues, wound closure and stabilization, and successful wound healing. Suitable anchors can be selected to help achieve this objective. Suspensory sutures may be more precise suture techniques, due to the use of relatively immobile anchors.

CONCLUSION

This review aims to provide key points of successful wound healing and summarize the current state of the suspensory suture techniques for reconstructive periodontal surgeries in daily practice, including their treatment application, detailed steps, advantages, and disadvantages.

摘要

目的

在现代牙周病学中,越来越受到关注的牙周再生性手术可以帮助保存严重受损的牙齿,并解决牙周病导致的牙周组织破坏引起的美观问题。遗憾的是,很少有文献回顾悬吊缝线技术在牙周再生性手术中的应用。

方法

通过电子检索 PubMed 和 Web of Science,对标题和摘要进行筛选后,从记录中获取全文文章。

结果

有效的缝线对于牙周手术,尤其是增量软组织或硬组织手术的成功治疗结果至关重要。缝线技术的局限性可能会对受影响组织的紧密接触、伤口闭合和稳定以及成功的伤口愈合产生负面影响。合适的锚点可以被选择来帮助实现这一目标。由于使用了相对固定的锚点,悬吊缝线可能是更精确的缝线技术。

结论

本综述旨在提供成功伤口愈合的关键点,并总结悬吊缝线技术在牙周再生性手术中的当前应用状态,包括其治疗应用、详细步骤、优缺点。

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1
Update on suspensory suture techniques in reconstructive periodontal surgeries.牙周重建术中悬雍垂缝合技术的最新进展。
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本文引用的文献

1
Comparison of the Effect of Sling and Single Interrupted Sutures on Periodontal Parameters after Surgical Extraction of Impacted Mandibular Third Molars.下颌阻生第三磨牙拔除术后吊带与单间断缝合对牙周参数影响的比较
Front Dent. 2020 Aug;17(15):1-8. doi: 10.18502/fid.v17i15.4178. Epub 2020 Aug 25.
2
A Novel Modified-Vista Technique With Connective Tissue Graft in the Treatment of Gingival Recession: A Case Report.一种新型改良 Vista 技术联合结缔组织移植治疗牙龈退缩:病例报告。
Clin Adv Periodontics. 2022 Jun;12(2):75-79. doi: 10.1002/cap.10135. Epub 2020 Dec 6.
3
"V-Reverse" Suturing Technique for Tunnel Soft Tissue Graft and Flap Stabilization: Technique Illustration.
用于隧道软组织移植和皮瓣稳定的“V形反转”缝合技术:技术图解
Clin Adv Periodontics. 2021 Sep;11(3):129-133. doi: 10.1002/cap.10134. Epub 2020 Dec 3.
4
Influence of smoking on periodontal healing one year after active treatment.吸烟对牙周治疗后 1 年愈合的影响。
J Clin Periodontol. 2020 Mar;47(3):343-350. doi: 10.1111/jcpe.13228. Epub 2019 Dec 26.
5
The Tissue-Supported Sling Suture: Technique and Clinical Applications.组织支持型吊带缝线:技术与临床应用。
Clin Adv Periodontics. 2020 Sep;10(3):107-117. doi: 10.1002/cap.10081. Epub 2019 Nov 19.
6
Influence of suturing technique on marginal flap stability following coronally advanced flap: a cadaver study.冠向推进瓣术后缝合技术对边缘瓣稳定性的影响:一项尸体研究。
Clin Oral Investig. 2019 Apr;23(4):1641-1651. doi: 10.1007/s00784-018-2597-5. Epub 2018 Aug 27.
7
Transcriptional signature primes human oral mucosa for rapid wound healing.转录特征使人类口腔黏膜迅速愈合。
Sci Transl Med. 2018 Jul 25;10(451). doi: 10.1126/scitranslmed.aap8798.
8
Periodontal Regenerative Treatment of Intrabony Defects in the Esthetic Zone Using Modified Vestibular Incision Subperiosteal Tunnel Access (M-VISTA).使用改良前庭切口骨膜下隧道入路(M-VISTA)对美学区域骨内缺损进行牙周再生治疗。
Int J Periodontics Restorative Dent. 2018;38(Suppl):e9–e16. doi: 10.11607/prd.3138. Epub 2018 Mar 28.
9
Wound Healing Problems in the Mouth.口腔伤口愈合问题
Front Physiol. 2016 Nov 2;7:507. doi: 10.3389/fphys.2016.00507. eCollection 2016.
10
Cigarette smoking hinders human periodontal ligament-derived stem cell proliferation, migration and differentiation potentials.吸烟会阻碍人牙周膜来源干细胞的增殖、迁移及分化潜能。
Sci Rep. 2015 Jan 16;5:7828. doi: 10.1038/srep07828.