구강 연조직 창상 치유의 최신 지견
Current Concepts in the Oral Soft Tissue Wound Healing
이재홍, 남지연, 김영택, 이동운, 유정아, 최성호,
소속 상세정보
이재홍 ( Lee Jae-Hong ) - 연세대학교 치과대학병원 치주과
남지연 ( Nam Ji-Yeon ) - 연세대학교 치과대학병원 치주과
김영택 ( Kim Young-Taek ) - 연세대학교 치과대학병원 치주과
이동운 ( Lee Dong-Woon ) - 중앙보훈병원 치과병원 치주과
유정아 ( Yoo Jeoung-A ) - 중앙보훈병원 치과병원 치주과
최성호 ( Choi Seong-Ho ) - 연세대학교 치과대학병원 치주과
KMID : 1146620150040010015
Abstract
The aim of this study is to provide an overview on the soft tissue wound healing around teeth. The classical stages of wound repair are composed of the haemostatic phase, the inflammatory phase, the proliferation phase and the remodeling phase. The oral mucosa wound heals faster and with less scar tissue formation than skin wounds and the granulation tissue originating from the periodontal ligament or connective tissue covered by keratinized epithelium has the potential to induce the keratinized tissue. The healing following non-surgical periodontal treatment is characterized by epithelial proliferation, which occurs to be completed after 7~14 days after treatment. 4 weeks after the flap surgery, the flap is re-attached to the tooth by dense connective tissue. At 5 weeks, the tissues seem to be completely regenerated. 2 weeks after free gingival graft, the epithelium had developed but no keratinization was present. A keratinized tissue was detectable at 28 days. In thicker grafts, re-vascularization appears to be more delayed, but less shrinkage was observed.
키워드
Wound healing; Non-surgical periodontal therapy; Periodontal surgery; Soft tissue graft
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