Influence of suturing on wound healing
Influence of suturing on wound healing
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DOI：
10.1111/prd.12078
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发表时间：
2015-06-01
影响因子：
18.6
通讯作者：
Lang, Niklaus P.
中科院分区：
文献类型：
--
作者：
Burkhardt, Rino;Lang, Niklaus P.
本文介绍了缝合和合适的缝合材料在当前牙周和种植手术中的重要性。合成的、不可吸收的单丝线似乎是有利的。此类线的物理和生物特性在使用中保持不变，并且当以小直径使用时（即具有较低的断裂阻力），似乎促进伤口被动闭合。从概念上讲，坚硬、不脱落表面的伤口愈合比口腔大多数其他部位的伤口愈合更复杂。通过最佳缝合使皮瓣牢固适应和稳定，确保脆弱的纤维蛋白凝块粘附到不脱落的表面。粘膜或粘骨膜瓣与创面床之间血凝块的早期形成和机械稳定性至关重要，因此缝合技术必须被视为确保最佳手术结果的关键先决条件。随着现在复杂的外科手术的应用，为了实现上述目标，对可用的各种类型的缝合技术和材料的知识的需求更大。
The present article describes the significance of suturing and appropriate suture materials in current periodontal and implant surgery. Synthetic, nonresorbable, monofilament threads appear to be advantageous. The physical and biological properties of such threads remain unchanged with use and, when used in small diameters (i.e. with lower breaking resistance), seem to promote passive wound closure. Wound healing at hard, nonshedding surfaces is conceptually a more complex process than is wound healing in most other sites of the oral cavity. Firm adaptation and stabilization of the flaps by optimal suturing ensures adhesion of the delicate fibrin clot to the nonshedding surface. The early formation and mechanical stability of the blood clot between the mucosal or mucoperiosteal flap and the wound bed are of paramount importance and hence suturing techniques must be considered as a key prerequisite to ensure optimal surgical outcomes. With the sophisticated surgical procedures now applied, there is a greater need for knowledge with regard to the various types of suturing techniques and materials available in order to achieve the above-mentioned goals.