Wound healing dynamics, morbidity, and complications of palatal soft-tissue harvesting.

Autor: Tavelli L; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.; Division of Periodontology, Department of Oral Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA., Barootchi S; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA., Stefanini M; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy., Zucchelli G; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.; Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy., Giannobile WV; Harvard School of Dental Medicine, Boston, Massachusetts, USA., Wang HL; Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.
Jazyk: angličtina
Zdroj: Periodontology 2000 [Periodontol 2000] 2023 Jun; Vol. 92 (1), pp. 90-119. Date of Electronic Publication: 2022 Dec 30.
DOI: 10.1111/prd.12466
Abstrakt: Palatal-tissue harvesting is a routinely performed procedure in periodontal and peri-implant plastic surgery. Over the years, several surgical approaches have been attempted with the aim of obtaining autogenous soft-tissue grafts while minimizing patient morbidity, which is considered the most common drawback of palatal harvesting. At the same time, treatment errors during the procedure may increase not only postoperative discomfort or pain but also the risk of developing other complications, such as injury to the greater palatine artery, prolonged bleeding, wound/flap sloughing, necrosis, infection, and inadequate graft size or quality. This chapter described treatment errors and complications of palatal harvesting techniques, together with approaches for reducing patient morbidity and accelerating donor site wound healing. The role of biologic agents, photobiomodulation therapy, local and systemic factors, and genes implicated in palatal wound healing are also discussed.
(© 2022 The Authors. Periodontology 2000 published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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