一步一步学习牙周手术缝合技术

doi:10.12337/zgkqjxjyzz.2024.04.003

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (4): 269-276.DOI: 10.12337/zgkqjxjyzz.2024.04.003

一步一步学习牙周手术缝合技术

赵寰¹, 焦俊玮², 周婕妤¹, 刘诗礼¹, 王秋昊¹, 赵蕾^1,*

¹四川大学华西口腔医院牙周病科,口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心;
²四川大学华西口腔医院锦江门诊部

发布日期:2025-01-09
通讯作者: ^*赵蕾,联系方式：028-85503483,电子邮箱：jollyzldoc@163.com,通讯地址：四川省成都市武侯区人民南路三段 14 号,610041

Learn Periodontal Surgery Suture Technique Step by Step

Huan Zhao¹, Junwei Jiao², Jieyu Zhou¹, Shili Liu¹, Qiuhao Wang¹, Lei Zhao^1,*

¹Department of Periodontics, West China Hospital of Stomatology, Sichuan University & State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral diseases, Chengdu, Sichuan Province, P.R. China;
²Jinjiang Outpatient Department, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China

Published:2025-01-09
Contact: Lei Zhao. Tel: 028-85503483. Email: jollyzldoc@163.com. Address: No. 14, third section, Renmin South Road, Chengdu 610041, Sichuan Province, P.R. China.

摘要/Abstract

摘要： 牙周手术治疗是牙周病序列治疗的重要组成部分,创口的微创精准缝合是保证手术成功的关键步骤之一。口腔是一个开放而复杂的环境,口内软硬组织形态及功能各异。在进行牙周手术精准缝合时,不仅要求术者熟练掌握基本的外科操作技能,还需根据术区的具体情况和手术目的,选择合适的手术器械、缝针、缝线及缝合方式,以有效保障术后获得良好的伤口愈合质量,组织功能性恢复及美观效果。本文旨对临床中广泛开展的牙周手术中使用的缝针、缝线、缝合用手术器械及常用缝合方式进行介绍。

关键词: 牙周手术, 牙周治疗, 缝针, 缝线, 缝合方式

Abstract: Periodontal surgery is an important part of the sequential treatment of periodontal disease. The minimally invasive and precise suture of the wound is one of the key steps to ensure the success of the surgery. Oral cavity is an open and complex environment, with different soft and hard tissue forms and functions. When performing accurate suture in periodontal surgery, the surgeon is not only required to master the basic surgical skills, but also to select the appropriate surgical instruments, suture needles,stitches, and suture methods according to the specific conditions of the surgical area and the purpose of the operation, so as to effectively ensure the postoperative wound healing quality, tissue functional recovery and aesthetic effect. The purpose of this article is to introduce the suture needles, stitches, surgical instruments and common suture methods used in periodontal surgery widely carried out in clinic.

Key words: periodontal surgery, periodontal treatment, suture needles, stitches, suture method

赵寰, 焦俊玮, 周婕妤, 刘诗礼, 王秋昊, 赵蕾. 一步一步学习牙周手术缝合技术[J]. 中国口腔医学继续教育杂志, 2024, 27(4): 269-276.

Huan Zhao, Junwei Jiao, Jieyu Zhou, Shili Liu, Qiuhao Wang, Lei Zhao. Learn Periodontal Surgery Suture Technique Step by Step[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(4): 269-276.

参考文献

[1] Burkhardt R, Preiss A, Joss A, et al.Influence of suture tension to the tearing characteristics of the soft tissues: an in vitro experiment[J]. Clin Oral Implants Res. 2008; 19(3):314-319.
[2] Burkhardt R, Lang NP.Influence of suturing on wound healing[J]. Periodontol 2000. 2015; 68(1):270-281.
[3] Tavelli L, Barootchi S, Ravidà A, et al.Influence of suturing technique on marginal flap stability following coronally advanced flap: a cadaver study[J]. Clin Oral Investig. 2019; 23(4):1641-1651.
[4] Bergsma JE. Hechttechnieken en-materiaal in de tandheelkunde [Suture techniques and materials used in oral surgery][J]. Ned Tijdschr Tandheelkd.2024; 131(6):271-276. Dutch.
[5] Yang T, Cao Y, Zhang X.Update on suspensory suture techniques in reconstructive periodontal surgeries[J]. Oral Maxillofac Surg. 2024; 28(2):539-545.
[6] Koyuncuoglu CZ, Yaman D, Kasnak G, et al.Preference of Suture Specifications in a Selected Periodontal and Implant Surgeries in Turkey[J]. Eur J Dent. 2019; 13(1): 108-113.
[7] 满毅. 精准缝合种植及相关术式中的应用[M]. 沈阳:辽宁科学技术出版社, 2022:257.
[8] 孟焕新. 牙周病学[M]. 北京:人民卫生出版社, 2020: 333.
[9] De Stavola L, Tunkel J.The role played by a suspended external-internal suture in reducing marginal flap tension after bone reconstruction: a clinical prospective cohort study in the maxilla[J]. Int J Oral Maxillofac Implants. 2014; 29(4):921-926.
[10] 邵金龙, 于洋, 葛少华. 保存龈乳头牙周翻瓣术的研究进展[J]. 中华口腔医学杂志, 2023, 58(7):711-717.
[11] Cortellini P, Prato GP, Tonetti MS.The modified papilla preservation technique. A new surgical approach for interproximal regenerative procedures[J]. J Periodontol. 1995; 66(4):261-266.
[12] Cortellini P, Prato GP, Tonetti MS.The simplified papilla preservation flap. A novel surgical approach for the management of soft tissues in regenerative procedures[J]. Int J Periodontics Restorative Dent. 1999; 19(6):589-599.
[13] Barbato L, Selvaggi F, Kalemaj Z, et al.Clinical efficacy of minimally invasive surgical (MIS) and non-surgical (MINST) treatments of periodontal intra-bony defect. A systematic review and network meta-analysis of RCT’s[J]. Clin Oral Investig. 2020; 24(3):1125-1135.
[14] Aslan S, Buduneli N, Cortellini P.Clinical outcomes of the entire papilla preservation technique with and without biomaterials in the treatment of isolated intrabony defects: A randomized controlled clinical trial[J]. J Clin Periodontol. 2020; 47(4):470-478.
[15] Nibali L, Koidou V, Salomone S, et al.Minimally invasive non-surgical vs. surgical approach for periodontal intrabony defects: a randomised controlled trial[J]. Trials. 2019; 20(1):461.
[16] Tan WL, Wong TL, Wong MC, et al. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans[J]. Clin Oral Implants Res.2012; 23 Suppl 5:1-21.
[17] MacBeth ND, Donos N, Mardas N. Alveolar ridge preservation with guided bone regeneration or socket seal technique. A randomised, single-blind controlled clinical trial[J]. Clin Oral Implants Res. 2022; 33(7): 681-699.
[18] Tonetti MS, Jung RE, Avila-Ortiz G, et al. Management of the extraction socket and timing of implant placement: Consensus report and clinical recommendations of group 3 of the XV European Workshop in Periodontology[J]. J Clin Periodontol.2019; 46 Suppl 21:183-194.
[19] Spinato S, Galindo-Moreno P, Zaffe D, et al.Is socket healing conditioned by buccal plate thickness? A clinical and histologic study 4 months after mineralized human bone allografting[J]. Clin Oral Implants Res. 2014; 25(2):e120-e126.
[20] Rodriguez AB, Alhachache S, Velasquez D, et al.A systematic review of oral wound healing indices[J]. PLoS One. 2024; 19(2):e0290050.
[21] 刘珍辉, 胡文杰. 拔牙位点保存创口封闭方式的临床进展[J]. 中国口腔种植学杂志, 2021, 26(5):322-327.
[22] El-Sioufi I, Oikonomou I, Koletsi D, et al.Clinical evaluation of different alveolar ridge preservation techniques after tooth extraction: a randomized clinical trial[J]. Clin Oral Investig. 2023; 27(8):4471-4480.
[23] Ma Z, Zhu Y, Zhan Y, et al.Periosteum coverage versus collagen-membrane coverage in periodontally accelerated osteogenic orthodontics: a randomized controlled clinical trial in Class II and Class III malocclusions[J]. BMC Oral Health. 2022; 22(1):439.
[24] Liu X, Fan B, Abdelrehem A, et al.Membrane fixation for osseous graft stabilization in periodontally accelerated osteogenic orthodontics: a comparative study[J]. BMC Oral Health. 2020; 20(1):22.

一步一步学习牙周手术缝合技术

Learn Periodontal Surgery Suture Technique Step by Step

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