在口腔手术中,常见的外科手术,如去除受影响的牙齿,骨内囊肿和肿瘤的治疗,牙髓手术通常需要通过腭入路。硬腭区全层皮瓣手术可导致明显的术后疼痛,肿胀,血肿,对患者的功能和健康造成几天的不利影响。此外,术后感染可延迟或损害愈合。手术后的传统腭支架已被证明通过在早期愈合阶段使肿胀和疼痛最小化而有效地减少不适。掺入生物活性剂的材料的最新进展已导致制造新一代伤口敷料,其为有效的伤口保护和愈合提供改善的条件。这个案例报告说明了小说的使用,锌嵌入,用于椅旁制造术后腭支架的热塑性外科聚合物。一名33岁的女性患者,他接受了粘膜骨膜皮瓣手术治疗鼻腭管囊肿,术后立即提供定制的含锌腭支架。使用完全可吸收的合成骨替代物移植骨缺损,术后提供氧气和乳铁蛋白释放口服凝胶作为辅助治疗。创新的支架帮助患者在术后初期保持低水平的疼痛和最小的肿胀,导致平静的愈合,在为期一周的随访预约中记录。手术后四周和六个月的进一步检查显示,前腭区域成功愈合和感觉恢复。正如本报告所强调的那样,用于术后伤口保护的含锌腭支架的椅旁制造似乎是有效的,简单,节省时间,和具有成本效益的临床解决方案。此外,将锌纳米颗粒掺入支架具有重要的临床意义,可能在术后细菌控制和增强pal早期软组织愈合方面提供显着的益处。
In oral surgery, common surgical procedures such as the removal of impacted teeth, the treatment of intraosseous cysts and tumors, and endodontic surgery often require access through a palatal approach. Full-thickness flap surgery in the hard palate region can result in significant post-operative pain, swelling, and hematoma, adversely affecting the patient\'s function and well-being for several days. Moreover, post-operative infection can delay or compromise healing. Post-surgical traditional palatal stents have been shown to effectively reduce discomfort by minimizing swelling and pain during the early healing phases. Recent advances in materials with the incorporation of bioactive agents have led to the fabrication of a new generation of wound dressings that provide improved conditions for effective wound protection and healing. This case report illustrates the use of a novel, zinc-embedded, thermoplastic surgical polymer for the chairside fabrication of post-operative palatal stents. A 33-year-old female patient, who underwent mucoperiosteal flap surgery for the management of a nasopalatine duct cyst, was provided immediately post-surgery with a customized zinc-containing palatal stent. The bone defect was grafted using a fully resorbable synthetic bone substitute, and an oxygen and lactoferrin-releasing oral gel was provided post-operatively as an adjunct therapy. The innovative stent helped the patient maintain low levels of pain and minimal swelling during the initial post-operative period, resulting in uneventful healing, as documented during the one-week follow-up appointment. Further reviews at four weeks and six months post-surgery revealed successful healing and sensory recovery in the anterior palatal region. As emphasized in this report, the chairside fabrication of zinc-containing palatal stents for post-operative wound protection seems to constitute a valid, simple, time-saving, and cost-effective clinical solution. Moreover, the incorporation of zinc nanoparticles into the stent is of great clinical importance, potentially offering significant benefits in post-operative bacterial control and enhancement of the early-phase palatal soft-tissue healing.