Healing of (Oral)

Wounds
Introduction
Healing phase of inflammatory reaction
Replacement of destroyed tissue by living tissue
..... to restore function
Wound healing Primary survival mechanism
Repair replacement by granulation tissue
Regeneration.....
 Healing by :
Primary intention
Secondary intention
Factors that influenceWH
1) Location good vascularity
2) Immobilization
Physical factors:
3) Severe trauma
4) Local temperature
5) Circulatory factors
6) Infection
7) Radiation therapy
 8) Nutritional factors
- Protein
- Vitamins
9) Drugs
10) Smoking
11) Age
12) Hormonal factors
- DM
- ACTH & Cortisone
Complications of wound
healing
Wound infection
Keloid & Hypertrophic Scar formation
Pigmentation
Cicatrization
Implantation cysts
Healing after pulpal dis.
Healing after periapical dis.
Biopsy
Bios life Opsis vision
Removal of tissue from living
organisms for the purposes of microscopic
examinatn & diagnosis
Types of biopsy
1. Excisional biopsy
2. Incisional biopsy
3. Punch biopsy
4. Needle/trephine/drill
5. Aspiration biopsy
6. Exfoliative cytology
Excisional biopsy
Incisional biopsy
Punch biopsy
Aspiration biopsy
Indications for biopsy
Any lesion - persists for > 2 weeks with no apparent
cause
Any inflammatory lesion - not respond to local treatment
Lesions neoplastic / premalignant features / enlarging
Persistent lesions - uncertain etiology
Persistent hyperkeratotic changes in surface tissues
Lesions that interfere with local function
When Confirmation of clinical diagnosis is required
Thank you