HEALING OF ORAL WOUNDS:- Factors responsible for healing of oral wounds.
December 26, 2013 by:
Reena Points: 12
Oral wounds are similar to other body wounds.They are very common. Some can occur due to trauma. Others are as a result of surgery, tooth extraction,biopsy etc..... A combination of factors act in this process. These factors decide whether wound healing will take place quickly or at a delayed pace.
Factors which are responsible for healing of oral wounds are:-
* Local Temperature- It accelerates healing as it has significant effect on circulation and also influences multiplication of cells.
* Injury- Mild injury increases the process of wound healing whereas severe trauma can slow down the healing process.
*Vitamin A deficiency slows down healing process.
*Vitamin C- This vitamin helps in collagen production and also leads to production of intercellular ground substance of connective tissue. In case of deficiency of vitamin C healing gets retarted.
*Proteins- In case of hypoproteinemia wound healing is delayed. This is because fibroblasts formation and multiplication both gets delayed. In case of proper protein intake wound healing fastens as fibroblasts infiltration and proliferation leads the wound to heal quickly.
Wound healing in oral cavity is more quicker in patients with young age when compared with older individuals. This is because metabolism of tissue decreases with age.
*Patients suffering from diabetes have slow rate of oral wound healing. This is because generally carbohydrate metabolism gets disturbed in these patients at the cellular level in local area of the wound.
*ACTH and cortisone can delay wound healing. ACTH(adrenocorticotropic harmone) and cortisone interferes with the proliferation of new fibroblasts. They depress inflammatory reaction.Thus they also interferes with growth of granulation tissue and thus wound healing gets delayed.
*If wound is located in a rich vascular supply area, oral wound healing fastens. In case of poorly blood supplied areas oral wound healing slows down.
*Stabilization is very important. In case of fracture, it should be immobilized. If the area is subjected under repeated movements, then the new connective tissues which are forming will keep on getting disrupted. This will delay healing.
*If a person is suffering from anemia,their oral wound healing will get delayed.
*If oral wounds are sutured with non-absorbable sutures they become weak. Wound sutured with absorbable sutures make them strong.
*Wound healing in case of dehydrated patients is slow. In case of a healthy, good hydrated patient wound healing occurs rapidly.
*Wounds completely protected from bacterial infections i.e., completely sterile wounds heal very slowly. Whereas those oral wounds subjected to minimal bacterial infection heal quickly.
Wound healing is not just a solitary phenomenon. Combination of factors act and affect wound healing factors.
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