Abstract
The oral cavity is composed of several types of tissues, varying in their characteristics. The teeth and the periodontium, the tongue, the palate, and the oral mucosa, alongside the rich flora and the continuous function throughout the day, provide a unique environment. The various procedures carried out in the oral cavity call for varied management to avoid loss of function, infection, and pain.
This chapter addresses the different types of wounds seen and treated in the oral cavity in relation to three subgroups: during/post-periodontal procedures, during post-extraction, and during/post-large-fragment resection or enucleation. Wound dressing materials and techniques related to each wound type are discussed with regard to mechanical defense, antiseptic treatment, and hemostatic treatment.
References
Rastogi S, Modi M, Sathian B (2009) The efficacy of collagen membrane as a biodegradable wound dressing material for surgical defects of oral mucosa: a prospective study. J Oral Maxillofac Surg 67:1600–1606
Zwemer T (1993) Boucher’s clinical dental terminology, 4th edn. Mosby, St. Louis
Zentler A (1918) Suppurative gingivitis with alveolar involvement. JAMA 71:1530
Ward A (1923) Inharmonious cusp relation as a factor in periodontoclasia. J Am Dent Assoc 10:471–481
O’Neil TC (1975) Antibacterial properties of periodontal dressings. J Periodontol 46:469
Waerhaug J, Loe H (1957) Tissue reaction to gingivectomy pack. Oral Surg Oral Med Oral Pathol 10:923–937
Sarrami N, Pemberton MN, Thornhill MH, Theaker ED (2002) Adverse reactions associated with the use of eugenol in dentistry. Br Dent J 193:257–259
Singer AJ, Thode HC Jr (2004) A review of the literature on octylcyanoacrylate tissue adhesive. Am J Surg 187:238–248
Coover HWJF, Shearer NH (1959) Chemistry and performance of cyanoacrylate adhesives. Soc Plast Eng J 15:413–417
Singh O, Gupta SS, Soni M, Moses S, Shukla S, Mathur RK (2011) Collagen dressing versus conventional dressings in burn and chronic wounds: a retrospective study. J Cutan Aesthet Surg 4:12–16
Addy M, Dolby AE (1976) The use of chlorhexidine mouthwash compared with a periodontal dressing following the gingivectomy procedure. J Clin Periodontol 3:59–65
Asboe-Jorgensen V, Attstrom R, Lang NP, Loe H (1974) Effect of a chlorhexidine dressing on the healing after periodontal surgery. J Periodontol 45:13–17
Bay LM, Langebaek J (1978) Effect of chlorhexidine-coated dressings on plaque formation after gingivectomy. Scand J Dent Res 86(4):303
Newman PS, Addy M (1978) A comparison of a periodontal dressing and chlorhexidine gluconate mouthwash after the internal bevelled flap procedure. J Periodontol 49:576–579
Othman S, Haugen E, Gjermo P (1989) The effect of chlorhexidine supplementation in a periodontal dressing. Acta Odontol Scand 47(6):361
Pluss EM, Engelberger PR, Rateitschak KH (1975) Effect of chlorhexidine on dental plaque formation under periodontal pack. J Clin Periodontol 2:136–142
Singh O (1948) Gingivectomy vs. conservative treatment of periodontal diseases. J South Calif State Dent Assoc 15:15–17
Box HK, Ham AH (1942) Necrotic gingivitis: its histopathology and treatment with an adherent dressing. Oral Health 32:721–736
Loe H, Silness J (1961) Tissue reactions to a new gingivectomy pack. Oral Surg Oral Med Oral Pathol 14:1305–1314
Greensmith AL, Wade AB (1974) Dressing after reverse bevel flap procedures. J Clin Periodontol 1:97–106
Eaglstein WH, Mertz PM, Falanga V (1991) Wound dressings: current and future. Prog Clin Biol Res 365:257–265
Genovesi AM, Ricci M, Marchisio O, Covani U (2012) Periodontal dressing may influence the clinical outcome of non-surgical periodontal treatment: a split-mouth study. Int J Dent Hyg 10:284–289
Linghorne WJ, O’Connell DC (1949) The therapeutic properties of periodontal cement packs. J Can Dent Assoc 15:199–205
Coppes L, Grevers A, Hoogendijk JL (1967) A comparison between a eugenol and a non-eugenol periodontal dressing. Ned Tijdschr Tandheelkd 74:43–49
Skoglund LA, Jorkjend L (1991) Postoperative pain experience after gingivectomies using different combinations of local anaesthetic agents and periodontal dressings. J Clin Periodontol 18:204–209
Taberner-Vallverdu M, Nazir M, Sanchez-Garces MA, Gay-Escoda C (2015) Efficacy of different methods used for dry socket management: a systematic review. Med Oral Patol Oral Cir Bucal 20:e633–e639
Vezeau PJ (2016) Topical hemostatic agents: what the oral and maxillofacial surgeon needs to know. Oral Maxillofac Surg Clin North Am 28:523–532
Guralnick WC, Berg L (1948) Gelfoam in oral surgery; a report of 250 cases. Oral Surg Oral Med Oral Pathol 1:632–639
Zucker WH, Mason RG (1976) Ultrastructural aspects of interactions of platelets with microcrystalline collagen. Am J Pathol 82:129–142
Frantz VK (1946) New absorbable hemostatic agents. Bull New York. Acad Med 22:102–110
Arand AG, Sawaya R (1986) Intraoperative chemical hemostasis in neurosurgery. Neurosurgery 18:223–233
Galarza M, Porcar OP, Gazzeri R, Martinez-Lage JF (2011) Microporous polysaccharide hemospheres (MPH) for cerebral hemostasis: a preliminary report. World Neurosurg 75:491–494
Antisdel JL, Janney CG, Long JP, Sindwani R (2008) Hemostatic agent microporous polysaccharide hemospheres (MPH) does not affect healing or intact sinus mucosa. Laryngoscope 118:1265–1269
Frafjord R, Cascarini L, Brown AE (2007) Walter whitehead: a brief history of the man and his varnish. Br J Oral Maxillofac Surg 45:622
Morison R (1917) Remarks on the treatment of infected, especially war, wounds. Br Med J 2:503–506
Daly B, Sharif MO, Newton T, Jones K, Worthington HV (2012) Local interventions for the management of alveolar osteitis (dry socket). Cochrane Database Syst Rev 12:CD006968
Kaya GS, Yapici G, Savas Z, Gungormus M (2011) Comparison of alvogyl, SaliCept patch, and low-level laser therapy in the management of alveolar osteitis. J Oral Maxillofac Surg 69:1571–1577
Freedman M, Stassen LFA (2013) Commonly used topical oral wound dressing materials in dental and surgical practice—a literature review. J Ir Dent Assoc 59:190–195
Voorsmit RA (1985) The incredible keratocyst: a new approach to treatment. Deutsch Zahnarztl Z 40:641–644
Gosau M, Draenert FG, Muller S, Frerich B, Burgers R, Reichert TE, Driemel O (2010) Two modifications in the treatment of keratocystic odontogenic tumors (KCOT) and the use of Carnoy’s solution (CS)—a retrospective study lasting between 2 and 10 years. Clin Oral Investig 14:27–34
Zhao YF, Wei JX, Wang SP (2002) Treatment of odontogenic keratocysts: a follow-up of 255 Chinese patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94:151–156
Urban VM, Lima TF, Bueno MG, Giannini M, Arioli Filho JN, de Almeida ALPF, Neppelenbroek KH (2015) Effect of the addition of antimicrobial agents on Shore A hardness and roughness of soft lining materials. J Prosthodont 24:207–214
Rolski D, Kostrzewa-Janicka J, Zawadzki P, Zycinska K, Mierzwinska-Nastalska E (2016) The management of patients after surgical treatment of maxillofacial tumors. Biomed Res Int 2016:4045329
Beumer J, Curtis TA, Marunick M (1996) Maxillofacial rehabilitation: prosthodontic and surgical considerations. Ishiyaku Euro America, St. Louis
Earley MJ (1989) Primary maxillary reconstruction after cancer excision. Br J Plast Surg 42:628–637
Dexter WS, Jacob RF (2000) Prosthetic rehabilitation after maxillectomy and temporalis flap reconstruction: a clinical report. J Prosthet Dent 83:283–286
Ducic Y (2001) An effective, inexpensive, temporary surgical obturator following maxillectomy. Laryngoscope 111:356–358
Li X, Kolltveit KM, Tronstad L, Olsen I (2000) Systemic diseases caused by oral infection. Clin Microbiol Rev 13:547–558
Paju S, Scannapieco FA (2007) Oral biofilms, periodontitis, and pulmonary infections. Oral Dis 13:508–512
Seymour GJ, Ford PJ, Cullinan MP, Leishman S, Yamazaki K (2007) Relationship between periodontal infections and systemic disease. Clin Microbiol Infect 13(Suppl 4):3–10
Venditti M (2009) Clinical aspects of invasive candidiasis: endocarditis and other localized infections. Drugs 69(Suppl 1):39–43
Molumi CP, Dubey SP, Apaio ML (2012) Preservation of palatal mucoperiosteum for oronasal separation after total maxillectomy. Indian J Cancer 49:209–214
Zender CA, Mehta V, Pittman AL, Feustel PJ, Jaber JJ (2012) Etiologic causes of late osteocutaneous free flap failures in oral cavity cancer reconstruction. Laryngoscope 122:1474–1479
Nagler RM, Barak V, Nagler A (2000) Short-term systemic effects of head and neck irradiation. Anticancer Res 20:1865–1870
Davison SP, Sherris DA, Meland NB (1998) An algorithm for maxillectomy defect reconstruction. Laryngoscope 108:215–219
Braden M, Wright PS, Parker S (1995) Soft lining materials—a review. Eur J Prosthodont Restorative Dent 3:163–174
Dogan OM, Keskin S, Dogan A, Ataman H, Usanmaz A (2007) Structure-property relation of a soft liner material used in denture applications. Dent Mater J 26:329–334
ten Cate JM, Klis FM, Pereira-Cenci T, Crielaard W, de Groot PW (2009) Molecular and cellular mechanisms that lead to Candida biofilm formation. J Dent Res 88:105–115
Burns DR, Burns DA, DiPietro GJ, Gregory RL (1987) Response of processed resilient denture liners to Candida albicans. J Prosthet Dent 57:507–512
Graham BS, Jones DW, Burke J, Thompson JP (1991) In vivo fungal presence and growth on two resilient denture liners. J Prosthet Dent 65:528–532
Allison RT, Douglas WH (1973) Micro-colonization of the denture-fitting surface by Candida albicans. J Dent 1:198–201
Razek MK, Mohamed ZM (1980) Influence of tissue-conditioning materials on the oral bacteriologic status of complete denture wearers. J Prosthet Dent 44:137–142
Nikawa H, Yamamoto T, Hayashi S, Nikawa Y, Hamada T (1994) Growth and/or acid production of Candida albicans on soft lining materials in vitro. J Oral Rehabil 21:585–594
Okita N, Orstavik D, Orstavik J, Ostby K (1991) In vivo and in vitro studies on soft denture materials: microbial adhesion and tests for antibacterial activity. Dent Mater 7:155–160
Nikawa H, Iwanaga H, Hamada T, Yuhta S (1994) Effects of denture cleansers on direct soft denture lining materials. J Prosthet Dent 72:657–662
Taicher S, Sela M (1986) Polydimethylsiloxane button obturator for hard palate clefts. J Prosthet Dent 55:82–83
Taylor TD (2000) Clinical maxillofacial prosthetics. Quintessence Publishing, Chicago
Yilmaz H, Aydin C, Bal BT, Ozcelik B (2005) Effects of disinfectants on resilient denture-lining materials contaminated with Staphylococcus aureus, Streptococcus sobrinus, and Candida albicans. Quintessence Int 36:373–381
Budtz-Jorgensen E (1979) Materials and methods for cleaning dentures. J Prosthet Dent 42:619–623
Bell JA, Brockmann SL, Feil P, Sackuvich DA (1989) The effectiveness of two disinfectants on denture base acrylic resin with an organic load. J Prosthet Dent 61:580–583
Chau VB, Saunders TR, Pimsler M, Elfring DR (1995) In-depth disinfection of acrylic resins. J Prosthet Dent 74:309–313
Rudd RW, Senia ES, McCleskey FK, Adams ED Jr (1984) Sterilization of complete dentures with sodium hypochlorite. J Prosthet Dent 51:318–321
Shen C, Javid NS, Colaizzi FA (1989) The effect of glutaraldehyde base disinfectants on denture base resins. J Prosthet Dent 61:583–589
Lal K, Santarpia RP 3rd, Pollock JJ, Renner RP (1992) Assessment of antimicrobial treatment of denture stomatitis using an in vivo replica model system: therapeutic efficacy of an oral rinse. J Prosthet Dent 67:72–77
Brace ML, Plummer KD (1993) Practical denture disinfection. J Prosthet Dent 70:538–540
Addy M (1981) In vitro studies into the use of denture base and soft liner materials as carriers for drugs in the mouth. J Oral Rehabil 8:131–142
Chow CK, Matear DW, Lawrence HP (1999) Efficacy of antifungal agents in tissue conditioners in treating candidiasis. Gerodontology 16:110–118
Jung WK, Koo HC, Kim KW, Shin S, Kim SH, Park YH (2008) Antibacterial activity and mechanism of action of the silver ion in Staphylococcus aureus and Escherichia coli. Appl Environ Microbiol 74:2171–2178
Nikawa H, Yamamoto T, Hamada T, Rahardjo MB, Murata H, Nakanoda S (1997) Antifungal effect of zeolite-incorporated tissue conditioner against Candida albicans growth and/or acid production. J Oral Rehabil 24:350–357
Matsuura T, Abe Y, Sato Y, Okamoto K, Ueshige M, Akagawa Y (1997) Prolonged antimicrobial effect of tissue conditioners containing silver-zeolite. J Dent 25:373–377
Kenawy el R, Worley SD, Broughton R (2007) The chemistry and applications of antimicrobial polymers: a state-of-the-art review. Biomacromolecules 8:1359–1384
Tiller JC, Liao CJ, Lewis K, Klibanov AM (2001) Designing surfaces that kill bacteria on contact. Proc Natl Acad Sci U S A 98:5981–5985
Lin J, Qiu S, Lewis K, Klibanov AM (2002) Bactericidal properties of flat surfaces and nanoparticles derivatized with alkylated polyethylenimines. Biotechnol Prog 18:1082–1086
Yudovin-Farber I, Beyth N, Nyska A, Weiss EI, Golenser J, Domb AJ (2008) Surface characterization and biocompatibility of restorative resin containing nanoparticles. Biomacromolecules 9:3044–3050
Yudovin-Farber I, Beyth N, Weiss EI, Domb AJ (2010) Antibacterial effect of composite resins containing quaternary ammonium polyethyleneimine nanoparticles. J Nanopart Res 12(2):591–603
Yudovin-Farber I, Golenser J, Beyth N, Weiss EI, Domb AJ (2010) Quaternary ammonium polyethyleneimine: antibacterial activity. J Nanomater 2010:1–11
Beyth N, Yudovin-Farber I, Bahir R, Domb AJ, Weiss EI (2006) Antibacterial activity of dental composites containing quaternary ammonium polyethylenimine nanoparticles against Streptococcus mutans. Biomaterials 27:3995–4002
Atar-Froyman L, Sharon A, Weiss EI, Houri-Haddad Y, Kesler-Shvero D, Domb AJ, Pilo R, Beyth N (2015) Anti-biofilm properties of wound dressing incorporating nonrelease polycationic antimicrobials. Biomaterials 46:141–148
Kawabata N, Nishiguchi M (1988) Antibacterial activity of soluble pyridinium-type polymers. Appl Environ Microbiol 54:2532–2535
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Sharon, E., Polak, D., Sharon, S., Beyth, N. (2017). Wound Dressing in the Oral Cavity. In: Shiffman, M., Low, M. (eds) Biofilm, Pilonidal Cysts and Sinuses. Recent Clinical Techniques, Results, and Research in Wounds, vol 1. Springer, Cham. https://doi.org/10.1007/15695_2017_5
Download citation
DOI: https://doi.org/10.1007/15695_2017_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-03076-6
Online ISBN: 978-3-030-03077-3
eBook Packages: MedicineMedicine (R0)