What change occurs two weeks after surgery?

Two weeks after surgery, the healing process in periodontal tissues is typically at a stage where the functional arrangement of supracrestal fibers begins to occur. This is an important aspect of wound healing in the periodontal context.

During the first two weeks post-surgery, several biological processes take place. Fibroblasts, which are critical cells in connective tissue, migrate to the surgical site and start to produce collagen. This collagen helps in re-establishing the connection between the soft tissues and the underlying structures. The supracrestal fibers, which are important in maintaining the support and attachment of periodontal structures, start to orient themselves in a functional manner. This is essential for the stabilization of the periodontal attachment level and for maintaining the integrity of the periodontium.

Contrarily, the other options describe scenarios that do not accurately reflect the healing timeline. A completely detached flap would indicate a significant complication rather than a typical healing process. Similarly, bone loss is usually a concern in the context of periodontitis and not as an immediate postoperative outcome. By two weeks, the process of integration of tissue is in progress but not considered complete. Thus, the focus is on the early stages of functional fiber orientation rather than finalized healing or structural detachment.