Abubekir ELTAS, Şeydanur Dengizek ELTAS, Mustafa Özay USLU, Mustafa ERSÖZ

Serbest Dişeti Cerrahisini Takiben Palatinal Verici Alandaki Hasta Rahatsızlıklarının Değerlendirilmesi: Randomize Kontrollü Klinik Çalışma

Amaç: Bu çalışmanın amacı serbest dişeti grefti SDG cerrahisi sonrası verici sahayı korumak için kullanılan dört farklı koruyucu metodun hasta konforu açısından karşılaştırılmasıydı. Gereç ve Yöntem: Bu çalışma iki haftalık randomize kontrollü tek merkezli SDG sonrası verici sahada kullanılan dört farklı koruyucu metodun ağrı, konuşma, çiğneme ve dış görünüş gibi hasta konforunu etkileyen etkenler açısından karşılaştıran klinik bir çalışmadır. Bu çalışma 4 gruba bölünmüş 12 kişiden oluşmaktadır. Grup A’ da: periodontal pat, Grup B’de: essix plağı, grup C’de: modifiye essix plağı, grup D’de: Hawley apareyi kullanıldı. Visual analog skalası VAS ile rahatsızlık hissi ölçüldü. Sonuçlar: VAS skorlarının ortalamasına göre grup A’da ağrı hissi diğer gruplardan daha fazlaydı, fakat istatistiksel anlamlılık sadece T1 1 hafta sonra de vardı p>0.05 . T1 ve T2 2 hafta sonra ‘de kanama, grup A’da diğer gruplara göre daha yaygındı p0.05 . VAS skorlarına göre konuşma ve dış görünüş skorları grup A‘da diğer gruplara göre daha azdı p

Anahtar Kelimeler:

Ağrı, Klinik Çalışma, Serbest Dişeti Grefti, Visual Analog Skala

Evaluation of Patients’ Discomfort at the Palatal Donor Site Following Free Gingival Graft Procedures: A Randomized Controlled Clinical Trial

Objective: The purpose of this study was to compare the effects on patients’ discomfort of four different bodyguard methods for donor sites after free gingival graft FGG surgery. Material and Methods: This was a 2-week randomized, controlled clinical trial in single center, comparing the effects of four different cover methods on the discomfort pain, chewing, speaking, appearance of patients at the donor site after the FGG surgery. This study was performed on 4 groups consisting of 12 patients each. Group A, periodontal dressing PD ; group B, Essix retainer ER , group C, modified essix retainer MER ; and group D, modified hawley retainer MHR . A visual analog scale VAS was used to measure the experienced discomfort. Results: The mean VAS scores for pain were higher in group A than in the groups with retainers for both assessments, but there was only statistically significance at T1 p>0.05 . While bleeding was significantly more common in group A than in the other groups at T1 after one week and T2 after two week p0.05 . The present study showed speaking and appearance VAS scores in the PD group was lower than in the groups with retainers p

Keywords:

Clinical Trial(S), Free Gingival Graft(S), Pain, Visual Analog Scale,

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Kissel SO, Hanratty JJ. Periodontal treatment of an amalgam tattoo. Compend Contin Educ Dent 2002; 23: 930-2.
Paolantonio M, Dolci M, Esposito P, D'Archivio D, Lisanti L, Di Luccio A, et al. Subpedicle acellular dermal matrix graft and autogenous connective tissue graft in the treatment of gingival recessions: A comparative 1-year clinical study. J Periodontol 2002; 73: 1299-1307.
da Silva RC, Joly JC, de Lima AF, Tatakis DN. Root coverage using the coronally positioned ﬂap with or without a subepithelial connective tissue graft. J Periodontol 2004; 75: 413-9.
Harris RJ. Gingival augmentation with an acellular dermal matrix: Human histologic evaluation of a case placement of the graft on periosteum. Int J Periodontics Restorative Dent 2004; 24: 378-85.
Lorenzana ER, Allen EP. The single-incision palatal harvest technique: A strategy for esthetics and patient comfort. Int J Periodontics Restorative Dent 2000; 20: 297-305.
Zucchelli G, Mele M, Stefanini M, Mazzotti C, Marzadori M, Montebugnoli L,et al. Patient morbidity and root coverage outcome after subepithelial connective tissue and de-epithelialized grafts: a comparative randomized-controlled clinical trial. J Clin Periodontol 2010; 37: 728-38.
Miller PD Jr. Root coverage using free soft tissue autograft following citric acid application, III: A successful and predictable procedure in areas of deep- wide recession. Int J Periodontics Restorative Dent 1985; 5: 14-37.
Remya V, Kishore Kumar K, Sudharsan S, Arun KV. Free gingival graft in the treatment of class III gingival recession. Indian J Dent Res 2008; 19: 247-52.
Curtis JW Jr, McLain JB, Hutchinson RA. The incidence and severity of complications and pain following periodontal surgery. J Periodontol 1985; 56: 597-601.
Miller PD. Root coverage with the free gingival graft: Factors associated with incomplete coverage. J Periodontol 1987 ;58: 674-81.
Wang HL, Bunyaratavej P, Labadie M, Shyr Y, MacNeil RL Comparison of 2 clinical techniques for treatment of gingival recession. J Periodontol 2001; 72: 1301-11.
Silva CO, Ribeiro PE, Sallum AW, Tatakis DN. Free gingival grafts: graft shrinkage and donor-site healing in smokers and non-smokers. J Periodontol 2010; 81: 692- 701.
Wennstrom JL, Zucchelli G, Prato GPP. Mucogingival Therapy- Periodontal Plastic Surgery. In: Lindhe J, Lang NP, Karring T (ed.) Clinical Periodontology and Implant Dentistry. 5th ed. Iowa; Blackwell Publishing Ltd; 2008. p.955-1011
Carranza FA. Clinical diagnosis. In: Newman MG, Takei HH, Carranza FA (ed.) Clinical periodontolog, 9th ed. WB Saunders; Philedelphia; 2002. p.432–53.
Del Pizzo M, Modica F, Bethaz N, Priotto P, Romagnoli R. The connective tissue graft: a comparative clinical evaluation of wound healing at the palatal donor site. A preliminary study. J Clin Periodontol 2002; 29: 848-54.
Wessel JR, Tatakis DN. Patient outcomes following subepithelial connective tissue graft and free gingival graft procedures. J Periodontol 2008; 79: 25-30.
O’Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol 1972; 43:38.
Lang NP, Nyman S, Senn C, Joss A. Bleeding on probing as it relates to probing pressure and gingival health. J Clin Periodontol 1991; 18: 257–61.
Langer B, Langer L. Subepithelial connective tissue graft technique for root coverage. J Periodontol 1985; 56: 715-20.
Mörmann W, Schaer F, Firestone AR. The relationship between success of free gingival grafts and transplant thickness. Revascularization and shrinkage-a one year clinical study. J Periodontol 1981; 52: 74-80.
Farnoush A. Techniques of protection and coverage of the donor sites in free soft tissue graft. J Periodontol 1978; 49: 403–5.
Griffin TJ, Cheung WS, Zavras AI, Damoulis PD. Postoperative complications following gingival augmentation procedures. J Periodontol 2006; 77: 2070- 9.
D’Avila GB, Carvalho LH, Feres-Filho EJ, Feres M, Leao A. Oral health impacts on daily living related to four different treatment protocols for chronic periodontitis. J Periodontol 2005; 76: 1751–7.
O'Dowd LK, Durham J, McCracken GI, Preshaw PM. Patients' experiences of the impact of periodontal disease. J Clin Periodontol 2010; 37: 334-9.
Sclar AG. Beyond osseointegration. In: Sclar AG (ed.) Soft tissue and esthetic considerations in implant dentistry. Chicago: Quintessence; 2003. p.1-12.
Ono Y, Nevins M, Cappetta EG. The importance of keratinized tissue for implants. In: Nevins M, Mellonig JT (ed.) Implant therapy–clinical approaches and evidence of success. Chicago: Quintessence; 2003. p.227-37.