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Published in:

01-01-2019 | Original Article

Pain perception following epithelialized gingival graft harvesting: a randomized clinical trial

Authors: Lorenzo Tavelli, Andrea Ravidà, Muhammad H. A. Saleh, Bartosz Maska, Fernando Suárez-López del Amo, Giulio Rasperini, Hom-Lay Wang

Published in: Clinical Oral Investigations | Issue 1/2019

Abstract

Objectives

The aim of this study was to compare the effects of a hemostatic collagen sponge and a collagen sponge sealed with a bio-adhesive material on the palatal donor sites with the purpose of minimizing postoperative pain after epithelialized gingival graft (EGG) harvesting.

Material and methods

The present study consisted of 44 EGGs harvested in 44 patients. In the control group, a hemostatic collagen sponge was applied over the palatal wound, while the test group was treated with additional cyanoacrylate. Patients were observed for 14 days, evaluating the pain level by using the visual analogic scale. The consumption of analgesic during the postoperative period, the willingness for retreatment and the characteristic of the graft were also analyzed.

Results

Statistically significant differences in pain perception were found between test and control groups in each of the studied days (p < 0.01). Analgesic consumption was lower in the test group (p < 0.01). Graft width < 14 mm was found to be associated with lower discomfort (p < 0.01).

Conclusions

Adding an additional layer of cyanoacrylate over a hemostatic collagen sponge on the palatal wound following EGG harvesting was found to be successful in minimizing the postoperative discomfort and the need for analgesics.

Clinical relevance

Postoperative pain after palatal tissue harvesting can be successfully minimized if the donor site open wound is protected with an external layer of cyanoacrylate over a collagen sponge.

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Title: Pain perception following epithelialized gingival graft harvesting: a randomized clinical trial
Authors: Lorenzo Tavelli
Andrea Ravidà
Muhammad H. A. Saleh
Bartosz Maska
Fernando Suárez-López del Amo
Giulio Rasperini
Hom-Lay Wang
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 1/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2455-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Pain perception following epithelialized gingival graft harvesting: a randomized clinical trial

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Material and methods

Results

Conclusions

Clinical relevance

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