Soheilifar Sara, Bidgoli Mohsen, Faradmal Javad, Soheilifar Sanaz
Assistant Profesoor, Department of Periodontics, Faculty of Dentistry, Hamadan University of Medical Science, Hamadan, Iran.
Assistant Profesoor, Department of Biostatistics & Epidemiology and Modeling of NoncommuniCable Disease Research Center, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
J Dent (Tehran). 2015 Feb;12(2):151-6.
It has been claimed that periodontal dressing reduces the risk of wound infection, bleeding and granulation tissue formation and improves tissue healing. This study sought to assess the effect of periodontal dressing on wound healing and patient satisfaction following periodontal flap surgery.
This clinical trial was conducted on 33 patients presenting to Hamadan University, School of Dentistry in 2012 whose treatment plan included two periodontal surgical procedures on both quadrants of the maxilla or mandible. The variables evaluated were severity of pain, bleeding, facial swelling and ease of nutrition experienced by patient during the first 3 days after surgery and inflammation, granulation tissue formation and gingival color at 7 and 14 days. Obtained data were analyzed using SPSS version 16.0 and R software and chi-square and t-tests.
The mean (±SD) pain score was 1.73±1.153 and 2.79±1.933 in surgical sites with and without periodontal dressing, respectively and this difference was statistically significant (P=0.005). No significant difference was noted between sites with and without periodontal dressing in terms of swelling, bleeding, gingival consistency, granulation tissue formation, gingival color and ease of nutrition (P>0.05).
According to the results of the present study, patients did not experience more bleeding, facial swelling or nutritional problems without periodontal dressing; however, the level of pain experienced was lower after surgeries with the use of periodontal dressing.
据称牙周敷料可降低伤口感染、出血和肉芽组织形成的风险,并促进组织愈合。本研究旨在评估牙周敷料对牙周翻瓣手术后伤口愈合及患者满意度的影响。
2012年,对33名就诊于哈马丹大学牙科学院的患者进行了这项临床试验,他们的治疗计划包括在上颌或下颌的两个象限进行两次牙周手术。评估的变量包括患者在术后前3天经历的疼痛、出血、面部肿胀及营养摄入的难易程度,以及术后7天和14天的炎症、肉芽组织形成和牙龈颜色。使用SPSS 16.0版软件和R软件以及卡方检验和t检验对获得的数据进行分析。
使用牙周敷料和未使用牙周敷料的手术部位,平均(±标准差)疼痛评分分别为1.73±1.153和2.79±1.933,差异具有统计学意义(P = 0.005)。在肿胀、出血、牙龈质地、肉芽组织形成、牙龈颜色及营养摄入难易程度方面,使用和未使用牙周敷料的部位之间未观察到显著差异(P>0.05)。
根据本研究结果,未使用牙周敷料的患者并未出现更多出血、面部肿胀或营养问题;然而,使用牙周敷料手术后的疼痛程度较低。