دورية أكاديمية

Cyanoacrylate and hyaluronic acid combination on palatal donor site management after de-epithelialized graft harvesting.

التفاصيل البيبلوغرافية
العنوان: Cyanoacrylate and hyaluronic acid combination on palatal donor site management after de-epithelialized graft harvesting.
المؤلفون: Parlak HM; Hacettepe University Faculty of Dentistry, Periodontology Department, Ankara, Turkey., Durmaz MH; Hacettepe University Faculty of Dentistry, Periodontology Department, Ankara, Turkey., Bayrak H; Hacettepe University Faculty of Dentistry, Periodontology Department, Ankara, Turkey., Yilmaz BT; Private Practice, İzmir, Turkey.; Dental Biomaterials Department, Dokuz Eylul University Faculty of Health Science, İzmir, Turkey., Keceli HG; Hacettepe University Faculty of Dentistry, Periodontology Department, Ankara, Turkey.
المصدر: Journal of periodontology [J Periodontol] 2023 Apr; Vol. 94 (4), pp. 519-528. Date of Electronic Publication: 2022 Nov 30.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: American Academy of Periodontology Country of Publication: United States NLM ID: 8000345 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1943-3670 (Electronic) Linking ISSN: 00223492 NLM ISO Abbreviation: J Periodontol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Chicago] American Academy of Periodontology.
مواضيع طبية MeSH: Gelatin* , Cyanoacrylates*, Humans ; Hyaluronic Acid ; Retrospective Studies ; Pain, Postoperative
مستخلص: Background: Although soft tissue substitutes showed promising improvement in the past decade, epithelialized gingival graft (EGG) is still widely used in periodontal plastic surgery applications. Donor site management after EGG harvesting has been challenging for clinicians. This study aimed to compare the effectiveness of cyanoacrylate, hyaluronic acid, and their combination in palatal donor site management after EGG harvesting.
Methods: Data from 89 patients were included and categorized as gelatin sponge (GS), gelatin sponge with either cyanoacrylate (GS + CY), hyaluronic acid (GS + HA), or both (GS + CY + HA). The data of pain perception (PP), quantity of analgesics (QA), secondary bleeding (SB), epithelization level (EL), and color match (CM) were assessed retrospectively.
Results: The GS + CY and GS + HA + CY groups showed lower PP scores compared to the GS and GS + HA groups (p < 0.05). The QA was higher in the GS group compared to the GS + CY and GS + HA + CY groups (p < 0.001). All study groups showed greater EL than GS group on day 7 (p < 0.001). On day 14, full EL was present in 81% of the patients in the GS + HA + CY group, which was higher than the other groups (p < 0.001). All study groups reported lower SB in the first 3 days, which was lower compared to the GS group (p < 0.001) and showed higher CM scores than the GS group on days 7 and 14 (p < 0.001).
Conclusions: CY application reduces pain and analgesic intake and HA may support the wound healing with increased EL. Using the CY-HA combination provides additional benefits for donor site management.
(© 2022 American Academy of Periodontology.)
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فهرسة مساهمة: Keywords: absorbable gelatin sponge; cyanoacrylates; donor site; hyaluronic acid; tissue grafts; wound healing
المشرفين على المادة: 9000-70-8 (Gelatin)
0 (Cyanoacrylates)
9004-61-9 (Hyaluronic Acid)
تواريخ الأحداث: Date Created: 20221112 Date Completed: 20230426 Latest Revision: 20230620
رمز التحديث: 20231215
DOI: 10.1002/JPER.22-0409
PMID: 36369975
قاعدة البيانات: MEDLINE
الوصف
تدمد:1943-3670
DOI:10.1002/JPER.22-0409