AIM: To evaluate the patient-reported pain perception after palatal graft harvesting during a 4 weeks healing period MATERIALS & METHODS: Ninety patients, scheduled for different periodontal and peri-implant plastic surgeries requiring palatal mucosal graft harvesting, were consecutively recruited. Mucosal thickness was measured at the donor sites with an ultrasonic device prior to the surgeries. Graft thickness, length, and width were assessed after harvesting, and the wound areas were calculated. Based on a Visual Analogue Scale (VAS), the patients were asked to report their perceived pain after the intervention and 1, 3, 7, 14, 21 and 28 days thereafter. RESULTS: Pain was most pronounced on the first postoperative day and decreased within the course of time. Graft thickness directly correlated with the amount of pain perceived while increased palatal mucosal thickness before and after graft harvesting decreased pain levels. The denuded wound surface area, however, did not influence the perceived pain level. CONCLUSIONS: The wound depth at the donor site (graft thickness) was positively correlated with the patient's perception for pain. The wound surface area, however, did not influence the perceived pain level.
AIM: To evaluate the patient-reported pain perception after palatal graft harvesting during a 4 weeks healing period MATERIALS & METHODS: Ninety patients, scheduled for different periodontal and peri-implant plastic surgeries requiring palatal mucosal graft harvesting, were consecutively recruited. Mucosal thickness was measured at the donor sites with an ultrasonic device prior to the surgeries. Graft thickness, length, and width were assessed after harvesting, and the wound areas were calculated. Based on a Visual Analogue Scale (VAS), the patients were asked to report their perceived pain after the intervention and 1, 3, 7, 14, 21 and 28 days thereafter. RESULTS:Pain was most pronounced on the first postoperative day and decreased within the course of time. Graft thickness directly correlated with the amount of pain perceived while increased palatal mucosal thickness before and after graft harvesting decreased pain levels. The denuded wound surface area, however, did not influence the perceived pain level. CONCLUSIONS: The wound depth at the donor site (graft thickness) was positively correlated with the patient's perception for pain. The wound surface area, however, did not influence the perceived pain level.
Authors: Maurizio S Tonetti; Pierpaolo Cortellini; Gaia Pellegrini; Michele Nieri; Daniele Bonaccini; Mario Allegri; Philippe Bouchard; Francesco Cairo; Gianpaolo Conforti; Ioannis Fourmousis; Filippo Graziani; Adrian Guerrero; Jan Halben; Jacques Malet; Giulio Rasperini; Heinz Topoll; Hannes Wachtel; Beat Wallkamm; Ion Zabalegui; Otto Zuhr Journal: J Clin Periodontol Date: 2017-11-21 Impact factor: 8.728
Authors: Luis-Antonio Aguirre-Zorzano; Ana M García-De La Fuente; Ruth Estefanía-Fresco; Xabier Marichalar-Mendía Journal: J Clin Exp Dent Date: 2017-12-01