Objective:The purpose of this study was to investigate the impact of different timings of pre-operative information on patients' anxiety level and pain perception after open flap debridement.Methods: 45 individuals with chronic periodontitis were equally allocated to the following groups: Group 1: Informed 7 days before surgery; Group 2: Informed 1 month before the surgery and Group 3: Informed by other dentists. All patients received open flap debridement. The anxiety level before surgery was evaluated by State-Trait Anxiety Inventory (STAI) and the pain perception by Visual Analogue Scale (VAS) on the days 1, 3, and 7 after surgery. Results:The state anxiety levels significantly increased immediately before surgery in all groups (P<0.05). No statistically significant difference was found in terms of STAI and VAS between the groups (P>0.05).VAS 1st and 3rd day values were significantly correlated with STAI-Trait values (r=0.311, P=0.038 and r=0.422, P=0.004, respectively). Conclusion:Pre-operative information provided by dentists at different times has no effect on post-operative pain and anxiety of the patients. Post-operative pain is associated with pre-operative anxiety. Determining the anxiety levels of patients before the operation acts an important part in the success of periodontal surgical treatments and pain management.
Background. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Case Report. This case report includes the clinical, radiographical, and histological findings and periodontal treatment of a 38-year-old female patient having painless swelling on the gingiva. Intraoral examination revealed a fibrotic, sessile, smooth surfaced gingival overgrowth interdentally between the teeth #13 and #14. Radiographical findings were normal. Initial periodontal treatment (IPT) was applied including oral hygiene instructions, scaling, and root planing. Following IPT, the lesion (0.7 × 0.6 × 0.4 cm) was excised and examined histopathologically. Subsequently, flap operation was performed to have an access to alveolar bone. Surgical site was reconstructed with free gingival graft obtained from hard palate. Hematoxylin-eosin stained sections revealed a nodular mass composed by dense collagen fibers in lamina propria covered by a stratified squamous epithelium, which were consistent with fibroma. Gingival healing was uneventful and without any recurrence during the 12-month follow-up. Conclusions. In order to achieve optimal functional and aesthetical outcomes, free gingival graft can be used for the reconstruction of the wound site after the excision of the fibroma.
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