A Comparative Study of Clinical Sffects Following Periodontal Surgery with and without Dressing

Bae, Sang Bum; Lim, Sun Gyo; Chung, Choong-Ki

doi:10.5051/jkape.1999.29.3.693

Cited by 4 publications

(7 citation statements)

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“…The severity of pain was analyzed by VAS analysis within seven days after surgery. There was no statistically significant difference between the two groups (p < 0.05) which was similar to the results of studies by Bae, 12 Cheshire, 14 Abed et al 15 and Sanz et al 16 In our study, the periodontal dressing has been placed on both sides and existence of Reso-pack within the first few days after surgery seems to be helpful and enough for patients comfort and to relief pain. In Soheilifar et al, 9 split-month study comparing two conditions (with/ without dressing), also in a similar study by Ghanbari et al, 10 the degree of pain in the presence of dressing was statistically lower than its absence.…”

Section: Discussionsupporting

confidence: 91%

“…The reason is that Reso-pac dissolves spontaneously after a few days: this was similar to findings of previous studies. 7,11,16 However, in Ghanbari's study no statistically significant difference was found about plaque index with/ without pack sites; 10 other studies have not compared this index; [9][10][11][12][13][14][15] debris and food accumulation under dressings can cause bad breath and delay healing, but in the Resopack group, after it is dissolved less plaque is accumulated and also chlorhexidine accessibility to surgery sites may decrease malodor and accelerate wound healing which is in accordance with the results of the current study which also showed that granulation tissue formation was less in the Reso-pac group and better and faster healing was observed. In our study, the effect of 1, 3-day extract of the dressings (Reso-pac and Coe-pak) were evaluated on HGF cell culture medium after 24 and 48 hours exposure.…”

Section: Discussionmentioning

confidence: 99%

“…9 The search for the best periodontal dressing has been going on, and many different studies have been designed and performed to compare various periodontal materials. [10][11][12] Some newly designed dressings have been compared with Coe-pak in order to find the best dressing for clinical application such as a new collagen-based dressing (colla cote) which was found to have a significant difference on palatal wound healing in terms of collagen formation and reconstruction compare to traditional non-eugenol dressing (Coe-pak). 11 Reso-pac seems to have promising characteristics for clinical application, however, up to our knowledge it has never been clinically investigated previously.…”

Section: Introductionmentioning

confidence: 99%

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Clinical and Cytotoxic Comparison of Two Periodontal Dressings after Periodontal Flap Surgery

Gholami¹,

Ansari-Moghadam²,

Sadeghi³

et al. 2019

World Journal of Dentistry

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Aim: Postoperative coverage of periodontal surgery sites can help protect the treated area, facilitate wound healing and decrease postperiodontal surgery pain. The aim of this study was to compare the cytotoxic and clinical efficacy of two periodontal dressings after periodontal flap surgery. Materials and methods:In this study 23 patients requiring modified Widman flap in at least two quadrants in the same arch were selected; one quadrant was dressed with Reso-pac, and the other was dressed with Coe-pak. The clinical efficacy of these two dressings was evaluated by comparing plaque, granulation tissue formation, pain, bleeding on probing, and color of gingiva. To compare their cytotoxicity, human gingival fibroblast were exposed to 1-and 3-day extracts of the dressings and MTT test was used to measure cell viability after 24 and 48 hours. Cell apoptosis and necrosis were evaluated by flow cytometric analysis. Data were analyzed by Chi-square and independent t-test and SPSS 20 Software.Results: Plaque and granulation tissue formation rates were significantly lower in Reso-pac covered sites compared to coe-pak (p value < 0.001). Other variables including pain, bleeding and gingival color did not show any significant differences (p value 0.05). Viable fibroblast cells were higher for Resopac compared to Coe-pak (p < 0.05). A higher percentage of necrotic cells in the day one Coe-pak extract group after 24 and 48 hours were observed compared to Reso-pac (6.23 and 4.97 vs. 2.71 and 2.76%). Conclusion:According to our results, Reso-pac is as effective as Coe-pack. It also has further positive effects of less plaque accumulation and granulation tissue formation and is more biocompatible for HGF cells with less cytotoxic effects on cells in the first days after surgery.Clinical significance: Reso-pac may be considered as a dressing of choice in periodontal surgeries with less plaque accumulation and granulation tissue formation plus better biocompatibility and ease of application compared to Coe-pak.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical and Cytotoxic Comparison of Two Periodontal Dressings after Periodontal Flap Surgery

Gholami¹,

Ansari-Moghadam²,

Sadeghi³

et al. 2019

World Journal of Dentistry

View full text Add to dashboard Cite

show abstract

“…To reduce postsurgical pain is the main reasons for clinicians to cover the surgical site with dressing. These are similar to the study done by Ghanbari et al 16 who confirmed pain reduction following the use of periodontal dressing, whereas Bae et al 17 reported the degree of postsurgical pain to be equal in patients with and without periodontal dressing.…”

Section: Discussionsupporting

confidence: 88%

Assessment of Clinical Efficacy of Different Periodontal Dressing Materials on Wound Healing: A Comparative Study

Kumar

Narayanan

Jalaluddin

et al. 2019

The Journal of Contemporary Dental Practice

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Aim: The present study aims to assess the efficacy of different periodontal dressing materials on wound healing clinically. Materials and methods: A total of 45 patients between the age group of 30-45 years, with chronic generalized periodontitis with loss of attachment of 3-6 mm, who require periodontal flap surgery, were screened to include in the study. Out of 45 subjects, 24 were males and 21 were females. The subjects were randomized into 3 groups as 15 in each. Group I: a collagen dressing, group II: light-cure dressing, and group III: non-eugenol-based dressing. The clinical parameters such as plaque index, vertical probing depth, pain, gingival index, and patient satisfaction were documented for all the three groups on the 7th and the 14th day. Visual analog scale (VAS) was used to score the pain severity. The SPSS 20 software was used to analyze the data. The significance level was set at 5%. Results: The mean gingival index score reduced from 1.40 ± 0.14 to 1.10 ± 0.30 in group I, from 1.48 ± 0.01 to 1.26 ± 0.22 in group II, and from 1.58 ± 0.16 to 1.33 ± 0.10 in group III. The mean plaque index score reduced from 1.48 ± 0.56 to 1.18 ± 0.40 in group I, from 1.46 ± 0.01 to 1.24 ± 0.48 in group II, and from 1.42 ± 0.12 to 1.20 ± 0.20 in group III. There was a statistical difference found in all the three groups and between the groups from the plaque and gingival index scores. The probing depth comparison shows a significant difference in group I. Patient satisfaction was almost similar in all the groups. The pain index showed the reduction in the pain severity from the 7th day to the 14th day in all the subjects from all the three groups. Conclusion:It can be concluded that the periodontal wound covered with a collagen dressing material showed significant evidence to provide symptomatic relief and better healing to the patients compared to that of light-cure and non-eugenol periodontal dressing material.

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“…The results of the present study are consistent with a study by Ghanbari et al 18 Periodontal packs cover the surface of the root and reduce pain after surgery. Contrary to the above findings, in studies by Moghare Abed et al, 19 Checchi et al, 20 and Bae et al, 21 similar pain was reported in patients with and without periodontal dressings after surgery, while in the study by Jones et al 17 more pain was reported in patients following the use of periodontal dressings.However, the observed differences in the severity of pain can be due to the different severities of disease in the patients studied. On the other hand, bone density of patients at the site of surgery and the condition of patients’ gingiva is also factors involved.…”

Section: Discussionmentioning

confidence: 74%

Comparison of the effects of Diplen LX membrane and Coe-Pak on pain, wound healing, and patient preference after the periodontal flap surgery in patients with moderate to severe chronic periodontitis

Sadighi

Faramarzi

Pourabbas

et al. 2022

J Dent Res Dent Clin Dent Prospects

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Background. After periodontal surgery, in most cases, the surgical area is covered with a surgical pack. It has been suggested that these packs might minimize complications. This study aimed to compare the effects of Diplen LX membrane and Coe-Pak on pain, wound healing, and patient preference after a periodontal flap surgery in patients with moderate to severe chronic periodontitis. Methods. In this randomized clinical trial, 26 patients were evaluated. Pain scores were assessed using visual analog scale (VAS) on the 3rd and 7th days postoperatively and compared between the two dressings. On the 7th and 14th days after both flap surgeries, surgical site healing was evaluated using the wound healing index (WHI). Results. The mean age of the patients was 31. It was observed that the severity of pain in the studied patients on the 3rd and 7th days postoperatively was significantly lower in the intervention group than in the control group. It was also observed that the value of WHI in the studied patients on the 7th and 14th days postoperatively was significantly higher in the intervention group than in the control group. Conclusion. The pain was less severe in both groups using periodontal dressing and also lower in the Diplen LX membrane group. In addition, based on WHI, wound healing score in patients was also higher and more favorable in the Diplex LX membrane group. Due to the above factors, the majority of patients preferred the use of the Diplen LX membrane.

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A Comparative Study of Clinical Sffects Following Periodontal Surgery with and without Dressing

Cited by 4 publications

References 0 publications

Clinical and Cytotoxic Comparison of Two Periodontal Dressings after Periodontal Flap Surgery

Clinical and Cytotoxic Comparison of Two Periodontal Dressings after Periodontal Flap Surgery

Assessment of Clinical Efficacy of Different Periodontal Dressing Materials on Wound Healing: A Comparative Study

Comparison of the effects of Diplen LX membrane and Coe-Pak on pain, wound healing, and patient preference after the periodontal flap surgery in patients with moderate to severe chronic periodontitis

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