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Self-reported pain perception of patients after mucosal graft harvesting in the palatal area


Burkhardt, Rino; Hämmerle, Christoph H F; Lang, Niklaus P (2015). Self-reported pain perception of patients after mucosal graft harvesting in the palatal area. Journal of Clinical Periodontology, 42(3):281-287.

Abstract

AIM to evaluate the patient-reported pain perception after palatal graft harvesting during a four weeks healing period MATERIALS & METHODS: 90 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. This article is protected by copyright. All rights reserved.

Abstract

AIM to evaluate the patient-reported pain perception after palatal graft harvesting during a four weeks healing period MATERIALS & METHODS: 90 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. This article is protected by copyright. All rights reserved.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Fixed and Removable Prosthodontics
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2015
Deposited On:30 Jan 2015 09:03
Last Modified:08 Dec 2017 11:43
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0303-6979
Publisher DOI:https://doi.org/10.1111/jcpe.12357
PubMed ID:25544993

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