Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial

Detalhes bibliográficos
Autor(a) principal: da Silva Neves, Felipe Lucas [UNESP]
Data de Publicação: 2016
Outros Autores: Silveira, Camila Augusto [UNESP], Dias, Stephanie Botti Fernandes [UNESP], Santamaria Júnior, Milton, de Marco, Andrea Carvalho [UNESP], Kerbauy, Warley David [UNESP], de Melo Filho, Antonio Braulino [UNESP], Jardini, Maria Aparecida Neves [UNESP], Santamaria, Mauro Pedrine [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1007/s10103-016-1988-6
http://hdl.handle.net/11449/178105
Resumo: Connective tissue graft (CTG), which is considered to be among the best techniques for treating gingival recession, has presented stable long-term results. However, this technique causes morbidity and discomfort in the palatine region due to graft removal at that site. A previous study reports that photobiomodulation (PBM) using a dosage of 15 J/cm2 may improve wound healing and the patient’s postoperative comfort. However, no other studies in the literature provide the best application dosage or comparisons between protocols for this purpose. The aim of this study is to compare two power densities of PBM on the wound-healing process of the donor palatine area after CTG removal. In this study, 51 patients presenting buccal gingival recession were randomized into one of the following groups: group 1: CTG procedure for root coverage and PBM application at the donor site using a 60 J/cm2 dose; group 2: CTG and PBM application using a 30 J/cm2 dose; or group 3: CTG and sham application. The evaluated parameters were the wound remaining area (WRA), scar and tissue colorimetry (TC), tissue thickness (TT), and postoperative discomfort (D), evaluated at baseline and 7, 14, 45, 60, and 90 days after surgery. Group 1 presented statistically significant smaller wounds at day 7 (p > 0.05). None of the patients presented scars at the operated area, and all of the patients reported mild discomfort, with low consumption of analgesic pills. We concluded that the protocol of 60 J/cm2 provided faster wound healing 7 days after removing the connective tissue graft for root coverage. Trial registration: ClinicalTrial.org (NCT02580357) https://clinicaltrials.gov/ct2/show/NCT02580357.
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spelling Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trialConnective tissue graftGingival recessionLow-level laser therapyWound healingConnective tissue graft (CTG), which is considered to be among the best techniques for treating gingival recession, has presented stable long-term results. However, this technique causes morbidity and discomfort in the palatine region due to graft removal at that site. A previous study reports that photobiomodulation (PBM) using a dosage of 15 J/cm2 may improve wound healing and the patient’s postoperative comfort. However, no other studies in the literature provide the best application dosage or comparisons between protocols for this purpose. The aim of this study is to compare two power densities of PBM on the wound-healing process of the donor palatine area after CTG removal. In this study, 51 patients presenting buccal gingival recession were randomized into one of the following groups: group 1: CTG procedure for root coverage and PBM application at the donor site using a 60 J/cm2 dose; group 2: CTG and PBM application using a 30 J/cm2 dose; or group 3: CTG and sham application. The evaluated parameters were the wound remaining area (WRA), scar and tissue colorimetry (TC), tissue thickness (TT), and postoperative discomfort (D), evaluated at baseline and 7, 14, 45, 60, and 90 days after surgery. Group 1 presented statistically significant smaller wounds at day 7 (p > 0.05). None of the patients presented scars at the operated area, and all of the patients reported mild discomfort, with low consumption of analgesic pills. We concluded that the protocol of 60 J/cm2 provided faster wound healing 7 days after removing the connective tissue graft for root coverage. Trial registration: ClinicalTrial.org (NCT02580357) https://clinicaltrials.gov/ct2/show/NCT02580357.Department of Diagnosis and Surgery College of Dentistry–FOSJC UNESP–Univ Estadual Paulista, Av. Eng. Francisco José Longo, 777Department of Orthodontics College of Dentistry University of ArarasDivision of Periodontics College of Dentistry–FOSJC UNESP–State University of São Paulo, Av. Eng. Francisco José Longo, 777Department of Diagnosis and Surgery College of Dentistry–FOSJC UNESP–Univ Estadual Paulista, Av. Eng. Francisco José Longo, 777Division of Periodontics College of Dentistry–FOSJC UNESP–State University of São Paulo, Av. Eng. Francisco José Longo, 777Universidade Estadual Paulista (Unesp)University of Ararasda Silva Neves, Felipe Lucas [UNESP]Silveira, Camila Augusto [UNESP]Dias, Stephanie Botti Fernandes [UNESP]Santamaria Júnior, Miltonde Marco, Andrea Carvalho [UNESP]Kerbauy, Warley David [UNESP]de Melo Filho, Antonio Braulino [UNESP]Jardini, Maria Aparecida Neves [UNESP]Santamaria, Mauro Pedrine [UNESP]2018-12-11T17:28:46Z2018-12-11T17:28:46Z2016-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1371-1378application/pdfhttp://dx.doi.org/10.1007/s10103-016-1988-6Lasers in Medical Science, v. 31, n. 7, p. 1371-1378, 2016.1435-604X0268-8921http://hdl.handle.net/11449/17810510.1007/s10103-016-1988-62-s2.0-849762621572-s2.0-84976262157.pdf57336393420169587008114923397947Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengLasers in Medical Science0,713info:eu-repo/semantics/openAccess2023-12-11T06:18:24Zoai:repositorio.unesp.br:11449/178105Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-12-11T06:18:24Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
title Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
spellingShingle Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
da Silva Neves, Felipe Lucas [UNESP]
Connective tissue graft
Gingival recession
Low-level laser therapy
Wound healing
title_short Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
title_full Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
title_fullStr Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
title_full_unstemmed Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
title_sort Comparison of two power densities on the healing of palatal wounds after connective tissue graft removal: randomized clinical trial
author da Silva Neves, Felipe Lucas [UNESP]
author_facet da Silva Neves, Felipe Lucas [UNESP]
Silveira, Camila Augusto [UNESP]
Dias, Stephanie Botti Fernandes [UNESP]
Santamaria Júnior, Milton
de Marco, Andrea Carvalho [UNESP]
Kerbauy, Warley David [UNESP]
de Melo Filho, Antonio Braulino [UNESP]
Jardini, Maria Aparecida Neves [UNESP]
Santamaria, Mauro Pedrine [UNESP]
author_role author
author2 Silveira, Camila Augusto [UNESP]
Dias, Stephanie Botti Fernandes [UNESP]
Santamaria Júnior, Milton
de Marco, Andrea Carvalho [UNESP]
Kerbauy, Warley David [UNESP]
de Melo Filho, Antonio Braulino [UNESP]
Jardini, Maria Aparecida Neves [UNESP]
Santamaria, Mauro Pedrine [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
University of Araras
dc.contributor.author.fl_str_mv da Silva Neves, Felipe Lucas [UNESP]
Silveira, Camila Augusto [UNESP]
Dias, Stephanie Botti Fernandes [UNESP]
Santamaria Júnior, Milton
de Marco, Andrea Carvalho [UNESP]
Kerbauy, Warley David [UNESP]
de Melo Filho, Antonio Braulino [UNESP]
Jardini, Maria Aparecida Neves [UNESP]
Santamaria, Mauro Pedrine [UNESP]
dc.subject.por.fl_str_mv Connective tissue graft
Gingival recession
Low-level laser therapy
Wound healing
topic Connective tissue graft
Gingival recession
Low-level laser therapy
Wound healing
description Connective tissue graft (CTG), which is considered to be among the best techniques for treating gingival recession, has presented stable long-term results. However, this technique causes morbidity and discomfort in the palatine region due to graft removal at that site. A previous study reports that photobiomodulation (PBM) using a dosage of 15 J/cm2 may improve wound healing and the patient’s postoperative comfort. However, no other studies in the literature provide the best application dosage or comparisons between protocols for this purpose. The aim of this study is to compare two power densities of PBM on the wound-healing process of the donor palatine area after CTG removal. In this study, 51 patients presenting buccal gingival recession were randomized into one of the following groups: group 1: CTG procedure for root coverage and PBM application at the donor site using a 60 J/cm2 dose; group 2: CTG and PBM application using a 30 J/cm2 dose; or group 3: CTG and sham application. The evaluated parameters were the wound remaining area (WRA), scar and tissue colorimetry (TC), tissue thickness (TT), and postoperative discomfort (D), evaluated at baseline and 7, 14, 45, 60, and 90 days after surgery. Group 1 presented statistically significant smaller wounds at day 7 (p > 0.05). None of the patients presented scars at the operated area, and all of the patients reported mild discomfort, with low consumption of analgesic pills. We concluded that the protocol of 60 J/cm2 provided faster wound healing 7 days after removing the connective tissue graft for root coverage. Trial registration: ClinicalTrial.org (NCT02580357) https://clinicaltrials.gov/ct2/show/NCT02580357.
publishDate 2016
dc.date.none.fl_str_mv 2016-09-01
2018-12-11T17:28:46Z
2018-12-11T17:28:46Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1007/s10103-016-1988-6
Lasers in Medical Science, v. 31, n. 7, p. 1371-1378, 2016.
1435-604X
0268-8921
http://hdl.handle.net/11449/178105
10.1007/s10103-016-1988-6
2-s2.0-84976262157
2-s2.0-84976262157.pdf
5733639342016958
7008114923397947
url http://dx.doi.org/10.1007/s10103-016-1988-6
http://hdl.handle.net/11449/178105
identifier_str_mv Lasers in Medical Science, v. 31, n. 7, p. 1371-1378, 2016.
1435-604X
0268-8921
10.1007/s10103-016-1988-6
2-s2.0-84976262157
2-s2.0-84976262157.pdf
5733639342016958
7008114923397947
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Lasers in Medical Science
0,713
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 1371-1378
application/pdf
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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