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Related Experiment Video

Updated: Jan 20, 2026

An Epithelial Abrasion Model for Studying Corneal Wound Healing
04:45

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Early Wound Healing Score (EHS): An Intra- and Inter-Examiner Reliability Study.

Lorenzo Marini1, Philipp Sahrmann2, Mariana Andrea Rojas3

  • 1Section of Periodontics, Department of Oral and Maxillofacial Sciences, "Sapienza" University of Rome, 00161 Rome, Italy. dr.lorenzomarini@gmail.com.

Dentistry Journal
|September 5, 2019
PubMed
Summary

The early wound healing score (EHS) demonstrates high reliability for assessing periodontal surgical incisions. This tool ensures consistent evaluation of early wound healing by clinicians with varying expertise.

Keywords:
classificationdiagnosisgingivareproducibility of resultssoft tissue injurieswound healing

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Area of Science:

  • Periodontology
  • Surgical Wound Healing
  • Biostatistics

Background:

  • Assessing early wound healing in periodontal surgery is crucial for patient outcomes.
  • Standardized tools are needed for reliable evaluation of soft tissue healing post-incision.

Purpose of the Study:

  • To evaluate the intra- and inter-examiner reliability of the early wound healing score (EHS).
  • To determine the consistency of EHS application across examiners with diverse backgrounds.

Main Methods:

  • Six examiners with varied training assessed 63 photographs of periodontal surgical incisions.
  • Photographs were taken at 1, 3, and 7 days post-operation.
  • Intra-class correlation coefficient (ICC) analyzed reliability.

Main Results:

  • Inter-examiner reliability for EHS was 0.828 (95% CI: 0.767-0.881).
  • Intra-examiner reliability ranged from 0.826 to 0.915.
  • Results indicated 'almost perfect agreement' for both intra- and inter-examiner reliability.

Conclusions:

  • The EHS is a reliable and reproducible system for assessing early healing of periodontal soft tissue incisions.
  • High reliability is maintained even with examiners of different clinical experience and specialty.
  • EHS facilitates consistent and reproducible wound healing assessments.