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Patient perception after oral biopsies: an observational outpatient study
1Head and Neck Department, "Fondazione Policlinico Universitario A. Gemelli - IRCCS," School of Dentistry, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, 00168, Rome, Italy.
Clinical Oral Investigations
|March 11, 2021
Summary
Patient perception of pain and discomfort accurately predicts oral biopsy healing outcomes. Tools like the Numeric Rating Scale (NRS) and Oral Health Impact Profile (OHIP-14) can monitor healing effectively.
Area of Science:
- Oral Surgery
- Wound Healing Research
- Patient-Reported Outcomes
Background:
- Oral mucosal biopsies are common procedures.
- Assessing postoperative healing and patient experience is crucial.
- Limited data exists on correlating clinical healing with patient-reported outcomes.
Purpose of the Study:
- To evaluate the postoperative course of oral mucosal biopsies.
- To identify clinical and patient perception variables linked to poor healing.
- To assess the reliability of patient-reported outcome measures in monitoring healing.
Main Methods:
- Eighty patients undergoing oral biopsies were studied.
- Surgical variables and harvested tissue volume were recorded.
- Postoperative discomfort was assessed using the Oral Health Impact Profile-14 (OHIP-14) and Numeric Rating Scale (NRS) at 6 hours, 7 days, and 21 days.
Main Results:
- A significant correlation was found between poor healing and high NRS (pain) and OHIP-14 (discomfort) scores.
- Higher OHIP-14 scores were linked to lesion type, and higher NRS scores to systemic drug use.
- No surgical variables significantly correlated with healing outcomes.
Conclusions:
- Clinical evaluation aligns with patient-reported pain and discomfort.
- Patient perception serves as a reliable predictor for biopsied tissue healing.
- OHIP-14 and NRS are valuable tools for monitoring oral biopsy wound healing.
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