在使用富含血小板纤维素的自由牙移植手术后,捐赠者部位的伤口愈合:一个随机对照试验
Se'quon M H Scott1, Julia A Lacy1, Archontia A Palaiologou1
1Department of Periodontics, UT Health San Antonio School of Dentistry, San Antonio, Texas, USA.
Journal of periodontology
|June 17, 2024
概括
富含血小板纤维素 (PRF) 和静血剂在自由牙移植后的 palatal 捐赠部位愈合方面没有差异. 这两种治疗都导致了类似的疼痛感知和止痛药的使用,这表明伤口愈合的结果相似.
科学领域:
- 在口腔外科手术中.
- 再生医学是一种再生医学.
- 伤口愈合 伤口愈合
背景情况:
- 自由的牙移植是常见的牙周手术.
- 宫腔供体部位的愈合对于患者的康复至关重要.
- 富含血小板纤维素 (PRF) 和静血剂用于伤口管理.
研究的目的:
- 为了比较PRF与血液静止剂在治愈 palatal 供体部位的疗效.
- 为了评估患者在手术后的疼痛感知和止痛剂摄入量.
- 通过使用标准化指数来评估早期的 palatal 伤口愈合.
主要方法:
- 一项随机对照研究涉及74名接受自由牙移植的患者.
- 患者被随机分配,接受PRF或血静剂作为 palatal伤口.
- 使用NMRS-21尺度记录疼痛和止痛药的消耗;通过PEHI在1,2,3和4周评估伤口愈合.
主要成果:
- 在任何时间点,PRF和静血剂组之间疼痛评分 (NMRS-21) 没有显著差异.
- 两组之间的止痛药消费没有显著差异.
- 口腔早期愈合指数 (PEHI) 评分在两组中随着时间的推移显著改善,在任何随访点上没有显著的组间差异.
结论:
- 在促进早期的 palatal 伤口愈合方面,PRF 和静血剂表现出相似的有效性.
- 患者的疼痛感知和止痛药的需求是相似的,无论使用的伤口带.
- 在自由牙移植后,PRF和静血剂都是适合的选择,用于管理 palatal 捐赠部位.
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