Patient Outcomes Following Subepithelial Connective Tissue Graft and Free Gingival Graft Procedures
Background: Subepithelial connective tissue grafts (CTGs) and free gingival grafts (FGGs) are common periodontal procedures with similar indications; however, they may differ regarding patient outcomes. Reports on postoperative periodontal patient outcomes are limited. The aim of this observational...
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| Veröffentlicht in: | Journal of periodontology (1970) 2008-03, Vol.79 (3), p.425-430 |
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| creator | Wessel, Jeffrey R. Tatakis, Dimitris N. |
| description | Background: Subepithelial connective tissue grafts (CTGs) and free gingival grafts (FGGs) are common periodontal procedures with similar indications; however, they may differ regarding patient outcomes. Reports on postoperative periodontal patient outcomes are limited. The aim of this observational trial was to compare patient‐based outcomes for CTGs and FGGs.
Methods: Patients who received CTG or FGG completed postoperative questionnaires at 3 days and 3 weeks to assess pain, number of analgesic pills taken, and number of days pills were taken. Postoperative pain was assessed using a visual analog scale (VAS).
Results: Twenty‐three subjects (12 CTGs and 11 FGGs) completed the study. Differences between CTG and FGG groups in VAS pain scores at 3 days did not reach statistical significance. The proportion of subjects reporting pain in the palate at 3 days was significantly greater for FGG (P |
| doi_str_mv | 10.1902/jop.2008.070325 |
| format | Article |
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Methods: Patients who received CTG or FGG completed postoperative questionnaires at 3 days and 3 weeks to assess pain, number of analgesic pills taken, and number of days pills were taken. Postoperative pain was assessed using a visual analog scale (VAS).
Results: Twenty‐three subjects (12 CTGs and 11 FGGs) completed the study. Differences between CTG and FGG groups in VAS pain scores at 3 days did not reach statistical significance. The proportion of subjects reporting pain in the palate at 3 days was significantly greater for FGG (P <0.05). There were no significant intergroup differences at 3 weeks. For the FGG group, 3‐week VAS pain scores were less than the 3‐day ones (P <0.01). For the entire study population, the number of days analgesic pills were taken, total number of analgesic pills taken, and number of pills taken from day 3 to the end of the study correlated with the 3‐week pain scores.
Conclusions: FGG is associated with a greater incidence of donor site pain compared to CTG at the early postoperative period. Longer‐term pain after soft tissue grafting is associated with greater analgesic usage. There is an opportunity to improve the postoperative protocols of soft tissue grafting, particularly for FGG.</description><identifier>ISSN: 0022-3492</identifier><identifier>EISSN: 1943-3670</identifier><identifier>DOI: 10.1902/jop.2008.070325</identifier><identifier>PMID: 18315424</identifier><language>eng</language><publisher>Chicago, IL: American Academy of Periodontology</publisher><subject>Adult ; Aged ; Analgesics, non‐narcotic ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Biological and medical sciences ; Connective Tissue - transplantation ; Dentistry ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Gingiva - transplantation ; Gingival Recession - surgery ; gingival recession/therapy ; Gingivoplasty - adverse effects ; Gingivoplasty - methods ; Humans ; Ibuprofen - therapeutic use ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; pain ; Pain Measurement ; Pain, Postoperative - drug therapy ; Pain, Postoperative - etiology ; Prospective Studies ; Statistics, Nonparametric ; Tissue and Organ Harvesting - adverse effects ; Treatment Outcome ; Vestibuloplasty - adverse effects ; Vestibuloplasty - methods</subject><ispartof>Journal of periodontology (1970), 2008-03, Vol.79 (3), p.425-430</ispartof><rights>2008 American Academy of Periodontology</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4375-3b5d3b166bb124fe6948144ee2c9ac45afd27d6f33f3bb22ab79aa878c4adf823</citedby><cites>FETCH-LOGICAL-c4375-3b5d3b166bb124fe6948144ee2c9ac45afd27d6f33f3bb22ab79aa878c4adf823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1902%2Fjop.2008.070325$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1902%2Fjop.2008.070325$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27925,27926,45575,45576</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20189107$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18315424$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wessel, Jeffrey R.</creatorcontrib><creatorcontrib>Tatakis, Dimitris N.</creatorcontrib><title>Patient Outcomes Following Subepithelial Connective Tissue Graft and Free Gingival Graft Procedures</title><title>Journal of periodontology (1970)</title><addtitle>J Periodontol</addtitle><description>Background: Subepithelial connective tissue grafts (CTGs) and free gingival grafts (FGGs) are common periodontal procedures with similar indications; however, they may differ regarding patient outcomes. Reports on postoperative periodontal patient outcomes are limited. The aim of this observational trial was to compare patient‐based outcomes for CTGs and FGGs.
Methods: Patients who received CTG or FGG completed postoperative questionnaires at 3 days and 3 weeks to assess pain, number of analgesic pills taken, and number of days pills were taken. Postoperative pain was assessed using a visual analog scale (VAS).
Results: Twenty‐three subjects (12 CTGs and 11 FGGs) completed the study. Differences between CTG and FGG groups in VAS pain scores at 3 days did not reach statistical significance. The proportion of subjects reporting pain in the palate at 3 days was significantly greater for FGG (P <0.05). There were no significant intergroup differences at 3 weeks. For the FGG group, 3‐week VAS pain scores were less than the 3‐day ones (P <0.01). For the entire study population, the number of days analgesic pills were taken, total number of analgesic pills taken, and number of pills taken from day 3 to the end of the study correlated with the 3‐week pain scores.
Conclusions: FGG is associated with a greater incidence of donor site pain compared to CTG at the early postoperative period. Longer‐term pain after soft tissue grafting is associated with greater analgesic usage. There is an opportunity to improve the postoperative protocols of soft tissue grafting, particularly for FGG.</description><subject>Adult</subject><subject>Aged</subject><subject>Analgesics, non‐narcotic</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Connective Tissue - transplantation</subject><subject>Dentistry</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Female</subject><subject>Gingiva - transplantation</subject><subject>Gingival Recession - surgery</subject><subject>gingival recession/therapy</subject><subject>Gingivoplasty - adverse effects</subject><subject>Gingivoplasty - methods</subject><subject>Humans</subject><subject>Ibuprofen - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>pain</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative - drug therapy</subject><subject>Pain, Postoperative - etiology</subject><subject>Prospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Tissue and Organ Harvesting - adverse effects</subject><subject>Treatment Outcome</subject><subject>Vestibuloplasty - adverse effects</subject><subject>Vestibuloplasty - methods</subject><issn>0022-3492</issn><issn>1943-3670</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlLAzEUh4MoWpezN5mL3qZmm-0oxVZFsLicQ5J50Ug6qcmM0v_eyBQ9enr8Ht9b-BA6JXhKGkwv3_16SjGup7jCjBY7aEIaznJWVngXTTCmNGe8oQfoMMb3FAlneB8dkJqRglM-QXopewtdnz0MvfYriNncO-e_bPeaPQ0K1rZ_A2ely2a-60D39hOyZxvjANkiSNNnsmuzeYAU04z9TOTYXwavoR0CxGO0Z6SLcLKtR-hlfv08u8nvHxa3s6v7XHNWFTlTRcsUKUulCOUGyobXhHMAqhupeSFNS6u2NIwZphSlUlWNlHVVay5bU1N2hC7GvevgPwaIvVjZqME52YEfokiKipKSMoGXI6iDjzGAEetgVzJsBMHix6tIXsWPVzF6TRNn29WDWkH7x29FJuB8C8iopTNBdtrGX45iUjcEV4krRu7LOtj8d1fcLa8fMU8PfAM9fpIJ</recordid><startdate>200803</startdate><enddate>200803</enddate><creator>Wessel, Jeffrey R.</creator><creator>Tatakis, Dimitris N.</creator><general>American Academy of Periodontology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200803</creationdate><title>Patient Outcomes Following Subepithelial Connective Tissue Graft and Free Gingival Graft Procedures</title><author>Wessel, Jeffrey R. ; Tatakis, Dimitris N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4375-3b5d3b166bb124fe6948144ee2c9ac45afd27d6f33f3bb22ab79aa878c4adf823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Analgesics, non‐narcotic</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Connective Tissue - transplantation</topic><topic>Dentistry</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Female</topic><topic>Gingiva - transplantation</topic><topic>Gingival Recession - surgery</topic><topic>gingival recession/therapy</topic><topic>Gingivoplasty - adverse effects</topic><topic>Gingivoplasty - methods</topic><topic>Humans</topic><topic>Ibuprofen - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>pain</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative - drug therapy</topic><topic>Pain, Postoperative - etiology</topic><topic>Prospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Tissue and Organ Harvesting - adverse effects</topic><topic>Treatment Outcome</topic><topic>Vestibuloplasty - adverse effects</topic><topic>Vestibuloplasty - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wessel, Jeffrey R.</creatorcontrib><creatorcontrib>Tatakis, Dimitris N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of periodontology (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wessel, Jeffrey R.</au><au>Tatakis, Dimitris N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient Outcomes Following Subepithelial Connective Tissue Graft and Free Gingival Graft Procedures</atitle><jtitle>Journal of periodontology (1970)</jtitle><addtitle>J Periodontol</addtitle><date>2008-03</date><risdate>2008</risdate><volume>79</volume><issue>3</issue><spage>425</spage><epage>430</epage><pages>425-430</pages><issn>0022-3492</issn><eissn>1943-3670</eissn><abstract>Background: Subepithelial connective tissue grafts (CTGs) and free gingival grafts (FGGs) are common periodontal procedures with similar indications; however, they may differ regarding patient outcomes. Reports on postoperative periodontal patient outcomes are limited. The aim of this observational trial was to compare patient‐based outcomes for CTGs and FGGs.
Methods: Patients who received CTG or FGG completed postoperative questionnaires at 3 days and 3 weeks to assess pain, number of analgesic pills taken, and number of days pills were taken. Postoperative pain was assessed using a visual analog scale (VAS).
Results: Twenty‐three subjects (12 CTGs and 11 FGGs) completed the study. Differences between CTG and FGG groups in VAS pain scores at 3 days did not reach statistical significance. The proportion of subjects reporting pain in the palate at 3 days was significantly greater for FGG (P <0.05). There were no significant intergroup differences at 3 weeks. For the FGG group, 3‐week VAS pain scores were less than the 3‐day ones (P <0.01). For the entire study population, the number of days analgesic pills were taken, total number of analgesic pills taken, and number of pills taken from day 3 to the end of the study correlated with the 3‐week pain scores.
Conclusions: FGG is associated with a greater incidence of donor site pain compared to CTG at the early postoperative period. Longer‐term pain after soft tissue grafting is associated with greater analgesic usage. There is an opportunity to improve the postoperative protocols of soft tissue grafting, particularly for FGG.</abstract><cop>Chicago, IL</cop><pub>American Academy of Periodontology</pub><pmid>18315424</pmid><doi>10.1902/jop.2008.070325</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Analgesics, non‐narcotic Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Biological and medical sciences Connective Tissue - transplantation Dentistry Facial bones, jaws, teeth, parodontium: diseases, semeiology Female Gingiva - transplantation Gingival Recession - surgery gingival recession/therapy Gingivoplasty - adverse effects Gingivoplasty - methods Humans Ibuprofen - therapeutic use Male Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology pain Pain Measurement Pain, Postoperative - drug therapy Pain, Postoperative - etiology Prospective Studies Statistics, Nonparametric Tissue and Organ Harvesting - adverse effects Treatment Outcome Vestibuloplasty - adverse effects Vestibuloplasty - methods |
| title | Patient Outcomes Following Subepithelial Connective Tissue Graft and Free Gingival Graft Procedures |
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