Evalution Of the Patiens Oral Health Related Quality of Life After Harvesting Free Gingival Graft

Yıl 2019, Cilt: 22 Sayı: 1, 11 - 21, 13.03.2019

Sıla Çağrı İşler Ahu Uraz Janset Şengül Miray Çakıroğlu Batuhan Bakırarar Deniz Çetiner

https://doi.org/10.7126/cumudj.452909

Cited By: 3

Öz

Objectives: Oral Health Related Quality of Life is the individual's perception of how oral health affects the quality of life and general health. Periodontal plastic surgery procedures have been reported to negatively affect the quality of life of patients after the operations. The aim of this study was to evaluate the effects of different treatment procedures applied for wound healing of the donor palate site after free gingival graft (FGG) operations on the quality of life.

Materials and Methods: After FGG harvesting, 60 patients’ palatal donor sites were randomly assigned one of the six groups, giving 10 participants per group. Palatal wounds were treated with platelet-rich fibrin (PRF), essix retainer, ozone therapy, low-level laser therapy (LLLT) or collagen fleece. As a control group, palatal donor sites were left to secondary healing without any of the treatment procedures. After the postoperative procedures, The Oral Health Impact Profile (OHIP-14) questions were asked to patients to evaluate their quality of life, whereas parameters in relation to postoperative morbidity were analyzed by using Visual Analogue Scale (VAS).

Results: Regarding to the questions belonging Turkish version of OHIP-14 (OHIP-14 TR), there were statistically significant relationships between the group categorical variables and the categorical results of question 7 and 10 (p=0.002 and p=0.015). For these questions, the lowest scores were mostly given in the LLLT group. No statistically significant difference was observed between the study groups and total OHIP scores (TOHIP) and the means of 7 subscales of OHIP-14 (p>0.05). Significant differences were found between PRF-ozone groups on the 5th day (p=0.011) for mean VAS scores exhibiting postoperative pain.

Conclusions: It has been observed that applying LLLT procedures to the donor wound area following FGG operations may have positive effects on the quality of life and PRF treatments may be more effective in terms of patient comfort after operation.

Anahtar Kelimeler

Hemostatic Technics, Laser Therapy, Oral Surgical Procedures, Quality of Life

Kaynakça

• 1. Koller M, Klinkhammer-Schalke M, Lorenz W. Outcome and quality of life in medicine: a conceptual framework to put quality of life research into practice. Urol Oncol 2005;23:186-192.
• 2. Hegarty AM, McGrath C, Hodgson TA, Porter SR. Patient-centred outcome measures in oral medicine: are they valid and reliable? Int J Oral Maxillofac Surg 2002;31:670–674.
• 3. Frisch MB, Hoboken NJ. Quality of Life Therapy: Applying a Life Satisfaction Approach to Positive Psychology and Cognitive Therapy. New Jersey: John Wiley & Sons Inc; 2006. p. 47.
• 4. Slade GD, Spencer AJ. Development and evaluation of the Oral Health Impact Profile. Community Dent Health 1994;11:3–11.
• 5. Allen PF. Assessment of oral health related quality of life. Health Qual of Life Outcomes 2003;8:1-40.
• 6. Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol 2005;35:401–411.
• 7. McGrath C, Bedi R. An evaluation of a new measure of oral health related quality of life – OHQoL-UK(W). Community Dent Health 2001;18:138-143.
• 8. Cunha-Cruz J, Hujoel PP, Kressin NR. Oral health-related quality of life of periodontal patients. J Periodontal Res 2007;42:169–176.
• 9. Jansson H, Wahlin A, Johansson V, Akerman S, Lundegren N, Isberg PE, et al. Impact of periodontal disease experience on oral health-related quality of life. J Periodontol 2014;85:438–445.
• 10. Levin L, Zini A, Levine J, Weiss M, Lev RA, Hai A, et al. Dental anxiety and oral health-related quality of life in aggressive periodontitis patients. Clin Oral Investig 2018;22:1411-1422.
• 11. He S, Wei S, Wang J, Ji P. Chronic periodontitis and oral health‐related quality of life in Chinese adults: A population‐based, cross‐sectional study. J Periodontol 2018;89:275-284.
• 12. Slade GD. Derivation and validation of a short-form oral health impact profile. Community Dent Oral Epidemiol 1997;25,284–290.
• 13. Marquez IC. The role of keratinized tissue and attached gingiva in maintaining periodontal/peri-implant health. Gen Dent 2004;52:74-78.
• 14. Sanz M, Simion M, Working Group 3 of the European Workshop on Periodontology. Surgical techniques on periodontal plastic surgery and soft tissue regeneration: consensus report of Group 3 of the 10th European Workshop on Periodontology. J Clin Periodontol 2014;41(Suppl 15):92-97.
• 15. Farnoush A. Techniques for the protection and coverage of the donor sites in free soft tissue grafts. J Periodontol 1978;49:403-405.
• 16. Burkhardt R, Hammerle CH, Lang NP, Research Group on Oral Soft Tissue B, Wound H. Self-reported pain perception of patients after mucosal graft harvesting in the palatal area. J Clin Periodontol 2015;42:281-287.
• 17. Brasher WJ, Rees TD, Boyce WA. Complications of free grafts of masticatory mucosa. J Periodontol 1975;46:133-138.
• 18. Wang HL, Bunyaratavej P, Labadie M, ShyrY, MacNeil RL. Comparison of 2 clinical techniques for treatment of gingival recession. J Periodontol 2001;72: 1301-1311.
• 19. Patel PV, Kumar S, Vidya GD, Patel A,Holmes JC, Kumar V. Cytological assessment of healing palatal donor site wounds and grafted gingival wounds after application of ozonated oil: an eighteen-month randomized controlled clinical trial. Acta cytologica 2012;56:277-284.
• 20. Keceli HG, Aylikci BU, Koseoglu S, Dolgun A. Evaluation of palatal donor site haemostasis and wound healing after free gingival graft surgery. J Clin Periodontol 2015;42:582-589.
• 21. Femminella B, Iaconi MC, Di Tullio M, Romano L, Sinjari B, D'Arcangelo C, et al. Clinical Comparison of Platelet Rich Fibrin and a Gelatin Sponge in the Management of Palatal Wounds Following Epithelialized Free Gingival Graft Harvest: A Randomized Clinical Trial. J Periodontol 2015:1-17.
• 22. Wang CY, Tsai SC, Yu MC, Lin YF, Chen CC, Chang PC. 660 nm LED Light Irradiation Promotes the Healing of the Donor Wound of Free Gingival Graft. J Periodontol. 2015;86:674-681.
• 23. Thoma DS, Sancho-Puchades M, Ettlin DA, Hammerle CH, Jung RE. Impact of a collagen matrix on early healing, aesthetics and patient morbidity in oral mucosal wounds - a randomized study in humans. J Clin Periodontol 2012;39:157-165.
• 24. Sullivan HC, Atkins JH. Free autogenous gingival grafts. I. Principles of successful grafting. Periodontics 1968;6:121–129.
• 25. Miller PD Jr. A classification of marginal tissue recession. Int J Periodontics Restorative Dent 1985;5:8–13.
• 26. Dohan DM, Choukroun J, Diss A, Dohan SL, Dohan AJJ, Mouhyi J, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:37-44.
• 27. O'Leary TJ, Drake RB, Naylor JE. The plaque control record. J Periodontol 1972;43:38.
• 28. Löe H, Silness J. Periodontal disease in pregnancy I. Prevalence and severity. Acta Odontol Scand 1963;21:533–551.
• 29. Mumcu G, Inanc N, Ergun T, Ikiz K, Gunes M, Islek U, et al. Oral health related quality of life is affected by disease activity in Behçet's disease. Oral Dis 2006; 12:145-151.
• 30. Ng SK, Leung WK. Oral health‐related quality of life and periodontal status. Community Dent Oral Epidemiol 2006;34:114-122.
• 31. Slade GD, Spencer AJ. Development and evaluation of the oral health impact profile. Community Dent Health 1994;11:3-11.
• 32. Tan WC, Krishnaswamy G, Ong MM, Lang NP. Patient-reported outcome measures after routine periodontal and implant surgical procedures. J Clin Periodontol 2014;41:618–624.
• 33. Mei CC, Lee FY, Yeh HC. Assessment of pain perception following periodontal and implant surgeries. J Clin Periodontol 2016;43:1151–1159.
• 34. McGuire MK, Scheyer ET, Gwaltney C. Commentary: Incorporating patient-reported outcomes in periodontal clinical trials. J Periodontol 2014;85: 1313–1319.
• 35. Tonetti MS, Cortellini P, Pellegrini G, Nieri M, Bonaccini D, Allegri M, et al. Xenogenic collagen matrix or autologous connective tissue graft as adjunct to coronally advanced flaps for coverage of multiple adjacent gingival recession: Randomized trial assessing non‐inferiority in root coverage and superiority in oral health‐related quality of life. J Clin Periodontol 2018;45:78-88.
• 36. Taşdemir Z, Alkan BA, Albayrak H. Effects of ozone therapy on the early healing period of deepithelialized gingival grafts: A randomized placebo-controlled clinical trial. J Periodontol 2016;87:663-671.
• 37. Ozcelik O, Seydaoglu G, Haytac CM. Diode laser for harvesting de-epithelialized palatal graft in the treatment of gingival recession defects: a randomized clinical trial. J Clin Periodontol 2016;43:63–71.
• 38. Douglas de Oliveira DW, Marques DP, Aguiar-Cantuária IC, Flecha OD, Gonçalves PF. Effect of surgical defect coverage on cervical dentin hypersensitivity and quality of life. J Periodontol 2013;84:768-775.
• 39. Zucchelli G, Mounssif I, Mazzotti C, Montebugnoli L, Sangiorgi M, Mele M, Stefanini M. Does the dimension of the graft influence patient morbidity and root coverage outcomes? A randomized controlled clinical trial. J Clin Periodontol 2014;41:708–716.
• 40. Burkhardt R, Hammerle CH, Lang NP, Research Group on Oral Soft Tissue Biology & Wound Healing. Self-reported pain perception of patients after mucosal graft harvesting in the palatal area. J Clin Periodontol 2015;42:281–287.