Does Submucosal Placentrex® Injection Hasten the Soft Tissue Healing in Mandibular Third Molar Impaction Surgery? A Prospective Randomized Split-Mouth Study
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Abstract
Background: This study focused to evaluate the potency of injection Placentrex® by assessing the rate of soft tissue healing with bilateral symmetrical third molar impaction by using early wound healing score.
Materials and Methods: The split mouth study included 23 patients with bilaterally symmetrical third molar impaction. Randomly one side was selected as study group and other side as control group. 2 ml of Placentrex® injection was administered submucosally before surgical removal on the buccal and retromolar region in study group while control group was allowed to heal naturally. Parameters like soft tissue healing, pain, trismus and swelling were assessed on 1st,3rd and 7th post operative days. Early healing score was used to assess the soft tissue healing after surgical removal.
Results: The mean re-epithelialization based on CSR on 3rd post operative day showed characteristic significance with mean score of 4.56 (p<0.05) when compared to the control group which showed a mean score of 2.73. The inflammation based on CSI on 3rd postoperative day for the study group revealed a mean value of 1.73 (p<0.05) whereas for the control group a mean of 1.04 was recorded proving significance. It was found that there was no significant statistical difference in the case and control group in relevance to post operative pain, swelling and mouth opening.
Conclusion: Placentrex® exhibited characteristic significance in early soft tissue healing with signs of less inflammation and early reepithelialisation.
背景:本研究的重点是通过使用早期伤口愈合评分评估双侧对称性第三磨牙嵌塞的软组织愈合率来评估注射Placentrex®的效力。材料和方法:对23例双侧对称性第三磨牙嵌塞患者进行了分口研究。随机选择一侧作为研究组,另一侧作为对照组。研究组在口腔和磨牙后区域手术切除前,在粘膜下注射2 ml Placentrex®注射液,而对照组则允许其自然愈合。术后第1、3和7天评估软组织愈合、疼痛、三体和肿胀等参数。早期愈合评分用于评估手术切除后软组织的愈合情况。结果:术后第3天基于CSR的平均再上皮化显示出特征性意义,平均得分为4.56(p<0.05),而对照组的平均得分为2.73。研究组术后第3天基于CSI的炎症显示平均值为1.73(p<0.05),而对照组的平均值为1.04,证明了这一点。研究发现,病例组和对照组在术后疼痛、肿胀和开口方面没有显著的统计学差异。结论:Placentrex®在早期软组织愈合中表现出显著的特征性意义,有炎症减少和早期再上皮化的迹象。