透明质酸凝胶与A- prf对下颌阻生第三磨牙术后后遗症的影响:一项随机对照试验。

IF 3 Q3 MATERIALS SCIENCE, BIOMATERIALS
Thoulfokar Shokor Al-Saadi, Ahmed Fadhel Al-Quisi
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引用次数: 0

摘要

口腔外科手术中最常见的程序之一是移除下颌阻生第三磨牙,通常伴随着疼痛、肿胀、牙槽炎和牙关。目的。比较1%透明质酸口服凝胶(HA)和先进富血小板纤维蛋白(A-PRF)在下颌阻生第三磨牙手术拔牙后预期并发症、疼痛、肿胀和牙关咬合的效果。材料和方法。在牙科教学医院口腔颌面外科进行了一项随机对照试验。需要手术切除下颌阻生第三磨牙的健康患者随机分为三组。A组患者拔牙部位不添加任何材料,仅用简单断线缝合创面,B组患者拔牙部位用1cc 1%玻尿酸凝胶(perokin®)填充,C组患者拔牙部位用A- prf填充。结果。66名符合条件的患者参加了本研究;与对照组相比,1%透明质酸凝胶(周期蛋白®)和晚期富血小板纤维蛋白在术后第1天、第3天和第7天疼痛、肿胀和咬牙明显减轻,而HA和a - prf之间的比较除了术后第3天的疼痛外,无显著差异。a - prf组疼痛程度明显低于HA组。结论。与对照组相比,在下颌第三磨牙手术后,囊内应用1%透明质酸凝胶(周期蛋白®)或晚期富血小板纤维蛋白是显著减少术后疼痛、牙关紧闭和水肿的有效主要方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial.

The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial.

The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial.

The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial.

One of the most common procedures in oral surgery is the removal of impacted mandibular third molars, often followed by pain, swelling, alveolitis, and trismus. Purpose. To compare the outcomes of the intrasocket application of 1% hyaluronic acid oral gel (HA) and advanced platelet-rich fibrin (A-PRF) on the expected postoperative complications, pain, swelling, and trismus follow the surgical extraction of the impacted mandibular third molar. Material and Methods. A randomized controlled trial was conducted at the Oral and Maxillofacial Surgery Unit, Dental Teaching Hospital. Healthy patients who required surgical removal of the impacted mandibular third molar were divided randomly into three groups. The extraction site of the group (A) patients remained without the addition of any material, just suturing of the wound with simple interrupted sutures, while in group (B) patients, the extraction site was filled with 1 cc of 1% hyaluronic acid gel (periokin®), and in group C patients, the extraction site was filled with A-PRF. Results. Sixty-six eligible patients participated in this study; both hyaluronic acid gel 1% (periokin®) and advanced platelet-rich fibrin showed a significant reduction in pain, swelling, and trismus on the 1st, third, and seventh postoperative days when compared to the control group, while the comparison between HA and A-PRF showed no significant differences except for the pain on the third postoperative day. There was a significant pain decrease in the A-PRF group than HA group. Conclusion. Intrasocket application of 1% hyaluronic acid gel (periokin®) or advanced platelet-rich fibrin can be an effective primary way to significantly reduce postoperative pain, trismus, and edema compared to the control group following mandibular third molar surgery.

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来源期刊
International Journal of Biomaterials
International Journal of Biomaterials MATERIALS SCIENCE, BIOMATERIALS-
CiteScore
4.30
自引率
3.20%
发文量
50
审稿时长
21 weeks
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