Aim: To monitor the quality of life of patients after periradicular surgery when two different flap designs were used. Methodology: Forty patients with teeth having a periradicular lesion of endodontic origin were included according to specific selection criteria. Patients were randomly assigned to two groups. In one group a sulcular incision (SI) with complete papilla mobilization was made, and in the other group a papilla-base incision (PBI) was used. Periradicular surgery was performed using a surgical microscope. Parameters related to life quality were recorded daily in the first week post-surgery using a questionnaire. Pain was evaluated with a 0–100 visual analog scale (VAS). Other symptoms (swelling, bleeding and nausea), plus functions (chewing, speaking, sleeping, daily routine and work) were assessed using a five-point scale. Analgesic intake was recorded. Fisher’s test and unpaired t-test were used to assess the difference between groups. Results: The VAS score for pain, and the scores for swelling, chewing and phonetic impairment, peaked on days 1 and 2 postoperatively. A significant difference in favour of the PBI group was found for chewing and swelling in the first 4 days. Starting from day 3 post-surgery, the PBI group reported a significantly more rapid decrease in pain levels and analgesics use than the SI group (P < 0.05). The other parameters were similar in the two groups. Conclusions: The papilla-base incision technique may be preferred as reduction of pain levels, swelling and drug intake were more rapid in the first week postoperatively compared with cases in which a sulcular incision was used.
Quality of life after microscopic periradicular surgery using two different incision techniques : a randomized clinical study / M. Del Fabbro, S.L.M. Taschieri, R.L. Weinstein. - In: INTERNATIONAL ENDODONTIC JOURNAL. - ISSN 0143-2885. - 42:4(2009), pp. 360-367.
|Titolo:||Quality of life after microscopic periradicular surgery using two different incision techniques : a randomized clinical study|
DEL FABBRO, MASSIMO (Primo)
TASCHIERI, SILVIO LUIGI MARIA (Secondo)
WEINSTEIN, ROBERTO LODOVICO (Ultimo)
|Parole Chiave:||flap design ; periradicular surgery ; quality of life|
|Settore Scientifico Disciplinare:||Settore MED/28 - Malattie Odontostomatologiche|
|Data di pubblicazione:||2009|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1111/j.1365-2591.2008.01534.x|
|Appare nelle tipologie:||01 - Articolo su periodico|