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

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

doi:10.7126/cumudj.452909

EN

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

Abstract

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.

Keywords

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

References

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.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Sıla Çağrı İşler ^*
0000-0001-5419-9658
Türkiye

Ahu Uraz
0000-0001-6281-6855
Türkiye

Janset Şengül
0000-0001-5699-6781
Türkiye

Miray Çakıroğlu
0000-0002-6919-7986
Türkiye

Batuhan Bakırarar
0000-0002-5662-8193
Türkiye

Deniz Çetiner
0000-0002-1903-2999
Türkiye

Publication Date

March 13, 2019

Submission Date

August 13, 2018

Acceptance Date

December 13, 2018

Published in Issue

Year 1970 Volume: 22 Number: 1

DOI

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

IZ

https://izlik.org/JA62CT76KK

Cite

RIS / Bibtex

EndNote

İşler SÇ, Uraz A, Şengül J, Çakıroğlu M, Bakırarar B, Çetiner D (March 1, 2019) Evalution Of the Patiens Oral Health Related Quality of Life After Harvesting Free Gingival Graft. Cumhuriyet Dental Journal 22 1 11–21.

Cited By

Postoperative local interventions for the palate as a gingival graft donor area: a scoping review

Clinical Oral Investigations

https://doi.org/10.1007/s00784-023-05296-5

Is there an effective way to control pain perception after free gingival graft removal? A systematic review and meta-analysis

Brazilian Dental Journal

https://doi.org/10.1590/0103-6440202305503

Wound‐healing agents for palatal donor area: A network meta‐analysis

Clinical Oral Implants Research

https://doi.org/10.1111/clr.14241

Performance of multiple therapeutic approaches for palatal wound healing after soft tissue graft removal – an overview of systematic reviews

Clinical Oral Investigations

https://doi.org/10.1007/s00784-024-05733-z

Bioactive materials for post-operative healing and pain relief following palatal epithelialized graft harvesting: A meta-analysis of randomized clinical trials

Journal of Dental Sciences

https://doi.org/10.1016/j.jds.2024.11.013

Impact of platelet-rich fibrin derivatives on patient morbidity and quality of life in palatal donor sites following free gingival graft surgery: a randomized clinical trial

Clinical Oral Investigations

https://doi.org/10.1007/s00784-024-06023-4

Enhanced Palatal Wound Healing with Leucocyte- and Platelet-Rich Fibrin After Free Gingival Graft Harvesting: A Prospective Randomized Controlled Clinical Trial

Journal of Clinical Medicine

https://doi.org/10.3390/jcm14031029

Does Laser-LED Photobiomodulation Therapy Alleviate Swlling, Pain, and Trismus Following Impacted Third Molar Extraction?

Cumhuriyet Dental Journal

https://doi.org/10.7126/cumudj.1615267

Efficacy of different interventions on the morbidity of the palatal donor area after free gingival graft and connective tissue graft: A systematic review

Japanese Dental Science Review

https://doi.org/10.1016/j.jdsr.2025.03.001

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

Öz

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

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite

Cited By

Postoperative local interventions for the palate as a gingival graft donor area: a scoping review

Is there an effective way to control pain perception after free gingival graft removal? A systematic review and meta-analysis

Wound‐healing agents for palatal donor area: A network meta‐analysis

Performance of multiple therapeutic approaches for palatal wound healing after soft tissue graft removal – an overview of systematic reviews

Bioactive materials for post-operative healing and pain relief following palatal epithelialized graft harvesting: A meta-analysis of randomized clinical trials

Impact of platelet-rich fibrin derivatives on patient morbidity and quality of life in palatal donor sites following free gingival graft surgery: a randomized clinical trial

Enhanced Palatal Wound Healing with Leucocyte- and Platelet-Rich Fibrin After Free Gingival Graft Harvesting: A Prospective Randomized Controlled Clinical Trial

Does Laser-LED Photobiomodulation Therapy Alleviate Swlling, Pain, and Trismus Following Impacted Third Molar Extraction?

Efficacy of different interventions on the morbidity of the palatal donor area after free gingival graft and connective tissue graft: A systematic review

Use of Platelet‐Rich Fibrin (PRF) on Palatal Wound Healing: A Narrative Review With Clinical Recommendations

Palatal pre‐suturing effects on hemostasis and morbidity in connective tissue grafting: A randomized controlled trial

Analgesic effects of platelet‐rich fibrin (PRF): A systematic review

Postoperative pain control after free gingival graft: a systematic review and meta-analysis of RCTS

Postoperative pain and morbidity at the donor site after palatal soft tissue harvesting: a systematic review

Postoperative complications at the palatal donor site following autologous soft tissue grafting: a systematic review

Yumuşak Doku Cerrahileri Sonrası Damak Yaralarının İyileşmesi: Örtücü Materyaller ve Etkinlikleri Üzerine Bir Derleme