Patient Reported Outcome
Conditions
Keywords
quality of life, graft
Brief summary
The purpose of this study is to evaluate the quality of life of patients who underwent FGG surgery around the natural tooth and as a second surgery after the implant operation, in comparison with general oral health assesment index(GOHAI).
Detailed description
Thirty-two participants were included who were referred to the periodontology clinic suffering insufficient keratinized gingiva / mucosa deficiency around the implant and / or tooth/teeth. GOHAI-total and GOHAI psychological impact, functional limitation, pain and discomfort, behavioral impact subcategories were recorded at before and postoperative first week and 30th day. Also, satisfaction questionnaires, number of painkillers and visual analog scale values were recorded.
Interventions
PROCEDUREFree Gingival Graft
In the recipient area, a half-thickness flap with two vertical incision widths was removed with a horizontal incision with 15C blades from the mucogingival junction. The recipient site was determined such that one or two teeth or one tooth extends into the mesial and distal regions of the tooth. Muscle attachments were dissected and FGG was placed on recipient bed and non-resorbable monofilament sutures were used for fixing the four corners of the graft.
Sponsors
Kutahya Health Sciences University
Istanbul Aydın University
University of Beykent
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
The participants were defined as two study groups: Test Group (TG) consists of patients have free gingival graft around dental implant patients and Control Group (CG) consists of patients have free gingival graft around the teeth.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Non-smoking * Teeth and implants with keratinized gingiva width \<1 mm * A healthy periodontal and peri-implant condition * Patients who didn't have ever experience periodontal surgery had first oral surgery experience with dental FGG operation for the first time * Patients who underwent implant surgery for the first oral surgery experience * Maximum two teeth/implants on recipient area
Exclusion criteria
* Patients receiving any medication to disrupt wound healing * Lactation or pregnancy * Caries or defects on the tooth root surface * Periapical lesion in the recipient area active periodontal disease * Patients who have previously had periodontal or oral surgery experiences
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| General Oral Health Assesment Index (GOHAI) scores- intragroup comparisons change between from baseline to other follow-up times and intergroup comparisons all follow-up times | Baseline, postoperative 1., 2., 3., 4., 5., 6. and 7. days and first month. | The questions that contains 12 items and that give subcategorized about functional limitations, pain and discomfort, psychological impacts, and behavioral impact. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Age | baseline | 18-65 years |
Other
| Measure | Time frame | Description |
|---|---|---|
| Graft volume (GV) | during surgery | graft vertical height X graft mesiodistal length X graft thickness |
| Surgery localization | baseline | maxilla, mandible, anterior, posterior |
| Operation time | during surgery | operation time between of first incision and last suture |
| Gender | baseline | male, female |
| Visual Analog Scale (VAS) | postoperative 1., 2., 3., 4., 5., 6. and 7. days | a 100-mm horizontal scale and classify the level of postoperative pain experience from 0 (no pain) to 100 (the worst pain ever experienced) |
| Painkiller consumption | postoperative 1., 2., 3., 4., 5., 6. and 7. days | the total number of painkillers for each follow-up day |
| Satisfaction questionnaires | first month | A questionnaire designed by authors with 12 questions was used to assess patient satisfaction. Answers were either categorized as positive or negative. |
| Keratinized gingival width (KGW) | baseline, first month | the distance between the gingival margin and mucogingival junction from tooth/implant in operation area |
Countries
Turkey (Türkiye)
Outcome results
None listed