Healing Surgical Wounds
Conditions
Keywords
Platelet Rich Fibrin, Wound Healing, Implant Uncovering
Brief summary
This study represents a prospective, controlled and randomized clinical trial assessing the effects of L-PRF on the healing time of the donor area and on the patient's postoperative morbidity in the 4 weeks following the Apically Positioned Flap (APF) procedure in the uncovering phase of two-stage implants. A total of 40 patients were recruited and divided into two groups. The implant uncovering procedure in the test group was performed with APF and application of L-PRF on the donor area. Patients in the control group, on the other hand, were treated with APF alone, leaving the donor area to heal by secondary intention.
Interventions
After implant uncovering procedure with apically positioned flap, the donor area is covered with a layer of L-PRF
After implant uncovering procedure with apically positioned flap, the donor area is left to heal by secondary intention
Sponsors
Study design
Eligibility
Inclusion criteria
* to have at least one implant in the maxilla with a quantity of vestibular keratinized gingiva \< 2 mm * to be in good systemic health * to have a good oral hygiene (FMPS and FMBS \< 20%)
Exclusion criteria
* systemic diseases: coagulation disorders; medications affecting periodontal status in the previous 6 months; pregnancy or lactation; * smoking habits; * peri-implant surgery on the experimental sites.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complete re-epithelialization of the wound of donor area (CWE) | 4 weeks | Time needed to obtain a complete re-epithelialization of the wound of donor area |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Post-Operative Discomfort (D) | 4 weeks | Evaluation of post-operative discomfort using Visual Analogue Scale (VAS).The scale is represented by a straight horizontal line of fixed length, generally 10 cm. Extremities are defined as extreme limits of the parameter to be measured, oriented from left (worst) to right (best). |
| Changes in Feedind Habits (CFH) | 4 weeks | Evaluation of changes in patients' feedind habits using Visual Analogue Scale (VAS).The scale is represented by a straight horizontal line of fixed length, generally 10 cm. Extremities are defined as extreme limits of the parameter to be measured, oriented from left (worst) to right (best). |
| Consumption of Analgesics (AU) | 4 weeks | Assessment of postoperative pain by the number of analgesics taken |
| Alteration of Sensivity (AS) | 4 weeks | Evaluation of alteration of sensivity on donor area |
Countries
Italy