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Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review J Oral Maxillofac Res 2022;13(3):e1 doi:10.5037/jomr.2022.13301 Abstract | HTML | PDF | XML |
Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
1Centre of Education and Research on Dental Implants (CEPID), Department of Dentistry, Federal University of Santa Catarina; Florianópolis, Brazil.
2Dentistry Faculty, University of Southern Santa Catarina, Palhoça, SC, Brazil.
3Brazilian Centre for Evidence-Based Research, Department of Dentistry, Federal University of Santa Catarina, Florianopolis, Brazil.
4Dentistry Faculty, Universidad de Las Américas (UDLA), Quito, Ecuador.
5Laboratory of Applied Virology; Department of Microbiology, Immunology and Parasitology; Federal University of Santa Catarina, Florianópolis, Brazil.
6Ceramic and Composite Materials Research Group, Department of Mechanical Engineering, Federal University of Santa Catarina, Florianópolis, Brazil.
Corresponding Author:
Departamento de Odontologia
Universidade Federal de Santa Catarina, Centro de Ciências da Saúde
CEPID, Campus Universitário Reitor João David Ferreira Lima, bairro Trindade, Florianópolis - SC, CEP: 88040-900
Brazil
Phone: +55(48)999474838
Fax: +55(48)37219077
E-mail: renatasbrum@live.com
ABSTRACT
Objectives: The aim of the present systematic review was to evaluate the dimensional influence of the epithelialized tissue graft harvested from the palate in the postoperative pain.
Material and Methods: Research was conducted in electronic databases Cochrane Library, Embase, LILACS, PubMed, Scopus, and Web of Science upwards May 15, 2022. Studies that reported the influence of graft dimensions of palatal epithelized harvesting on postoperative pain were eligible. The evaluation was made using the methodological quality assessment by Joanna Briggs Institute Critical Appraisal Checklist for randomized clinical trials and non-randomized studies and the level of evidence according to GRADE.
Results: Four studies were included. The clinical and methodological heterogeneity among studies led to an analysed narrative. The postoperative pain was assessed during the period of 1 to 28 postoperative days. It was determined by using visual analog score in three studies, while the evaluation was performed indirectly based on analgesics intake in one study. According to three studies, bigger graft sizes were associated with higher postoperative pain. The methodological quality assessment categorized two study as high (one randomized control trial and one non-randomized), and two as moderate (one randomized control trial and one non-randomized). The data was considered moderate.
Conclusions: Based on the moderate certainty level, bigger graft sizes of palatal epithelized harvesting appear to promote more postoperative pain. Understanding the postoperative pain as a response to a graft extension may assist some clinical decisions regarding the surgical periodontal and peri-implant planning.
J Oral Maxillofac Res 2022;13(3):e1
doi: 10.5037/jomr.2022.13301
Accepted for publication: 30 September 2022
Keywords: autografts; periodontal guided tissue regeneration; systematic review; wound healing.
To cite this article: Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review J Oral Maxillofac Res 2022;13(3):e1 URL: http://www.ejomr.org/JOMR/archives/2022/1/e1/v13n3e1ht.htm |
Received: 12 July 2022 | Accepted: 30 September 2022 | Published: 30 September 2022
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2022.