Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar

[Objective:] To explore the efficacy of concentrated growth factor (CGF) in promoting wound healing after extraction of mandibular impacted third molar and its influences on distal osseous defect depth (ODD) of second molar, clinical attachment level (CAL) and pain stress indexes. [Methods:] A total...

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Main Authors: ZHANG Guangye, XIONG Jiwen, YANG Shiyi, WANG Gang, YOU Didi, GAO Qianqian
Format: Article
Language:zho
Published: Editorial Office of Journal of Oral and Maxillofacial Surgery 2024-08-01
Series:Kouqiang hemian waike zazhi
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Online Access:https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.04.007
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author ZHANG Guangye
XIONG Jiwen
YANG Shiyi
WANG Gang
YOU Didi
GAO Qianqian
author_facet ZHANG Guangye
XIONG Jiwen
YANG Shiyi
WANG Gang
YOU Didi
GAO Qianqian
author_sort ZHANG Guangye
collection DOAJ
description [Objective:] To explore the efficacy of concentrated growth factor (CGF) in promoting wound healing after extraction of mandibular impacted third molar and its influences on distal osseous defect depth (ODD) of second molar, clinical attachment level (CAL) and pain stress indexes. [Methods:] A total of 96 patients undergoing extraction of mandibular impacted third molar in the hospital between January and December 2022 were enrolled. According to random number table method, they were divided into research group (n=48) and control group (n=48). After extraction, control group was not given any implant, while research group was given CGF congelation. The postoperative scores of visual analogue scale (VAS), degree of facial swelling, contents of pain stress indexes [5-hydroxytryptamine (5-HT), galactosamine (Gal), calcitonin gene-related peptide (CGRP)], ODD, CAL and postoperative quality of life [postoperative symptom severity scale (PoSSe):] were compared between the two groups. [Results:] At 1 d, and 3 d after surgery, VAS scores in research group were (3.72±0.56) and (2.94±0.43) points, significantly lower than those in control group [(4.81±0.61), (3.86±0.57) points; P<0.001]. After surgery, degree of facial swelling in research group was milder than that in control group [(2.79±0.64) mm vs (5.46±1.22) mm, P<0.001]. At 3 d after surgery, the levels of 5-HT, Gal and CGRP were increased in both groups, which were lower in research group than those before surgery [(2.46±0.68) ng/mL, (9.56±1.42) nmol/mL, (1.76±0.52) ng/mL vs (3.15±0.46) ng/mL, (13.19±1.08) nmol/mL, (2.89±0.44) ng/mL; P<0.001]. At 6 months after surgery, the levels of ODD and CAL were lower than those at one week after surgery in both groups, which were lower in research group than control group [(4.21±0.87), (0.48±0.12) mm vs (5.75±0.61), (0.73±0.19) mm; P<0.001]. PoSSe scores in research group were lower than those in control group (P<0.01). [Conclusion:] CGF can reduce levels of pain stress indexes after extraction of mandibular impacted third molar, relieve pain and facial swelling, and improve postoperative quality of life in patients.
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spelling doaj-art-00c72aa5fe50488198d5530b55f91c512025-08-25T06:11:14ZzhoEditorial Office of Journal of Oral and Maxillofacial SurgeryKouqiang hemian waike zazhi1005-49792024-08-0134429529910.12439/kqhm.1005-4979.2024.04.007Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molarZHANG Guangye0XIONG Jiwen1YANG Shiyi2WANG Gang3YOU Didi4GAO Qianqian5Department of Stomatology, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230012, ChinaDepartment of Stomatology, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230012, ChinaDepartment of Stomatology, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230012, ChinaDepartment of Stomatology, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230012, ChinaDepartment of Stomatology, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230012, ChinaDepartment of Stomatology, the Second People's Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei 230012, China[Objective:] To explore the efficacy of concentrated growth factor (CGF) in promoting wound healing after extraction of mandibular impacted third molar and its influences on distal osseous defect depth (ODD) of second molar, clinical attachment level (CAL) and pain stress indexes. [Methods:] A total of 96 patients undergoing extraction of mandibular impacted third molar in the hospital between January and December 2022 were enrolled. According to random number table method, they were divided into research group (n=48) and control group (n=48). After extraction, control group was not given any implant, while research group was given CGF congelation. The postoperative scores of visual analogue scale (VAS), degree of facial swelling, contents of pain stress indexes [5-hydroxytryptamine (5-HT), galactosamine (Gal), calcitonin gene-related peptide (CGRP)], ODD, CAL and postoperative quality of life [postoperative symptom severity scale (PoSSe):] were compared between the two groups. [Results:] At 1 d, and 3 d after surgery, VAS scores in research group were (3.72±0.56) and (2.94±0.43) points, significantly lower than those in control group [(4.81±0.61), (3.86±0.57) points; P<0.001]. After surgery, degree of facial swelling in research group was milder than that in control group [(2.79±0.64) mm vs (5.46±1.22) mm, P<0.001]. At 3 d after surgery, the levels of 5-HT, Gal and CGRP were increased in both groups, which were lower in research group than those before surgery [(2.46±0.68) ng/mL, (9.56±1.42) nmol/mL, (1.76±0.52) ng/mL vs (3.15±0.46) ng/mL, (13.19±1.08) nmol/mL, (2.89±0.44) ng/mL; P<0.001]. At 6 months after surgery, the levels of ODD and CAL were lower than those at one week after surgery in both groups, which were lower in research group than control group [(4.21±0.87), (0.48±0.12) mm vs (5.75±0.61), (0.73±0.19) mm; P<0.001]. PoSSe scores in research group were lower than those in control group (P<0.01). [Conclusion:] CGF can reduce levels of pain stress indexes after extraction of mandibular impacted third molar, relieve pain and facial swelling, and improve postoperative quality of life in patients.https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.04.007concentrated growth factormandibular impacted third molardistal osseous defect depth of second molarclinical attachment levelpain stress index
spellingShingle ZHANG Guangye
XIONG Jiwen
YANG Shiyi
WANG Gang
YOU Didi
GAO Qianqian
Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
Kouqiang hemian waike zazhi
concentrated growth factor
mandibular impacted third molar
distal osseous defect depth of second molar
clinical attachment level
pain stress index
title Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
title_full Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
title_fullStr Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
title_full_unstemmed Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
title_short Application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
title_sort application of concentrated growth factor in promoting wound healing and alleviating postoperative reactions after extraction of mandibular impacted third molar
topic concentrated growth factor
mandibular impacted third molar
distal osseous defect depth of second molar
clinical attachment level
pain stress index
url https://journal06.magtech.org.cn/Jweb_joms/EN/10.12439/kqhm.1005-4979.2024.04.007
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