Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review

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, Sco...

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Main Authors: Mario Escobar, Renata Scheeren Brum, Karin Apaza-Bedoya, Patrícia Pauletto, Cesar Augusto Magalhães Benfatti, Ariadne Cristiane Cabral Cruz, Bruno Alexandre Pacheco Castro Henriques
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2022-09-01
Series:eJournal of Oral Maxillofacial Research
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Online Access:https://www.ejomr.org/JOMR/archives/2022/3/e1/v13n3e1ht.htm
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author Mario Escobar
Renata Scheeren Brum
Karin Apaza-Bedoya
Patrícia Pauletto
Cesar Augusto Magalhães Benfatti
Ariadne Cristiane Cabral Cruz
Bruno Alexandre Pacheco Castro Henriques
author_facet Mario Escobar
Renata Scheeren Brum
Karin Apaza-Bedoya
Patrícia Pauletto
Cesar Augusto Magalhães Benfatti
Ariadne Cristiane Cabral Cruz
Bruno Alexandre Pacheco Castro Henriques
author_sort Mario Escobar
collection DOAJ
description 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.
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spelling doaj-art-de618868c42e41f7ba04dcb47a8f97442025-08-20T03:18:13ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2022-09-01133e110.5037/jomr.2022.13301Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic ReviewMario EscobarRenata Scheeren BrumKarin Apaza-BedoyaPatrícia PaulettoCesar Augusto Magalhães BenfattiAriadne Cristiane Cabral CruzBruno Alexandre Pacheco Castro HenriquesObjectives: 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.https://www.ejomr.org/JOMR/archives/2022/3/e1/v13n3e1ht.htmautograftsperiodontal guided tissue regenerationsystematic reviewwound healing
spellingShingle Mario Escobar
Renata Scheeren Brum
Karin Apaza-Bedoya
Patrícia Pauletto
Cesar Augusto Magalhães Benfatti
Ariadne Cristiane Cabral Cruz
Bruno Alexandre Pacheco Castro Henriques
Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
eJournal of Oral Maxillofacial Research
autografts
periodontal guided tissue regeneration
systematic review
wound healing
title Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
title_full Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
title_fullStr Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
title_full_unstemmed Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
title_short Dimensional Influence of Epithelialized Tissue Graft Harvested From Palate on Postoperative Pain: a Systematic Review
title_sort dimensional influence of epithelialized tissue graft harvested from palate on postoperative pain a systematic review
topic autografts
periodontal guided tissue regeneration
systematic review
wound healing
url https://www.ejomr.org/JOMR/archives/2022/3/e1/v13n3e1ht.htm
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