The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial
One of the most common procedures in oral surgery is the removal of impacted mandibular third molars, often followed by pain, swelling, alveolitis, and trismus. Purpose. To compare the outcomes of the intrasocket application of 1% hyaluronic acid oral gel (HA) and advanced platelet-rich fibrin (A-PR...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-01-01
|
| Series: | International Journal of Biomaterials |
| Online Access: | http://dx.doi.org/10.1155/2023/1883460 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559314877808640 |
|---|---|
| author | Thoulfokar Shokor Al-Saadi Ahmed Fadhel Al-Quisi |
| author_facet | Thoulfokar Shokor Al-Saadi Ahmed Fadhel Al-Quisi |
| author_sort | Thoulfokar Shokor Al-Saadi |
| collection | DOAJ |
| description | One of the most common procedures in oral surgery is the removal of impacted mandibular third molars, often followed by pain, swelling, alveolitis, and trismus. Purpose. To compare the outcomes of the intrasocket application of 1% hyaluronic acid oral gel (HA) and advanced platelet-rich fibrin (A-PRF) on the expected postoperative complications, pain, swelling, and trismus follow the surgical extraction of the impacted mandibular third molar. Material and Methods. A randomized controlled trial was conducted at the Oral and Maxillofacial Surgery Unit, Dental Teaching Hospital. Healthy patients who required surgical removal of the impacted mandibular third molar were divided randomly into three groups. The extraction site of the group (A) patients remained without the addition of any material, just suturing of the wound with simple interrupted sutures, while in group (B) patients, the extraction site was filled with 1 cc of 1% hyaluronic acid gel (periokin®), and in group C patients, the extraction site was filled with A-PRF. Results. Sixty-six eligible patients participated in this study; both hyaluronic acid gel 1% (periokin®) and advanced platelet-rich fibrin showed a significant reduction in pain, swelling, and trismus on the 1st, third, and seventh postoperative days when compared to the control group, while the comparison between HA and A-PRF showed no significant differences except for the pain on the third postoperative day. There was a significant pain decrease in the A-PRF group than HA group. Conclusion. Intrasocket application of 1% hyaluronic acid gel (periokin®) or advanced platelet-rich fibrin can be an effective primary way to significantly reduce postoperative pain, trismus, and edema compared to the control group following mandibular third molar surgery. |
| format | Article |
| id | doaj-art-e3c7d833b07b41fd890ef741964ea0c8 |
| institution | Kabale University |
| issn | 1687-8795 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Biomaterials |
| spelling | doaj-art-e3c7d833b07b41fd890ef741964ea0c82025-02-03T01:30:23ZengWileyInternational Journal of Biomaterials1687-87952023-01-01202310.1155/2023/1883460The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled TrialThoulfokar Shokor Al-Saadi0Ahmed Fadhel Al-Quisi1Oral and Maxillofacial Surgery DepartmentOral and Maxillofacial Surgery DepartmentOne of the most common procedures in oral surgery is the removal of impacted mandibular third molars, often followed by pain, swelling, alveolitis, and trismus. Purpose. To compare the outcomes of the intrasocket application of 1% hyaluronic acid oral gel (HA) and advanced platelet-rich fibrin (A-PRF) on the expected postoperative complications, pain, swelling, and trismus follow the surgical extraction of the impacted mandibular third molar. Material and Methods. A randomized controlled trial was conducted at the Oral and Maxillofacial Surgery Unit, Dental Teaching Hospital. Healthy patients who required surgical removal of the impacted mandibular third molar were divided randomly into three groups. The extraction site of the group (A) patients remained without the addition of any material, just suturing of the wound with simple interrupted sutures, while in group (B) patients, the extraction site was filled with 1 cc of 1% hyaluronic acid gel (periokin®), and in group C patients, the extraction site was filled with A-PRF. Results. Sixty-six eligible patients participated in this study; both hyaluronic acid gel 1% (periokin®) and advanced platelet-rich fibrin showed a significant reduction in pain, swelling, and trismus on the 1st, third, and seventh postoperative days when compared to the control group, while the comparison between HA and A-PRF showed no significant differences except for the pain on the third postoperative day. There was a significant pain decrease in the A-PRF group than HA group. Conclusion. Intrasocket application of 1% hyaluronic acid gel (periokin®) or advanced platelet-rich fibrin can be an effective primary way to significantly reduce postoperative pain, trismus, and edema compared to the control group following mandibular third molar surgery.http://dx.doi.org/10.1155/2023/1883460 |
| spellingShingle | Thoulfokar Shokor Al-Saadi Ahmed Fadhel Al-Quisi The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial International Journal of Biomaterials |
| title | The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial |
| title_full | The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial |
| title_fullStr | The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial |
| title_full_unstemmed | The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial |
| title_short | The Influence of the Hyaluronic Acid Gel on the Postoperative Sequelae following Surgical Removal of the Impacted Mandibular Third Molar in Comparison with the A-PRF: A Randomized Controlled Trial |
| title_sort | influence of the hyaluronic acid gel on the postoperative sequelae following surgical removal of the impacted mandibular third molar in comparison with the a prf a randomized controlled trial |
| url | http://dx.doi.org/10.1155/2023/1883460 |
| work_keys_str_mv | AT thoulfokarshokoralsaadi theinfluenceofthehyaluronicacidgelonthepostoperativesequelaefollowingsurgicalremovaloftheimpactedmandibularthirdmolarincomparisonwiththeaprfarandomizedcontrolledtrial AT ahmedfadhelalquisi theinfluenceofthehyaluronicacidgelonthepostoperativesequelaefollowingsurgicalremovaloftheimpactedmandibularthirdmolarincomparisonwiththeaprfarandomizedcontrolledtrial AT thoulfokarshokoralsaadi influenceofthehyaluronicacidgelonthepostoperativesequelaefollowingsurgicalremovaloftheimpactedmandibularthirdmolarincomparisonwiththeaprfarandomizedcontrolledtrial AT ahmedfadhelalquisi influenceofthehyaluronicacidgelonthepostoperativesequelaefollowingsurgicalremovaloftheimpactedmandibularthirdmolarincomparisonwiththeaprfarandomizedcontrolledtrial |