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Quality of life after microscopic periradicular surgery using two different incision techniques: a randomized clinical study
Author(s) -
Del Fabbro M.,
Taschieri S.,
Weinstein R.
Publication year - 2009
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.1365-2591.2008.01534.x
Subject(s) - medicine , visual analogue scale , surgery , quality of life (healthcare) , dentistry , analgesic , major duodenal papilla , anesthesia , nursing
Aim To monitor the quality of life of patients after periradicular surgery when two different flap designs were used. Methodology Forty patients with teeth having a periradicular lesion of endodontic origin were included according to specific selection criteria. Patients were randomly assigned to two groups. In one group a sulcular incision (SI) with complete papilla mobilization was made, and in the other group a papilla‐base incision (PBI) was used. Periradicular surgery was performed using a surgical microscope. Parameters related to life quality were recorded daily in the first week post‐surgery using a questionnaire. Pain was evaluated with a 0–100 visual analog scale (VAS). Other symptoms (swelling, bleeding and nausea), plus functions (chewing, speaking, sleeping, daily routine and work) were assessed using a five‐point scale. Analgesic intake was recorded. Fisher’s test and unpaired t ‐test were used to assess the difference between groups. Results The VAS score for pain, and the scores for swelling, chewing and phonetic impairment, peaked on days 1 and 2 postoperatively. A significant difference in favour of the PBI group was found for chewing and swelling in the first 4 days. Starting from day 3 post‐surgery, the PBI group reported a significantly more rapid decrease in pain levels and analgesics use than the SI group ( P < 0.05). The other parameters were similar in the two groups. Conclusions The papilla‐base incision technique may be preferred as reduction of pain levels, swelling and drug intake were more rapid in the first week postoperatively compared with cases in which a sulcular incision was used.