A Comparison of a Periodontal Dressing and Chlorhexidine Gluconate Mouthwash After the Internal Bevelled Flap Procedure

Newman, P. S.; Addy, M.

doi:10.1902/jop.1978.49.11.576

Cited by 23 publications

(15 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, clinical experience frequently reveals that exposed dentine created by toothbrush abrasion may be extremely sensitive yet free of plaque. Similar findings are now encountered after periodontai surgery where newly exposed dentine becomes progressively more sensitive during the initial post-operative days or weeks, yet plaque accumulation can be inhibited by the use of antiplaque agents such as chlorhexidine (Newman & Addy 1978.…”

supporting

confidence: 64%

Dentine hypersensitivity ‐ A review

Dowell

Addy

1983

J Clinic Periodontology

Self Cite

216

111

View full text Add to dashboard Cite

The exposure of cervical dentine has a multifactorial aetiology and pain may frequently be elicited by a number of stimuli. Management of the condition, dentine hypersensitivity, tends to be empirical because of the lack of knowledge concerning the mechanism of pain transmission through dentine. The pulpal changes associated with the condition and any modulating effect on symptoms are by no means clearly established. Evidence suggests that exposed dentine which is sensitive exhibits patent tubules. The question of how pain is initiated across the dentine has received considerable attention but still remains somewhat debatable. The literature reviewed indicates that, at most, nerve fibres only penetrate a limited distance along some dentinal tubules. The theories that either the odontoblasts and their processes act as dentinal receptors or the nerves in the pulp are the pain receptors, are discussed. Evidence for the stimulation of pulp nerve fibres by a hydrodynamic mechanism would appear the most likely mechanism. Nevertheless, whichever theory proves to be correct, occlusion of dentinal tubules would appear an essential prerequisite for an effective desensitising agent.

show abstract

supporting

confidence: 64%

Dentine hypersensitivity ‐ A review

Dowell

Addy

1983

J Clinic Periodontology

Self Cite

216

111

View full text Add to dashboard Cite

show abstract

“…So far only CHX and an essential oil mouthwash have been tested postsurgically. 5,19,[27][28][29] Sanz et al compared CHX 0.12% with placebo in post-periodontal surgical therapy. 19 A periodontal dressing was used in both study groups.…”

Section: Discussionmentioning

confidence: 99%

Amine Fluoride/Stannous Fluoride and Chlorhexidine Mouthwashes as Adjuncts to Surgical Periodontal Therapy: A Comparative Study

Horwitz

Machtei

Peled

et al. 2000

Journal of Periodontology

View full text Add to dashboard Cite

show abstract

“…Growth factors may lead to new strategies in improvement of soft tissue healing, including skin, mucosa, and nerve tissue (69). Management of bacterial growth in the oral environment during the healing phase has been successfully influenced by 0.2% chlorhexidine rinse in the first postoperative weeks (70).…”

Section: Suture Removalmentioning

confidence: 99%

Soft tissue management: suturing and wound closure

Velvart¹,

Peters²,

Peters³

2005

Endodontic Topics

View full text Add to dashboard Cite

The healing capacity of oral tissues is excellent. Flap design should allow maintenance of optimal and sufficient blood supply to all mobilized and immobilized portions of the soft tissues. With prolonged duration of the surgical procedure, especially when a high degree of hemostasis has been achieved, there is a risk of drying out of tissues. The surgical site must be kept moist to minimize shrinkage of the reflected tissue flap. In surgical endodontics, the marginal epithelium and connective tissue are not removed, but are left intact on the tooth surface subsequent to tissue incision, elevation, and reflection. The treatment is aimed at maintaining vitality and survival of these tissues in order to facilitate and expedite the healing process. Ideally, wound healing does not result in new attachment formation, but preferably in reattachment, or healing by primary intention. The re‐approximated tissue flap should rest passively in the desired place before suturing, reducing tension on the flap margins. In general, tissue trauma, such as stretching, tearing, or distortion should be avoided at all times. Gentle and careful manipulation with microsurgical instruments is helpful. As every placement of a suture poses additional injury to the wound margins, the smallest possible number of sutures should be used. Non‐absorbable suture materials in sizes 6‐0 to 8‐0 are preferred and absorbable material is only recommended in multilayered closure. Sutures must not act as ligatures and should exert minimal tension. Time required for the wound to heal is closely related to the gap between tissue wound margins. Therefore, perfect adaptation will allow earlier suture removal. Wound support is only needed until the healing process has progressed to such an extent that the tissue can withstand functional forces.

show abstract

A Comparison of a Periodontal Dressing and Chlorhexidine Gluconate Mouthwash After the Internal Bevelled Flap Procedure

Cited by 23 publications

References 7 publications

Dentine hypersensitivity ‐ A review

Dentine hypersensitivity ‐ A review

Amine Fluoride/Stannous Fluoride and Chlorhexidine Mouthwashes as Adjuncts to Surgical Periodontal Therapy: A Comparative Study

Soft tissue management: suturing and wound closure

Contact Info

Product

Resources

About