Gingival tissue response following placement of a light cure dressing and a non-eugenol dressing after periodontal flap procedure: A comparative clinical study

Abstract

Aim:The aim was to compare the gingival tissue response following placement of a light cure dressing (Barricaid®) and a non-eugenol periodontal dressing (Coe-Pak™) after periodontal flap procedure. This was carried out by evaluating plaque deposition underneath both the dressings, healing response and the patient preference for each.Materials and Methods:A total of 12 patients with chronic generalized periodontitis requiring surgery in at least two different quadrants were enrolled for this split-mouth study. After periodontal flap surgery, Coe-Pak™ was placed in the quadrant assigned to Group I and Barricaid® was placed in the other quadrant assigned to Group II. Clinical parameters were recorded on day 7 and day 14. Patient comfort and pain levels were also evaluated by a questionnaire.Results:There were no statistically significant differences in wound healing and the clinical gingival parameters between two groups. The only significant difference was found in the plaque attached underneath the dressing, with Coe-Pak™ showing greater plaque accumulation than Barricaid®. Seventy five (75) % of the patients preferred Barricaid® over Coe-Pak™, based on its appearance and taste.Conclusion:The non-eugenol dressing seemed to retain more plaque on its undersurface than light-cure dressing. However, this did not have much influence on the healing outcome and clinical gingival parameters, which were optimal and comparable in both groups. The greater number of patients showed a preference for light cure dressing, based on its superior esthetics and taste.

Assessment of Clinical Efficacy of Different Periodontal Dressing Materials on Wound Healing: A Comparative Study

“…The clinical performance of the periodontal dressing materials such as plaque, bleeding score, and healing was found to be acceptable. 18 A large sample study can yield more accurate evidence and nature of plaque can be more specifically analyzed microbially.…”

Clinical comparison of the periodontal pack with and without L-PRF on post-operative pain after surgical gingival depigmentation: A Randomized Clinical Trial

“…The periodontal pack protects the wound from mechanical injury, stability of the blood clot that promotes better wound healing, more patient comfort, prevents post-operative bleeding and infection (Harpenan, 2003). However, there is a debate with regards to its effect on wound healing as well as increased plaque accumulation (Kakar et al, 2018) Platelet Rich Fibrin (PRF) was first used by Choukroun et al in 2001 in dentistry which is a new generation of platelet concentrates. PRF consists of an autologous leukocyteplatelet-rich fibrin matrix, composed of a tetra molecular structure, with cytokines, platelets and stem cells within it, which acts as a biodegradable scaffold that favours the development of micro vascularization and is able to guide epithelial cell migration to its surface (Dohan et al, 2006) PRF has the property of acting as a scaffold to deliver cells crucial for regeneration along with constant release of growth factors that allows for accelerated wound healing.…”