Evidence map›Paper›PMID 39728160›Full record

ReviewJournal of functional biomaterials2024

Patient Experience and Wound Healing Outcomes Using Different Palatal Protection Methods After Free Gingival Grafts: A Systematic Review.

Tomasz Jankowski, Agnieszka Jankowska, Mirona Palczewska-Komsa, Maciej Jedliński, Wojciech Kazimierczak, Joanna Janiszewska-Olszowska

Abstract readReview
In one paragraph

Review in Journal of functional biomaterials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tomasz JankowskiPrivate Practice Dental Clinic Jankowscy, Czerwonego Krzyża 24, 68-200 Żary, Poland.ORCID 0009-0004-4722-9627
Agnieszka JankowskaPrivate Practice Dental Clinic Jankowscy, Czerwonego Krzyża 24, 68-200 Żary, Poland.ORCID 0000-0001-5686-7808
Mirona Palczewska-KomsaDepartment of Dental Prosthetics, Pomeranian Medical University in Szczecin, 71-111 Szczecin, Poland.
Maciej JedlińskiDepartment of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 71-111 Szczecin, Poland.ORCID 0000-0003-3446-6119
Wojciech KazimierczakKazimierczak Private Medical Practice, Dworcowa 13/u6a, 85-009 Bydgoszcz, Poland.ORCID 0000-0002-8372-0550
Joanna Janiszewska-OlszowskaDepartment of Interdisciplinary Dentistry, Pomeranian Medical University in Szczecin, 71-111 Szczecin, Poland.ORCID 0000-0003-4374-2568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: A free gingival graft (FGG) is a common technique used to reconstruct or enhance the area of keratinized mucosa, while a connective tissue graft (CTG) is utilized to boost soft tissue thickness, thereby promoting stability in interproximal marginal bone levels. Most reported complications following FGG procedure are associated with the donor site. In addition to a painful, open wound in the palate, the most frequent complications linked to FGG harvesting include excessive bleeding, postoperative bone exposure, and recurrent herpes lesions. Numerous methods for securing the donor site after a free gingival graft surgery have been documented in research publications. The main objective of this systematic review was to assess various techniques for protecting the palate after graft harvesting and their impact on patient experience, with a focus on pain management. The secondary objective was to evaluate these techniques in relation to donor site wound healing. (2) Methods: The search was performed across four databases: Medline (PubMed Central), Scopus, Web of Science, and Embase, in accordance with PRISMA guidelines and the recommendations set forth in the Cochrane Handbook for Systematic Reviews of Interventions. The initial search took place on 9 October 2023, followed by an update on 28 June 2024. The search utilized the following keywords: ("wound" OR "injury") AND ("graft" OR "free gingival graft" OR "graft harvesting") AND ("healing" OR "recovery") AND "palate". (3) Results: After conducting the follow-up search, a total of 958 papers were identified: 193 from PubMed, 314 from Scopus, 101 from Web of Science, and 350 from Embase. Ultimately, of the 49 papers that remained, 11 were excluded due to not fulfilling the inclusion criteria, leaving 38 full-text papers on free gingival grafts (FGG) for qualitative analysis. (4) Conclusions: Various methods for palatal protection after free gingival grafts (FGG) are described in the literature, stemming from biological, physical, or chemical sources. Most studies in this review examined platelet-rich fibrin and suggested that it provides no benefits for patients' subjective experiences or wound healing outcomes. While photobiomodulation appears to support wound epithelialization, it does not influence pain perception. Alternatives such as propolis, hyaluronic acid, and medicinal plant extracts show potential for palatal protection; however, further research is needed to thoroughly evaluate their effectiveness.

Indexed as

donor sitefree gingival graftpain perceptionperiodontologyplatelet-rich fibrinwound healing

Identifiers

PMID39728160
PMCPMC11728202

What Socratic holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.