Dressing after reverse bevel flap procedures.

Abstract

Abstract Effects of withholding a dressing and applying Coe‐Pak after reverse bevel flap procedures in periodontal surgery were compared in 24 patients. Maxillary and mandibular posterior segments were treated using a “split‐month” technique. Slight differences occurred between dressed and undressed segments. Gingival Index scores for the undressed segments were lower than those for the dressed segments at 7 days after operation, but by 21 and 28 days post‐operatively the position was reversed. Changes in gingival fluid flow followed a similar pattern but were not statistically significant. The 0.18 mm difference in crevice depth of the dressed as opposed to the undressed segments noted 28 days post‐operatively was statistically significant. Clinically satisfactory results were achieved in both instances. Post‐operative dressing was associated with a greater incidence of pain and swelling, but a reduced incidence of bleeding, sensitivity and eating difficulty. More patients stated a preference for no dressing should the operation have to be repeated. After reverse bevel flap procedures, no differences between dressed and undressed segments which would be likely to have practical significance were demonstrated, and it is therefore suggested that application of a dressing should be a matter of individual preference.