Evalution Of the Patiens Oral Health Related Quality of Life After Harvesting Free Gingival Graft

Abstract

Objectives: Oral Health Related Quality of Life is the individual's perception of how oral health affects the quality of life and general health. Periodontal plastic surgery procedures have been reported to negatively affect the quality of life of patients after the operations. The aim of this study was to evaluate the effects of different treatment procedures applied for wound healing of the donor palate site after free gingival graft (FGG) operations on the quality of life.Materials and Methods: After FGG harvesting, 60 patients’ palatal donor sites were randomly assigned one of the six groups, giving 10 participants per group. Palatal wounds were treated with platelet-rich fibrin (PRF), essix retainer, ozone therapy, low-level laser therapy (LLLT) or collagen fleece. As a control group, palatal donor sites were left to secondary healing without any of the treatment procedures. After the postoperative procedures, The Oral Health Impact Profile (OHIP-14) questions were asked to patients to evaluate their quality of life, whereas parameters in relation to postoperative morbidity were analyzed by using Visual Analogue Scale (VAS).Results: Regarding to the questions belonging Turkish version of OHIP-14 (OHIP-14 TR), there were statistically significant relationships between the group categorical variables and the categorical results of question 7 and 10 (p=0.002 and p=0.015). For these questions, the lowest scores were mostly given in the LLLT group. No statistically significant difference was observed between the study groups and total OHIP scores (TOHIP) and the means of 7 subscales of OHIP-14 (p>0.05). Significant differences were found between PRF-ozone groups on the 5th day (p=0.011) for mean VAS scores exhibiting postoperative pain.Conclusions: It has been observed that applying LLLT procedures to the donor wound area following FGG operations may have positive effects on the quality of life and PRF treatments may be more effective in terms of patient comfort after operation.