A comparative study of the postoperative effects of 0.2% hyaluronic acid and 0.2% chlorhexidine + 1% panthenol in tooth extractions performed at the Dr. René Puig Bentz Dental Clinic of the Pedro Henríquez Ureña National University.
Description
The null hypothesis states that: There is no significant difference in efficacy between 0.2% AH and 0.2% chlorhexidine + 1% panthenol gel in post-surgical treatment; while the alternative hypothesis states that: 0.2% AH gel is more effective than 0.2% chlorhexidine + 1% panthenol as an adjunct in the post-surgical process for simple extractions. Data collected from the alveolar area were compared between AH patients and CH patients. Similarly, the other variables collected were compared based on the type of compound. The analyses performed demonstrated that there were no significant differences between the effectiveness of both compounds, as well as their management of pain, bleeding, and other variables; supporting the null hypothesis proposed. However, both achieved optimal post-surgical recovery. This means that both compounds are equally effective in promoting healing, pain control, bleeding management, and other outcomes in patients following simple extractions.
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The objective of this study was to compare the efficacy of 0.2% hyaluronic acid gel versus 0.2% chlorhexidine combined with 1% panthenol in the postoperative recovery of patients who underwent a simple tooth extraction. The hypothesis was that hyaluronic acid is more effective as an adjunct in wound healing and the control of postoperative symptoms. An experimental, comparative, and longitudinal study was conducted with a sample of 30 adult patients treated at the dental clinic of the Pedro Henríquez Ureña National University. Clinical variables such as postoperative pain (visual analog scale), inflammation, bleeding, suppuration, gingival color, granulation tissue formation, and the degree of epithelialization were evaluated using a clinical alveolar healing index. These variables were measured at three follow-up visits: at the time of simple tooth extraction, 7 days post-operative, and 14 days post-operative. At each follow-up, the alveolar area was measured using digital planimetry with photos taken at each appointment. The presence of the other variables mentioned was also recorded at the three follow-up visits, with the exception of pain, which was self-reported by patients during the first 7 days post- surgery. The results showed that both treatments had similar effects on most variables, with no statistically significant differences. However, hyaluronic acid showed slight superiority in soft tissue healing parameters, while chlorhexidine yielded better results in initial pain control. In conclusion, both compounds are effective as adjuncts in the postoperative management of tooth extractions, promoting adequate recovery. The choice of treatment may depend on specific clinical objectives.
Institutions
- Universidad Nacional Pedro Henríquez UreñaNacional, Santo Domingo