Evidence map›Paper›PMID 30405935›Full record

ArticleJournal of periodontal & implant science2018

Early Wound Healing Score: a system to evaluate the early healing of periodontal soft tissue wounds.

Lorenzo Marini, Mariana Andrea Rojas, Philipp Sahrmann, Rustam Aghazada, Andrea Pilloni

6 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of periodontal & implant science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 56 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
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.

NCT04202822 nacompletednot on this mapstarted 2019, after this paper: background citation

Early Healing of Oral Soft Tissues: a Clinical and Biomolecular Analysis Part I - Gene Expression and Cellular Behaviour 24-hours After Injury

TypeinterventionalSponsorUniversity of Roma La SapienzaRan2019 to 2019Enrolled15ConditionsWound Surgical, Wound Heal, Oral Soft Tissue ConditionsArmsOral soft tissues biopsies
NCT04276129 nacompletednot on this mapstarted 2020, after this paper: background citation

Early Healing of Oral Soft Tissues: a Clinical and Biomolecular Analysis. Part II - Effect of Local Chlorhexidine Administration in Gene Expression and Cellular Behaviour 24-hours After Injury

TypeinterventionalSponsorUniversity of Roma La SapienzaRan2020 to 2020Enrolled3ConditionsWound Heal, Wound Surgical, Oral Soft Tissue Conditions, Chlorhexidine Adverse ReactionArmsperiodontal surgery + 24 hr buccal attached gingiva (G) biopsy, post-surgical CHX mouth-rinses indication
NCT04865952 nacompletednot on this mapstarted 2021, after this paper: background citation

Effect of Hyaluronic Acid Application in Gene Expression and Cellular Behavior 24-hours After Injury

TypeinterventionalSponsorUniversity of Roma La SapienzaRan2021 to 2021Enrolled8ConditionsWound Heal, Wound Surgical, Oral Soft Tissue Conditions, Hyaluronic AcidArmsperiodontal surgery + 24 hr buccal attached gingiva (G) biopsy, HA application
NCT06363955 nacompletednot on this mapstarted 2023, after this paper: background citation

A Randomized Placebo-Controlled Clinical Trial Assessing the Efficacy of a Carbamide Peroxide Mouthwash for Oral Wound Healing, Postoperative Symptoms, Xerostomia Relief, and Oral Hygiene Following Diagnostic Biopsy of Minor Labial Salivary Glands for Sjögren's Syndrome Investigation

TypeinterventionalSponsorNational and Kapodistrian University of AthensRan2023 to 2024Enrolled54ConditionsWound Heal, Oral Dryness, Postoperative Pain, Sjogren's SyndromeArmsCarbamide Peroxide Mouthwash, Placebo mouthwash
NCT06452134 phase4unknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluation the Effect of Coenzyme Q10 on Tissue Healing Process in Patients Undergoing Wisdom Tooth Extraction in the City of Sanandaj-Iran in 1402: a Double-blinded Clinical Trial Study

TypeinterventionalSponsorZahra NejatiRan2024 to 2025Enrolled70ConditionsMolar, Third, Temporomandibular Joint Disorders, Dry Socket, Coenzyme Q10ArmsCoenzyme Q10 100 MG Oral Tablet, Placebo
NCT07654166 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparison of Tissue Adhesive and Surgical Sutures for Wound Closure After Oral Excisional Biopsies: A Randomized Controlled Clinical Trial

TypeinterventionalSponsorDamascus UniversityRan2025 to 2027Enrolled28ConditionsMouth NeoplasmsArmsTissue adhesive (PeriAcryl 90 HV), Surgical suture (Nylon 4-0)
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 2 syntheses or guidelines pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  6. Type of study: original study.Lasers in medical science · 2025
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  13. How Effective Is Vitamin C for Gingival Depigmentation? A Scoping Review.Clinical and experimental dental research · 2026
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  15. Review
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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

5 authors at 2 institutions in 2 countries.

Lorenzo MariniSection of Periodontics, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0001-6662-2644
Mariana Andrea RojasSection of Periodontics, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-8712-0958
Philipp SahrmannClinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0001-5568-2529
Rustam AghazadaSection of Periodontics, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0003-4758-638X
Andrea PilloniSection of Periodontics, Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy.ORCID https://orcid.org/0000-0002-6268-1863
Sapienza University of Rome · ITUniversity of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNumerous indices have been proposed to analyse wound healing in oral soft tissues, but each has specific shortcomings. A new method of analysis, the Early Wound Healing Score (EHS), was evaluated in the present study. The aim was to assess more accurately early healing by primary intention of surgical incisions in periodontal soft tissues.

methodsTwenty-one patients were treated with different surgical procedures comprising 1 or 2 vertical releasing incisions as part of a surgical access flap. Twenty-four hours after surgery, early wound healing at the vertical releasing incisions was assessed using the EHS. This score assessed clinical signs of re-epithelialization (CSR), clinical signs of haemostasis (CSH), and clinical signs of inflammation (CSI). Since complete wound epithelialization was the main outcome, the CSR score was weighted to be 60% of the total final score. Accordingly, a score of 0, 3, or 6 points was possible for the assessment of CSR, whereas scores of 0, 1, or 2 points were possible for CSH and CSI. Higher values indicated better healing. Accordingly, the score for ideal early wound healing was 10.

resultsThirty vertical releasing incisions were assessed in 21 patients. At 24 hours after incision, 16 vertical releasing incisions (53.33%) received the maximum score of CSR, while 6 cases (20%) received an EHS of 10. None of the cases received 0 points.

conclusionThe EHS system may be a useful tool for assessing early wound healing in periodontal soft tissue by primary intention after surgery.

Indexed as

GingivaPeriodontal diseasesSoft tissue injuriesSymptom assessmentWound healing

Identifiers

PMID30405935
PMCPMC6207797
OpenAlexW2899175832

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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 OpenQuestion graph.