Evidence map›Paper›PMID 31079246›Full record

Observational studyClinical oral investigations2020

Assessment of early discomfort and wound healing outcomes after periodontal surgery with and without enamel matrix derivative: an observational retrospective case-control study.

Jae-Hong Lee, Ye-Sol Park, Yeon-Tae Kim, Do-Hyung Kim, Seong-Nyum Jeong

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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.

Jae-Hong LeeDepartment of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, 77 Dunsan-ro, Seo-gu, Daejeon, 35233, South Korea. ljaehong@gmail.com.ORCID http://orcid.org/0000-0002-2375-0141
Ye-Sol ParkDepartment of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, 77 Dunsan-ro, Seo-gu, Daejeon, 35233, South Korea.
Yeon-Tae KimDepartment of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, 77 Dunsan-ro, Seo-gu, Daejeon, 35233, South Korea.
Do-Hyung KimDepartment of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, 77 Dunsan-ro, Seo-gu, Daejeon, 35233, South Korea.
Seong-Nyum JeongDepartment of Periodontology, Daejeon Dental Hospital, Institute of Wonkwang Dental Research, Wonkwang University College of Dentistry, 77 Dunsan-ro, Seo-gu, Daejeon, 35233, South Korea.

Funding

Wonkwang University (KR) 2019
6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate and compare early postoperative discomfort and wound healing outcomes between patients who underwent periodontal surgery with and without enamel matrix derivative (EMD), using retrospective questionnaires and postoperative clinical examinations. MATERIALS AND

methodsAll enrolled patients filled out the self-report questionnaire after suture removal. The severity and duration of subjective pain and swelling were evaluated using visual analog scale (VAS) scores and wound healing parameters (dehiscence/fenestration, spontaneous bleeding, persistent swelling, and ulceration). Chi-squared tests, two-tailed independent t tests, analysis of variance, and multiple logistic regression analysis were performed to identify significant differences between the two groups (surgery with EMD and surgery without EMD).

resultsThe severity of pain and swelling did not differ between patients who underwent surgery with and without EMD, but the durations of pain (P < 0.001) and swelling (P = 0.019) were significantly lower in patients who underwent surgery with EMD. Multivariate analysis with adjustment for confounding variables showed that wound healing outcomes including dehiscence/fenestration, spontaneous bleeding, and ulceration did not differ significantly between the two groups, and only persistent swelling showed significant differences (odds ratio 4.03, 95% CI 1.17-13.78; P = 0.026).

conclusionsNo difference was observed in the severity of early postoperative discomfort and wound healing outcomes between patients who underwent surgery with and without EMD, but shorter durations of postoperative pain and swelling were evident in patients who underwent surgery with EMD. CLINICAL RELEVANCE: Adjunctive EMD used in periodontal surgery has clinical advantages for reducing the durations of postoperative pain and swelling.

Indexed as

Alveolar Bone LossDental Enamel ProteinsPeriodontitisWound HealingCase-Control StudiesFemaleGuided Tissue Regeneration, PeriodontalHumansMalePostoperative PainRetrospective StudiesDental Enamel ProteinsEnamel matrix derivativesPeriodontal surgeryPeriodontitisWound healing

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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.