An epithelialized gingival graft will be harvested from the palate for the treatment of various mucogingival deformities. The donor site will be treated with either a combination of a collagen sponge and cyanoacrylate or a collagen sponge, cyanoacrylate, and suspending sutures. Intraoperatively, measurements will be taken for palatal tissue thickness, graft dimensions, working time, and primary bleeding time. Data regarding pain perception will be gauged using a visual analog scale, and the number of analgesics, secondary bleeding, epithelization level, and color match will be assessed prospectively. These outcomes will be evaluated on the first 7 days and subsequently on the 14th, 21st, and 28th days. Patient-reported outcomes will be recorded using the Oral Health Impact Profile-14 questionnaire.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
37
The donor site will be closed both with gelatin sponge +Cyanoacrylate (Spongostan®, Ethicon, USA)+ supporting sutures (control group)
Seconder The donor site will be closed both with gelatin sponge +Cyanoacrylate (Spongostan®, USA) (test group)
Hacettepe University
Ankara, Turkey (Türkiye)
Donor site pain perception
Patients score their daily donor site pain perception using visual analog score level by giving numbers from 0 to 10 according to the visual analog scale (0: no pain, 1: minimal pain, 10: severe pain)
Time frame: everyday in first week
Secondary bleeding time
Patients will record presence or absence of secondary bleeding (presence=1 or absence=0).
Time frame: during first week
Graft height
Dimensions will be measured during surgery by clinician using Michigan O probe (will be reported in mm)
Time frame: during surgery
Graft width
Dimensions will be measured during surgery by clinician using Michigan O probe.(will be reported in mm)
Time frame: during surgery
Graft thickness
Dimensions will be measured during surgery by clinician using Michigan O probe (will be reported in mm)
Time frame: during surgery
Working time
Harvesting process will be recorded by an blinded research assistant
Time frame: during surgery
Quantity of analgesics
Patients recorded the quantity of analgesics taken will be reported as quantity of pill
Time frame: first week
Sensation loss
Sensation loss will be scored by the help of clinician comparing with the symmetrical side an will be recorded as no-loss, medium loss or severe loss
Time frame: first week, second week , third week, fourth week.
Color match
Color match with the adjacent tissue was determined by researcher using a Visual Analog Pain Scale scale (0: absence of harmony, 10: excellent harmony)
Time frame: first week, second week, third week, fourth week.
Epithelization level
Epithelization level was scored by researcher as none, partial or full epithelization by means of bubble formation after dripping hydrogen peroxide (3%) to the wound surface.
Time frame: first week, second week, third week, fourth week.
The Oral Health Impact Profile-14 is a questionnaire that measures how oral disorders impact a patient's quality of life.
The questionnaire has 14 items with answers rated on a 5-point Likert scale (from 1 = never to 5 = very often) to indicate a level of different problems related to oral health
Time frame: first week
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