Microcurrent electrotherapy improves palatal wound healing: Randomized clinical trial
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Data
2020-01-01
Autores
Miguel, Manuela Maria Viana [UNESP]
Mathias-Santamaria, Ingrid Fernandes [UNESP]
Rossato, Amanda [UNESP]
Ferraz, Laís Fernanda Ferreira [UNESP]
Figueiredo-Neto, Antônio Martins
de Marco, Andrea Carvalho [UNESP]
Casarin, Renato Corrêa Viana
Wallet, Shannon Margaret
Tatakis, Dimitris N.
Mathias, Marcio Antonio
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Resumo
Background: This study was conducted to assess the clinical, immunological, and patient-centered outcomes of microcurrent electrotherapy on palatal wound healing. Methods: This was a parallel, double-masked randomized clinical trial, in which 53 patients with ridge preservation indications were selected and randomly assigned to one of two groups. In the control (sham) group (n = 27), palatal wounds, after free gingival grafts (FGG) harvest, received sham application of electrotherapy. In the test (electrotherapy treatment [EE]) group (n = 26), palatal wounds, after FGG harvest, received application of microcurrent electrotherapy protocol. Clinical parameters, patient-centered outcomes, and inflammatory markers were evaluated, up to 90 days postoperatively. Results: The EE group achieved earlier wound closure (P <0.001) and epithelialization (P <0.05; P = 0.03) at 7 and 14 days after harvest when compared with the sham group. Painful symptomatology was reported less frequently in the EE group than in the sham group at 3-day follow-up (P = 0.008). Likewise, an improvement in Oral Health Impact Profile was reported 2 days after the procedure by the EE group (P = 0.04). In addition, favorable modulation of inflammatory wound healing markers occurred when electrotherapy was applied. Conclusion: Within the limits of the present study, it can be concluded that the use of a low-intensity electrotherapy protocol may accelerate palatal wound healing and decrease patient discomfort after FGG harvest.
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gingival recession, mucogingival surgery, wound healing / electric stimulation therapy
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Journal of Periodontology.