베나셀, 치과 구강내 소수술을 위한 국소지혈 드레싱 거즈

 

 

베나셀

 

산화재생셀룰로스(Oxidized Regenerated Celullose, ORC) 거즈로 약 14일 차단막 역할을 하며 인체에 흡수 됨

혈액과 만나 끈적한 젤라틴 스카폴드로 변해 환부에서 흘러내리거나 빠지지 않고 즉시지혈

차폐막으로 사용시 골편들을 고정해 주는 효과가 있음

아스피린이나 쿠마딘등의 항응고제를 복용하는 환자의 지혈에 효과적.

중성 pH로 조직의 치유와 재생을 방해하지 않음

 

J Investig Clin Dent

Comparison of platelet-rich fibrin and cellulose in palatal wounds after graft harvesting

Authors

Arada Patarapongsanti 1 , Panwadee Bandhaya 1 , Benyapha Sirinirund 1 , Sakornratana Khongkhunthian 1 , Pathawee Khongkhunthian 2

Affiliations

• 1 Department of Restorative Dentistry and Periodontology, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.

• 2 Center of Excellence in Dental Implantology, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.

  Abstract

  Aim: The aim of the present study was to compare patient morbidity and healing outcomes of free gingival graft (FGG) harvesting at palatal donor sites and after using platelet-rich fibrin (PRF) and oxidized regenerated cellulose (ORC). FGG harvesting leaves open palatal wounds, which heal by secondary intention. Patients might experience discomfort or pain during the first 2 weeks of healing.

  Methods: Eighteen participants requiring two FGG were recruited. The test and control sites were covered with PRF membrane and ORC. The complete epithelialization of the palatal wound, the percentage of wound healing, and postoperative pain were evaluated, 1, 3, and 7 days and 2, 3, and 4 weeks after surgery.

  Results: Similar wound size reduction at 1 week (test: 36.87%, control: 38.78%) was found. At 2 weeks, the majority of the test group (88.89%) showed complete epithelialization, whereas 66.67% of the control group had complete epithelialization (P = .228). Pain was more prevalent in the control group (27.77%) than in the test group (11.1%) on day 1. None of the participants reported any pain or discomfort at the test sites on day 3.

  Conclusions: PRF seems to reduce patient morbidity, but there is no difference in palatal wound healing (P > .05).

  Keywords: free gingival graft; healing; oxidized regenerated cellulose; palatal donor site; platelet-rich fibrin.

   

  West Indian Med J . 2005 Dec;54(6):398-9.

  The use of oxidized regenerated cellulose (surgicel) in closing Schneiderian membrane tears during the sinus lift procedure

  A Simunek 1 , D Kopecka, M Cierny

  Affiliation

• 1 Department of Stomatology, Charles University in Prague, Faculty of Medicine in Hradec Kralove, Czech Republic. simunek_antonin@email.cz

  Abstract

  During the sinus lift procedure, undesirable perforations of the Schneiderian membrane can occur in up to 58% of cases. Several methods for their closing exist. This article presents a method of covering the perforation with a strip of oxidized regenerated cellulose (Surgicel). One or two layers of material swell after being saturated with blood, turning into a gelatinous mass and forming a tight and mechanically resistant seal. This simple method has been successfully tested on 223 perforations of the Schneiderian membrane that occurred over a period of 58 months.

   

  Review

  J Ir Dent Assoc

  Actions

   

  Commonly used topical oral wound dressing materials in dental and surgical practice--a literature review

  Michael Freedman 1 , Leo F A Stassen

  Affiliation

• 1 Dept of Oral and Maxillofacial Surgery, Dublin Dental University Hospital, Lincoln Place, Dublin 2.

  Abstract

  A small number of medicaments are used in oral and maxillofacial surgery to dress wounds, relieve pain, prevent infection and promote healing. While these materials are routinely used, their constituents, uses and effects on oral tissues are rarely discussed. This literature review provides an overview of the constituents, uses and effects of the common materials--oxidised regenerated cellulose, Whitehead's varnish, Carnoy's solution, bismuth iodoform paraffin paste (BIPP), zinc oxide eugenol (ZOE) and Alvogyl.

   

  Randomized Controlled Trial

  Indian J Dent Res . May-Jun 2011;22(3):391-5.

  Assessment of combination techniques in enhancing the regenerative potential of tricalcium phosphate graft in treatment of infrabony periodontal defects

  Ashish Saini 1 , Meghna Singh, Nand Lal, Jaya Dixit

  Affiliation

• 1 Department of Periodontics, Chandra Dental College and Hospital, Safedabad, Barabanki, India. ashishsaini2005@yahoo.co.in

  Abstract

  Aims: The purpose of the present study was to evaluate and compare the clinical outcome of infrabony defects following reconstructive surgery with the use of tricalcium phosphate (TCP) alone; TCP and citric acid (CA) root conditioning; and TCP, CA, and oxidized regenerated cellulose (ORC) membrane.

  Materials and methods: Thirty-nine systemically healthy subjects with vertical infrabony defect were initially selected based on intraoral periapical radiographs and clinical examination to record probing pocket depth (PPD) and clinical attachment level (CAL). Only 21 defects revealed two-walled configuration on surgical debridement. These defects were selected and randomly allotted to the study groups. Group 1 defects were treated with TCP, group 2 with TCP+CA, and group 3 with TCP+CA+ORC. PPD, CAL, defect depth (DD), and level of alveolar crest (AC) were evaluated at the time of initial surgery and after 6 months at surgical re-entry. These measurements were utilized to calculate PPD reduction, CAL gain, defect fill (DF), %defect fill (%DF), and crestal resorption (CR).

  Statistical analysis: A paired t-test was used for assessing changes in each group. Unpaired t-test was used for intergroup comparisons.

  Results: All three groups showed statistically significant PPD reduction, CAL gain, DF, and %DF, but insignificant CR at the end of 6 months. On intergroup comparison, no statistically significant differences were noted between the groups for all the parameters.

  Conclusion: Efficacy of combination techniques using TCP+CA; TCP+CA+ORC in treatment of periodontal infrabony defects is at least equal to that of TCP alone.