Hemostatic agents in endodontic surgery of maxillary molarsa randomized controlled pilot study of polytetrafluoroethylene (PTFE) strips as an adjunct to epinephrine impregnated gauze versus aluminum chloride

  1. David Peñarrocha Oltra 1
  2. David Soto Penaloza 2
  3. Miguel Peñarrocha Diago 3
  4. Juan Cervera Ballester 4
  5. Guillermo Cabanes Gumbau 4
  6. María Peñarrocha Diago 5
  1. 1 DDS, PhD. Associate Professor, Department of Stomatology, Valencia University Medical and Dental School, Valencia, Spain
  2. 2 DDS, MS, PhD. Master in Oral Surgery and Implantology. Valencia University Medical and Dental School, Valencia, Spain
  3. 3 MD, PhD. Chairman of Oral Surgery and Director of the Master in Oral Surgery and Implantology, Valencia University Medical and Dental School, Valencia, Spain
  4. 4 DDS, MS. Collaborative Professor of the Master in Oral Surgery and Implantology. Valencia University Medical and Dental School, Valencia, Spain
  5. 5 MD, DDS, MS, PhD. Full Professor of Oral Surgery, Department of Stomatology, Valencia University Medical and Dental School, Valencia, Spain
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2020

Volumen: 25

Número: 5

Páginas: 1

Tipo: Artículo

DOI: 10.4317/MEDORAL.23652 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

Hemostasis is of critical importance in endodontic surgery. Studies on bleeding control in maxillary molars are scarce. The present study compares the efficacy of two hemostatic techniques in controlling bleeding in endodontic surgery. A randomized two-arm pilot study involving 30 patients with peri-radicular lesions in maxillary molars (first and second molars) was carried out including the following hemostatic agents: polytetrafluoroethylene (PTFE) strips as an adjunct to epinephrine impregnated gauze (test group; n = 15) and aluminum chloride (Expasyl™) (control; n = 15). Bleeding control was independently assessed by the surgeon and by two blinded observers before and after application of the hemostatic agent, and was classified as either adequate (complete bleeding control) or inadequate (incomplete bleeding control). Bleeding control was similar in both groups. Simple binary logistic regression analysis failed to identify variables affecting bleeding control. Only the height of the keratinized mucosal band (≥ 2 mm) suggested a decreased risk of inadequate bleeding control of up to 89% (OR=0.11; p=0.06). No difference in the efficacy of bleeding control was observed between PTFE strips as an adjunct to epinephrine impregnated gauze and aluminum chloride in maxillary molars.

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Fuente de los datos: Dialnet