Checchi L, Trombelli L. Postoperative pain and discomfort with and without periodontal dressing in conjunction with 0.2% chlorhexidine mouthwash after apically positioned flap procedure. J Periodontol, 64:1238-42,1993.

Purpose

To evaluate patient postoperative pain experience and discomfort with and without the use of a periodontal dressing in combination with a 0.2% chlorhexidine mouth wash after internal beveled, Full thickness, apically repositioned flap.

Materials and Methods

• 24 Pts requiring bilateral comparable procedures.
• Split mouth design
• One site periodontal dressing , other site nothing.
• 0.25 CHX was prescribed pot for all patients.
• Pain assessment was made according to a structured , categorized scale ( 0=no pain; 1=mild pain; 2=moderate pain; 3=severe pain). Analgesic drug consumption was recorded during the first postoperative week.
• After at least a 1 month period, the second flap procedure was performed using the alternate postoperative treatment.
• At the conclusion of the trial, a self-administered questionnaire on postoperative experience was given to each patient.

Results

• Results indicated a similar trend for mean pain scores as assessed by patients for both dressed and undressed sides during the 7-day postop period. No significant differences were found between the 2 treatments with respect to frequency distribution of patients who did or did not take analgesics.
• Although patients with dressing frequently experienced eating difficulty, most stated a psychological feeling of protection and well-being with its use.

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