Next Article in Journal
Spatiotemporal Assessment of PM2.5-Related Economic Losses from Health Impacts during 2014–2016 in China
Next Article in Special Issue
Accuracy of Implant Casts Generated with Conventional and Digital Impressions—An In Vitro Study
Previous Article in Journal
Influence of Ammonium Ions, Organic Load and Flow Rate on the UV/Chlorine AOP Applied to Effluent of a Wastewater Treatment Plant at Pilot Scale
Article Menu
Issue 6 (June) cover image

Export Article

Open AccessArticle
Int. J. Environ. Res. Public Health 2018, 15(6), 1277; https://doi.org/10.3390/ijerph15061277

Lateral Sinus Floor Elevation Performed with Trapezoidal and Modified Triangular Flap Designs: A Randomized Pilot Study of Post-Operative Pain Using Thermal Infrared Imaging

1
Department of Medical, Oral and Biotechnological Sciences and CeSi-Met, ‘G. D’Annunzio’ University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
2
Department of Medical, Oral and Biotechnological Sciences University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
3
Department of Neuroscience, Imaging and Clinical Sciences, ‘G. D’Annunzio’ University of Chieti-Pescara, Via dei Vestini 31, 66100 Chieti, Italy
4
Department of Oral Implantology, Dental Research Division, College Ingà, UNINGÁ, 29312 Cachoeiro de Itapemirim, Espirito Santo, Brazil
*
Author to whom correspondence should be addressed.
Received: 22 May 2018 / Revised: 11 June 2018 / Accepted: 12 June 2018 / Published: 16 June 2018
(This article belongs to the Special Issue Digital Dentistry: The Evolution of Dental Care)
Full-Text   |   PDF [2888 KB, uploaded 20 June 2018]   |  

Abstract

Purpose: Post-operative pain and swelling are frequently observed after sinus lift procedures. The aim of the present study was the clinical evaluation of swelling and pain of two different sinus flap lift techniques using a visual analogue scale (VAS), verbal rating scale (VRS), and infrared thermal imaging (i.e., thermography). Materials Methods: A randomized controlled trial was conducted with 15 patients (30 sinuses in total) randomly allocated into two groups. For the sinuses of Group I a trapezoidal flap was used, while for Group II a modified triangular flap without anterior release was utilized. Postoperative pain was scored by means of a 100-mm VAS ranging from 0 (no pain) to 100 (worst pain imaginable), and was recorded at 2, 4, 6 and 14 days after surgery. Swelling was recorded by a verbal rating scale (VRS) and was classified into four categories: a score of 1 referred the absence of swelling, patients with intra-oral swelling in the surgical zone scored 2, any extra-oral swelling in the surgical zone scored 3, and intense swelling exhibited by extra-oral swelling extending beyond the surgical zone scored 4. The facial temperature was recorded before and after sinus augmentation, and at 2, 4, 6, and 14 days post-surgery to check the course of healing. Results: In Group I pain intensity was recorded at 2 days after surgery with a mean score of 38.67 ± 6.4 mm. Swelling was greater at 2 and 4 days, and was absent at day 6. The facial temperature difference before and after the procedure was 4.737 °C ± 0.37. In Group II the pain score were lower than in Group I (p < 0.05). The score for swelling was 2 on the first and second days, and was reduced on day 4. After the second day the difference in temperature was significantly reduced as compared to the day of surgery (0.77 °C); at 2 and 4 days no difference was registered. Conclusions: The results of this clinical study show the significant effectiveness of the modified triangular flap in the sinus lift procedure for reducing pain and swelling. View Full-Text
Keywords: trapezoidal flap; modified triangular flap; sinus augmentation; VAS; VRS; thermal infrared imaging trapezoidal flap; modified triangular flap; sinus augmentation; VAS; VRS; thermal infrared imaging
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Scarano, A.; Lorusso, F.; Arcangelo, M.; D’Arcangelo, C.; Celletti, R.; De Oliveira, P.S. Lateral Sinus Floor Elevation Performed with Trapezoidal and Modified Triangular Flap Designs: A Randomized Pilot Study of Post-Operative Pain Using Thermal Infrared Imaging. Int. J. Environ. Res. Public Health 2018, 15, 1277.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top