Peñarrocha-Oltra, David; Soto-Peñaloza, David; Peñarrocha-Diago, Miguel; Cervera-Ballester, Juan; von Arx, Thomas; Peñarrocha-Diago, María (2019). Hemostatic Agents in Endodontic Surgery: A Randomized Controlled Pilot Study of Polytetrafluoroethylene Strips as an Adjunct to Epinephrine Impregnated Gauze Versus Aluminum Chloride. Journal of endodontics, 45(8), pp. 970-976. Elsevier 10.1016/j.joen.2019.04.011
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INTRODUCTION
Bleeding control is an important aspect in endodontic surgery. Two hemostatic techniques were compared with regard to their efficacy to bleeding control in endodontic surgery.
METHODS
A randomized, 2-arm, parallel pilot study involving 30 patients with periradicular lesions was performed including the following hemostatic agents: polytetrafluoroethylene strips as an adjunct to epinephrine-impregnated gauze (test group, n = 15) and aluminum chloride (control, n = 15). Bleeding control was independently assessed by the surgeon and 2 blinded observers before and after application of the hemostatic agent. Bleeding control was classified either as adequate (complete bleeding control) or inadequate (incomplete bleeding control).
RESULTS
Hemostasis in both groups proved similar. Simple binary logistic regression analysis failed to identify variables affecting bleeding control. Only the height of the keratinized mucosa band (≥2 mm) suggested a risk reduction for an inadequate bleeding control up to 79% (odds ratio = 0.21, P > .05).
CONCLUSIONS
No differences in the efficacy of bleeding control were observed between polytetrafluoroethylene strips as an adjunct to epinephrine-impregnated gauze and aluminum chloride.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Oral Surgery and Stomatology |
UniBE Contributor: |
von Arx, Thomas |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0099-2399 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Caroline Balz |
Date Deposited: |
13 Nov 2019 09:13 |
Last Modified: |
05 Dec 2022 15:32 |
Publisher DOI: |
10.1016/j.joen.2019.04.011 |
PubMed ID: |
31160080 |
Uncontrolled Keywords: |
Aluminum chloride endodontic surgery epinephrine hemostasis hemostatic agent polytetrafluoroethylene strips |
BORIS DOI: |
10.7892/boris.134624 |
URI: |
https://boris.unibe.ch/id/eprint/134624 |
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