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dc.contributor.CRUESPUniversidade Estadual de Campinaspt_BR
dc.typeArtigo de periódicopt_BR
dc.titleFree Gingival Grafts: Graft Shrinkage and Donor-Site Healing in Smokers and Non-Smokerspt_BR
dc.contributor.authorSilva, COpt_BR
dc.contributor.authorRibeiro, EDPpt_BR
dc.contributor.authorSallum, AWpt_BR
dc.contributor.authorTatakis, DNpt_BR
unicamp.authorSilva, Cleverson O. Ribeiro, Erica Del Peloso Sallum, Antonio Wilson Univ Estadual Campinas, Sch Dent Piracicaba, Dept Prosthodont & Periodont, Sao Paulo, Brazilpt_BR
unicamp.authorSilva, Cleverson O. Inga Univ UNINGA, Sch Dent, Dept Periodont, Maringa, Parana, Brazilpt_BR
unicamp.authorSilva, Cleverson O. State Univ Maringa UEM, Dept Dent, Maringa, Parana, Brazilpt_BR
unicamp.authorRibeiro, Erica Del Peloso Bahiana Sch Med & Publ Hlth, Dept Dent, Salvador, BA, Brazilpt_BR
unicamp.authorTatakis, Dimitris N. Ohio State Univ, Coll Dent, Div Periodontol, Columbus, OH 43210 USApt_BR
dc.subjectmouth mucosapt_BR
dc.subjectsmoking/adverse effectspt_BR
dc.subjectwound healingpt_BR
dc.subject.wosCoronally Positioned Flappt_BR
dc.subject.wosConnective-tissue Graftpt_BR
dc.subject.wosComparative Clinical-evaluationpt_BR
dc.subject.wosRoot Coveragept_BR
dc.subject.wosLongitudinal Evaluationpt_BR
dc.subject.wosDimensional Evaluationpt_BR
dc.subject.wosMasticatory Mucosapt_BR
dc.subject.wosAttached Gingivapt_BR
dc.subject.wosTobacco Smokingpt_BR
dc.description.abstractBackground: This prospective clinical study aims to evaluate the influence of cigarette smoking on free gingival graft (FGG) healing, by assessing FGG dimensional changes and donor-site wound healing. Methods: Twelve non-smokers and 10 smokers treatment planned for FGG to augment keratinized tissue dimensions in the mandibular incisor area completed the study. All subjects received standardized FGG of same dimensions. Probing depth, gingival margin position, clinical attachment level, keratinized tissue (KT) width, gingival thickness, and FGG dimensions (width, length, and area) were assessed and recorded before surgery, and 7, 15, 30, 60, and 90 days postoperatively. The palatal donor area was evaluated for immediate bleeding and complete wound epithelialization. Differences between the two groups (smokers and non-smokers) were statistically analyzed. Results: FGG dimensions changed significantly postoperatively. At 90 days postoperatively, FGG width, length, and area were respectively reduced by 31%, 22%, and 44% in nonsmokers and by 44%, 25%, and 58% in smokers (no significant differences between groups; P>0.05). Significant KT increases were observed in both non-smokers and smokers (5.4 and 4.8 mm, respectively). Donor-site immediate bleeding was significantly more prevalent in non-smokers (75%) compared to smokers (30%) (P=0.04). At 15 days postoperatively, donor-site complete epithelialization was much more prevalent in non-smokers (92%) than in smokers (20%) (P<0.002). Conclusion: Smoking alters FGG donor-site wound healing by reducing immediate bleeding incidence and by delaying epithelialization, although it does not have discernible effects on postoperative FGG dimensional changes. J Periodontol 2010;
dc.relation.ispartofJournal Of Periodontologypt_BR
dc.relation.ispartofabbreviationJ. Periodont.pt_BR
dc.publisherAmer Acad Periodontologypt_BR
dc.identifier.citationJournal Of Periodontology. Amer Acad Periodontology, v. 81, n. 5, n. 692, n. 701, 2010.pt_BR
dc.sourceWeb of Sciencept_BR
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)pt_BR
dc.description.sponsorship1Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)pt_BR
dc.description.sponsordocumentnumberCAPES [BEX 0573/06-0]pt
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