Revista Cirurgia Plástica e Cosmetologia

The use of a silicone membrane after tooth extraction in hematological patients

Shinkevich D S and Afanasyev V V

Aim: The aim of the work is to optimize the healing time of holes after tooth extraction in patients with various blood diseases by using a silicone membrane as a wound dressing. Materials and methods: We performed an operation to remove 378 teeth in 102 patients with various blood diseases. Depending on the method of surgical hemostasis, patients were divided into 4 groups. Group 1 included 33 patients whose wells were isolated with a silicone membrane after tooth extraction. In group 2, 78 wells were tamponized with a hemostatic sponge. In group 3, the edges of the holes were brought together with a pouch seam. In group 4, the holes healed under a blood clot. Results: Secondary lunular bleeding in patients with silicone membrana occurred 2 times less frequently than in patients of groups 2, 3 and 4. Granulations were formed under the silicone membrane on the third day. Granulation started on day 5 in the wells that were tamponized with a hemostatic sponge. In the wells of patients of groups 3 and 4, granulations began to form on day 4. Final epithelization in group 2 occurred by 28 days, which was statistically significantly longer than in group 1 patients who had epithelization on day 15 (p≤0.01). In group 3, the wells were epithelized by 19 days, in group 4-by 18 days.

Conclusion: Healing of wells after tooth extraction in hematological patients occurs earlier (p≤0.01) in the group of patients who used a silicone membrane for local hemostasis.