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Optimal application of compressive palatal stents following mesiodens removal in pediatric patients:a Randomized Controlled Trial

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Optimal application of compressive palatal stents following mesiodens removal in pediatric patients:a Randomized Controlled Trial

dc.contributor.author	Jang, Hyo-Jin	es
dc.contributor.author	Choi, Youn-Kyung	es
dc.contributor.author	Kwon, Eun-Young	es
dc.contributor.author	Choi, Na-Rae	es
dc.contributor.author	Jang, Yoon-Sun	es
dc.contributor.author	Song, Jae-Min	es
dc.contributor.author	Shin, Sang-Hun	es
dc.date.accessioned	2023-06-16T08:36:45Z
dc.date.available	2023-06-16T08:36:45Z
dc.date.issued	2021	es
dc.identifier.citation	Jang, H., Choi, Y., Kwon, E., Choi, N., Jang, Y., Song, J., & Shin, S. (2021). Optimal application of compressive palatal stents following mesiodens removal in pediatric patients: A Randomized Controlled Trial. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e808-e814). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24802	es
dc.identifier.uri	https://hdl.handle.net/10550/88090
dc.description.abstract	There is no scientific evidence supporting the choice of a palatal stent in patients who underwent removal of an impacted supernumerary tooth. We aimed to investigate the effects of palatal stents in patients who underwent supernumerary tooth removal through a palatal approach and to suggest the optimal stent thickness and material. We recruited 144 patients who underwent extraction of a supernumerary tooth between the maxillary anterior teeth. Subjects were assigned to a control group (CG) or one of four compressive palatal stent groups (CPSGs) classified by the thickness and material of the thermoplastic acrylic stent used. Palatal gingival swelling and objective indices (healing, oral hygiene, gingival, and plaque) were evaluated before surgery and on postoperative days (PODs) 3, 7, and 14; pain/discomfort and the Child Oral Health Impact Profile (COHIP) were assessed as subjective indices of the effects of the stent. The CPSGs showed faster healing than did the CG on PODs 7 (P<0.001) and 14 (P=0.043); swelling was measured by 1.64±0.88 mm and 4.52±0.39 mm, respectively. Although swelling was least in the 4-mm hard group (0.92±0.33 mm), the difference compared with that in the 2-mm hard group (1.01±0.18 mm) was not significant (P=0.077). The CPSGs showed better COHIP (P<0.001-0.036) and pain scores (P<0.001) than did the CG on PODs 1-3. Compressive palatal stents reduce discomfort by decreasing pain and alleviating swelling. Although a stent is effective regardless of its thickness and material, 2-mm hard stents maximized such positive effects with minimal discomfort.	es
dc.subject	delayed diagnosis	es
dc.subject	mouth neoplasms	es
dc.subject	oral neoplasm	es
dc.subject	aged	es
dc.title	Optimal application of compressive palatal stents following mesiodens removal in pediatric patients:a Randomized Controlled Trial	es
dc.type	journal article	es_ES
dc.subject.unesco	UNESCO:CIENCIAS MÉDICAS	es
dc.identifier.doi	10.4317/medoral.24802	es
dc.type.hasVersion	VoR	es_ES
dc.identifier.url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601646/