12.07.2015 Views

(Teruplug) wound dressing for tooth extraction site.

(Teruplug) wound dressing for tooth extraction site.

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there were 4 patients who were administered analgesic, while 6 patients were not. Out ofpatients who developed “Marked pain” in either or both sides, all the 9 patients receivedanalgesic. Analgesic was not administered at 1 day and 1 week after <strong>tooth</strong> <strong>extraction</strong>.The reason why analgesic was administered or not to patients with bearable pain maydepend on the consciousness of patients <strong>for</strong> drug in general and correspondence <strong>for</strong> pain.3) With fixation effectWith fixation effect, as is shown in Table 9, there were 1 completely drop outpatient evaluated as “Dropped out, unknown where it is”, in the indication side at 1 dayafter <strong>extraction</strong> and 2 such patients in the control side at 1 week after <strong>extraction</strong>. Ineither time, drop out patients were less, suggesting superiority in fixation effect.Furthermore, as is shown in Table 10, superiority of <strong>Teruplug</strong> ® was not observed, partlybecause there were less drop out patients. However, fixation effect was largely reducedbecause <strong>Teruplug</strong> ® drop out patients were patients with single rooted <strong>tooth</strong> and patientswith displacement to the palatal side (Fig. 4a).As the method <strong>for</strong> strengthening fixation effect, there are physical characteristicsincluding selection of size or availability to give morphology fitted to the <strong>tooth</strong> <strong>extraction</strong>cavity as well as infiltration of blood by pressing with fingers which is per<strong>for</strong>med at thetime of indication. <strong>Teruplug</strong> ® is a compo<strong>site</strong> made by mixing fibrillar atelo-collagen andheat denatured atelo-collagen with a ratio of 9:1 and has excellent cellular invasivenessand cellular activity, that is, biostability as well as mechanic strength 10) , which maycontribute to good fixation effect.4) Presence or absence of infection after <strong>tooth</strong> <strong>extraction</strong>As is shown in Table 4, infection due to <strong>Teruplug</strong> ® or Spongel ® after <strong>tooth</strong><strong>extraction</strong> was not observed in any patient at 1 day or 1 week after <strong>tooth</strong> <strong>extraction</strong>. Thereason may be that subjects were limited to premolars and only healthy teeth wereextracted. Generally, if infection occurs, removal of applied material, cleaning of <strong>tooth</strong><strong>extraction</strong> <strong>wound</strong>, and gargling of the buccal cavity will be sufficient treatment.5) With regard to epithelizationWith regard to epithelization, as is shown in Table 11, at 1 day after <strong>extraction</strong>19

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