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Global Translational Medicine                                       RhPDGF-BB/gelatin sponge-treated FGG



            the deposition of collagen and glycosaminoglycans and   Ethics approval and consent to participate
            promotes angiogenesis, which allows faster revascularization
            of the wound.                                      A signed written consent was obtained from each patient
                                                               before the procedure.
              Compared to previous studies that prioritized the
            separate use of individual materials, this study innovated   Consent for publication
            an alleviate means, combining rhPDGF-BB and gelatin   No patient identifiers were used in this report.
            sponge, to mitigate patient pain in the palatal graft
            donor sites. A clear mechanism of action of rhPDGF-BB   Availability of data
                                               10
            promoting more closed wound healing  has been
            established in the literature, thus lending tremendous   Data are available from the corresponding author on
                                                               reasonable request.
            corroboration to our clinical observations.
              The results of the present study are consistent with   References
            the original hypothesis that we set out to examine that is   1.   Kim DM, Neiva R. Periodontal soft tissue non-root coverage
            the use of a more concentrated rhPDGF-BB solution in a   procedures: A systematic review from the AAP Regeneration
            gelatin sponge would improve patient comfort compared   Workshop. J Periodontol. 2015;86(2 Suppl):S56-S72.
            to PRF or gelatin sponges without rhPDGF-BB, which      doi: 10.1902/jop.2015.130684
            had never been shown to mitigate pain intensity
                                                         11
            as  much as  the  method  demonstrated in  the  present   2.   Griffin TJ, Cheung WS, Zavras AI, Damoulis PD.
            report. Randomized controlled trials comparing PROMs   Postoperative complications following gingival augmentation
                                                                  procedures. J Periodontol. 2006;77(12):2070-2079.
            for patients treated with rhPDGF-BB-soaked gelatin
            sponges compared to gelatin sponges without rhPGF-BB      doi: 10.1902/jop.2006.050296
            are now warranted. Considering the limited sample size,   3.   Ehab K, Abouldahab O, Hassan A, Fawzy El-Sayed KM.
            lack of a control group, and treated sites, an additional   Alvogyl and absorbable gelatin sponge as palatal wound
            number of subjects in a randomized controlled trial for   dressings following epithelialized free gingival graft
            investigating further intervention is recommended for   harvest: A  randomized clinical trial.  Clin Oral Investig.
            further studies.                                      2020;24(4):1517-1525.
                                                                  doi: 10.1007/s00784-020-03254-z
            5. Conclusion
                                                               4.   Tavelli L, Ravidà A, Saleh MHA, et al. Pain perception following
            In summation, a swift placement of rhPDGF-BB-soaked   epithelialized gingival graft harvesting: A randomized
            gelatin  sponges  into  palatal  donor  sites  following  FGG   clinical trial. Clin Oral Investig. 2019;23(1):459-468.
            harvesting can result in improved patient-reported      doi: 10.1007/s00784-018-2455-5
            outcomes, less patient discomfort, and an overall patient
            post-operative experience.                         5.   Stavropoulou C, Atout RN, Brownlee M, Schroth RJ, Kelekis-
                                                                  Cholakis A. A  randomized clinical trial of cyanoacrylate
            Acknowledgments                                       tissue adhesives in donor site of connective tissue grafts.
                                                                  J Periodontol. 2019;90(6):608-615.
            None.                                                 doi: 10.1002/JPER.18-0475
            Funding                                            6.   Fujioka-Kobayashi M, Miron RJ, Moraschini V, Zhang  Y,
                                                                  Gruber R, Wang HL. Efficacy of platelet-rich fibrin on
            None.                                                 bone formation, part  2: Guided bone regeneration, sinus
                                                                  elevation and implant therapy. Int J Oral Implantol (Berl).
            Conflict of interest                                  2021;14(3):285-302.
            The authors declare no conflicts of interest.      7.   Miron RJ, Moraschini V, Fujioka-Kobayashi M, et al. Use
                                                                  of platelet-rich fibrin for the treatment of periodontal
            Author contributions                                  intrabony defects: A systematic review and meta-analysis.

            Conceptualization: David Meister, Hom-Lay Wang        Clin Oral Investig. 2021;25(5):2461-2478.
            Investigation:  Muhammad H. A. Saleh, Hussein Basma,      doi: 10.1007/s00784-021-03825-8
               Fatemeh Samavatijame                            8.   Bahammam MA. Effect of platelet-rich fibrin palatal
            Writing – original draft: Muhammad H. A. Saleh, Fatemeh   bandage on pain scores and wound healing after free
               Samavatijame                                       gingival graft: A randomized controlled clinical trial. Clin
            Writing – review & editing: all authors               Oral Investig. 2018;22(9):3179-3188.


            Volume 3 Issue 2 (2024)                         5                               doi: 10.36922/gtm.2693
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