Background: The quality of the healing response after oral and maxillofacial surgery (OMS) is influenced by the nature of the tissue disruption and the circumstances surrounding wound closure. The use of wound healing scales may help the surgeon anticipate and, when needed, intervene so that wound repair can progress favorably.
Materials and Methods: Studies reported in the OMS literature of the last 20 years that applied scales/indexes to monitor the wound healing process were reviewed1,2. The available wound healing scales do not allow for an association of the outcome parameters, modifiers used, or effectiveness of the modifiers with the different phases of the wound healing process. On the basis of these findings, the “inflammatory, proliferative, remodeling” (IPR) novel scale is suggested (Table 1). This scale distinguishes among the wound healing phases and yields 3 subscale scores and a total score. Thirty-five surgical extraction sites in 35 patients referred to the oral and maxillofacial department were followed and evaluated using the IPR novel scale. The study took place in tertiary medical center and was 6 months long (June 2018 to January 2019).
Results: Mean total wound healing score was 14.17 ± 2.33 and considered as an excellent healing. Mean wound healing scores for the inflammatory, proliferative, and remodeling phases were 7 ± 1.15, 4.71 ± 0.78, 2.69 ± 0.63, accordingly. Positive correlation (Pearson Correlation Coefficients) found between psychological effect of anxiety before the surgical procedure (VAS = 6.42 ± 3.61) and the perception of pain during the extraction (VAS = 3.3 ± 3.21). Moreover, patterns and specific modifiers assessed in their ability to induce better wound healing process subsequent tooth extractions. There was no need of surgical intervention in the wound healing processes in the study.
Conclusions: IPR novel scale can be used as an effective tool in order to evaluate wound healing process following teeth extractions. The suggested novel scale can be used to evaluate the influence of surgical procedures and applied medications on the quality of healing response.
1. Pippi R. Post-surgical clinical monitoring of soft tissue wound healing in periodontal and implant surgery. Int J Med Sci 2017; 14:721–728.
2. Yelamali T, Saikrishna D. Role of platelet rich fibrin and platelet rich plasma in wound healing of extracted third molar sockets: a comparative study. J Maxillofac Oral Surg 2015; 14:410–416.