Cytological changes in the epithelization of the wound after mucogingival surgery

The main therapeutic goals of mucogingival surgery that every therapist strives for, are: achieving satisfactory aesthetics, reducing dental hypersensitivity, creating conditions to prevent the occurrence of caries on the root surface and reducing the possibility of progression of periodontal disease. In our country, a clinically widely applied technique is periosteal separation, which is still insufficiently exploited scientifically. The mucosal epithelial cells of the gingiva plays an important role in the innate immune defense system, the transmission of sensory signals from the surround environment, maintaining the balance between health and disease
The aim of this paper is to show the epithelization in the operated area, through cytological analysis followed by
parameters of an indicative character in the healing process.
Matherial and method. For the realization of this study, a total of 60 patients with an insufficient area of attached
gingiva were followed. The patients included in the study underwent surgical intervention - periosteal separation.
They were divided in 2 groups. In the first group after intervention a Solcodental adhesive pasta and protective
packaging wеre applied, and in the other group tin foil and protective packaging wеre applied
Results showed that on the fourteenth day after the intervention in the second group, the presence of epithelial cells in 100.0% of the patients is satisfactory. The registration of the satisfactory epithelial cell presence in the second group at 7 and 14 days is statistically significant versus the satisfactory epithelial cell presence in the first group for p<0.05 (p=0.0072; p=0.0027).
Conclusion. Cytological analyzes show good tissue epithelization after mucogingival intervention/periosteal
separation, and better epithelial healing in patients where Solcodental adhesive pasta was applied.
Keywords: attached gingiva, periosteal separation, epithelialization