Akademik Veri Yönetim Sistemi
Journal of Cranio-Maxillofacial Surgery, cilt.42, sa.5, 2014 (SCI-Expanded)
Objectives In this study we compared silver nitrate cautery with placebo to assess the effect of silver nitrate cautery in aphthous stomatitis for pain relief and healing time. Material and methods In this study, sixty-five patients with aphthous stomatitis were assessed. Silver nitrate sticks were used in group A (treatment group) and placebo sticks were used for group B (control group). Change in the severity of pain, change in the size of the ulcers, healing time, side effects of the procedure were assessed. Results Although the mean value of pain scores before the procedure was similar in both of the groups, there were statistically significant differences between two groups after the procedure on the first to the seventh day. On the seventh day after the procedure, the ulcers were completely reepithelialized in 21 patients (60%) in the treatment group and in 10 patients (32%) in the placebo group. The difference was statistically significant (p < 0.01). In the treatment group, the mean healing time of ulcers, reported by these 21 patients, was 2.7 days (range 2-4) after the procedure. In the placebo group, the mean healing time of ulcers, reported by 10 patients with healed ulcers, was 5.5 days (range 4-7) after the procedure. The difference was statistically significant (p < 0.01). No side effects were recorded in either of the groups. Conclusion In conclusion, silver nitrate cautery appears to be an effective and rapid treatment option for pain relief in aphthous stomatitis. Also this treatment shortens the healing time of ulcers. © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.