Table 4. | Summary of descriptive characteristics of included studies (n = 4) |
Study |
Year of publication |
Type of study | Country |
Graft dimension groups (n) |
Graft measurement | Donor site treatment | Outcome measurements | Main findings | ||
---|---|---|---|---|---|---|---|---|---|---|
Thickness | Height | Width | ||||||||
Tavelli et al. [11] | 2018 | Randomized clinical trial | Italy |
≤ 1.5 mm; > 1.5 mm |
≤ 4 mm; > 4 mm |
< 14 mm; ≥ 14 mm |
Periodontal probe | Haemostatic porcine absorbable sponge alone or associated with tissue adhesive | Visual analog scale analysis on days 1, 2, 3, 4, 5, 6, 7, 10, and 14 postoperative |
Graft width minor than 14 mm was related to less visual analog scale pain (days 3, 4, 6, 7, 10, and 14, P < 0.05).
Height and thickness did not show significant difference for perceived pain (P = 0.05) |
Wyrębek et al. [17] | 2018 | Prospective non-randomized | Poland |
≤ 2 mm (n = 30); > 2 mm (n = 30) |
Not evaluated |
≤ 10 mm (n = 20) |
Periodontal probe | Haemostatic sponge | Pain visual analog scale analysis on day 7 postoperative | Graft length and thickness did not influence the VAS pain |
10 to 20 mm (n = 20) |
||||||||||
≥ 20 mm (n = 20) |
||||||||||
Zucchelli et al. [23] | 2014 | Randomized clinical trial | Italy |
≥ 2 mm (n = 30); < 2 mm ( n = 30) |
Equal to bone dehiscence (n = 30); 4 mm (n = 30) |
Not evaluated | Periodontal probe | Equine-derived collagen and suture | Postoperative pain indirectly evaluated, on day 7, based on the mean analgesic intake | Pain killer consumption was higher for bigger grafts group (P < 0.01) |
Burkhardt et al. [28] | 2015 | Prospective non-randomized | Switzerland |
≤ 1 mm (n = 16); 1.01 to 2 mm (n = 49); > 2 mm (n = 25) |
Not evaluated | Not evaluated | Ultrasonic device and periodontal probe | Gauze soaked in saline and a 15% ferric sulphate solution in case of bleeding | Visual analog scale analysis on days 1, 3, 7, 14, 21, and 28 postoperative |
From day 1 until day 7 the visual analog scale pain values were directly related to the increase of the graft thickness.
The reduction of the graft thickness to less than 2 mm reduced the visual analog scale pain values by more than a half at the postoperative days 1, 3, and 7 (P < 0.05) |
N = number of group population, VAS = visual analog scale. |