Evaluation of the clinical behaviour of a polyvinylpyrrolidone and sodium hyalonurate gel (Gelclair) in patients subjected to surgical treatment with CO2 laser

Int J Oral Maxillofac Surg. 2006 Jun;35(6):514-7. doi: 10.1016/j.ijom.2005.12.004. Epub 2006 Feb 23.

Abstract

This experimental study was undertaken to evaluate the efficacy of Gelclair, a concentrated oral gel consisting of sodium hyalonurate and polyvinylpyrrolidone, in decreasing postoperative pain in patients subjected to surgical treatment by extirpation and/or vapourization of oral lesions with CO(2) laser. After the surgery, 60 consecutive patients (30 in control group and 30 in experimental group) were prescribed 600 mg ibuprofen 3 times per day for 4 days. In the experimental group a protocol was established for the application of 15 ml of Gelclair directly onto the wound 3 times per day, 1 h before meals, for 1 week. Spontaneous pain and pain on swallowing were evaluated using a visual analogue scale at 24 h and 7 days after the intervention. The experimental group had less spontaneous pain at 24h (P=0.000) and at 1 week (P=0.012), and also less pain on swallowing at 24 h and 1 week (P=0.029 and P=0.000, respectively) after the intervention. In conclusion, the effectiveness of the barrier mechanism that Gelclair provides improves the postoperative experience of patients who have undergone oral CO(2) laser surgery.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Oral
  • Administration, Topical
  • Adult
  • Analgesics, Non-Narcotic / administration & dosage
  • Analgesics, Non-Narcotic / therapeutic use*
  • Carbon Dioxide
  • Deglutition / physiology
  • Drug Combinations
  • Female
  • Follow-Up Studies
  • Gels
  • Humans
  • Hyaluronic Acid / administration & dosage
  • Hyaluronic Acid / therapeutic use*
  • Ibuprofen / administration & dosage
  • Ibuprofen / therapeutic use
  • Laser Therapy*
  • Male
  • Middle Aged
  • Mouth Diseases / surgery*
  • Mouth Neoplasms / surgery
  • Pain Measurement
  • Pain, Postoperative / drug therapy*
  • Povidone / administration & dosage
  • Povidone / therapeutic use*

Substances

  • Analgesics, Non-Narcotic
  • Drug Combinations
  • Gelclair
  • Gels
  • Carbon Dioxide
  • Hyaluronic Acid
  • Povidone
  • Ibuprofen