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Year 2017, Volume: 4 Issue: 1, 6 - 9, 28.04.2017
https://doi.org/10.15311/1441.309572

Abstract

References

  • 1.Carranza FA, Hogan EL. Gingival enlargement. Newman MG, Takei HH and Carranza FA, editors. Carranza's clinical periodontology. Saunders; 2002. p. 279-96.
  • 2.Seki K, Sato S, Asano Y, Akutagawa H, Ito K. Improved pathologic teeth migration following gingivectomy in a case of idiopathic gingival fibromatosis. Quintessence Int 2010;41:543-5.
  • 3.Foley TF, Sandhu HS, Athanasopoulos C. Esthetic periodontal considerations in orthodontic treatment--the management of excessive gingival display. J Can Dent Assoc 2003; 69: 368-72.
  • 4.Parker S. Low-level laser use in dentistry. Br Dent J 2007;202:131-8.
  • 5.de Santana-Santos T, de Souza-Santos a A, Martins-Filho PR, da Silva LC, de Oliveira ESED, Gomes AC. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Med Oral Patol Oral Cir Bucal 2013;18:e65-70.
  • 6.Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol 2008;35:250-4.
  • 7.Sarver DM. Use of the 810 nm diode laser: soft tissue management and orthodontic applications of innovative technology. Pract Proced Aesthet Dent 2006; 18: suppl 7-13.
  • 8.Vescovi P, Corcione L, Meleti M, Merigo E, Fornaini C, Manfredi M, et al. Nd:YAG laser versus traditional scalpel. A preliminary histological analysis of specimens from the human oral mucosa. Lasers Med Sci 2010;25:685-91.
  • 9.Fornaini C, Rocca JP, Bertrand MF, Merigo E, Nammour S, Vescovi P. Nd:YAG and diode laser in the surgical management of soft tissues related to orthodontic treatment. Photomed Laser Surg 2007; 25:381-92.
  • 10.Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. J Dent Child (Chic) 2005;72:10-5.

Comparison of gingivectomy procedures for patient satisfaction: Conventional and diode laser surgery

Year 2017, Volume: 4 Issue: 1, 6 - 9, 28.04.2017
https://doi.org/10.15311/1441.309572

Abstract

Background: To compare the use of the 940 nm diode laser with conventional surgery in the management of soft tissue in gingivectomy procedures in terms of patient satisfaction.

Methods: This controlled clinical trial was conducted on 20 healthy patients who needing esthetic-only gingivectomy in the anterior maxilla. The patients were randomly divided into two groups of 10 each: experimental (diode laser-assisted surgery) and control (traditional surgery using scalpels). The bleeding rate following the surgery was assessed using the bleeding criteria established by the World Health Organization. The postsurgical discomfort level was recorded using visual analog scales (VAS), surgery time was evaluated for each operation and postoperative analgesic requirements were evaluated and compared.

Results: In control groups, anesthesia requirements were found statistically higher during surgery (p<0.001). The average bleeding rates were 1.32 and 0.24 in the conventional and laser groups, respectively (p<0.001). Experimental patients had no postsurgical pain but in the control group, VAS pain level was found higher. The difference between VAS values in each groups were significant (p<0.001). There was no significant difference for surgery time between the treatment type.

Conclusion: This study shows that the diode laser has a great advantage over conventional surgery in the gingivectomy procedures.

References

  • 1.Carranza FA, Hogan EL. Gingival enlargement. Newman MG, Takei HH and Carranza FA, editors. Carranza's clinical periodontology. Saunders; 2002. p. 279-96.
  • 2.Seki K, Sato S, Asano Y, Akutagawa H, Ito K. Improved pathologic teeth migration following gingivectomy in a case of idiopathic gingival fibromatosis. Quintessence Int 2010;41:543-5.
  • 3.Foley TF, Sandhu HS, Athanasopoulos C. Esthetic periodontal considerations in orthodontic treatment--the management of excessive gingival display. J Can Dent Assoc 2003; 69: 368-72.
  • 4.Parker S. Low-level laser use in dentistry. Br Dent J 2007;202:131-8.
  • 5.de Santana-Santos T, de Souza-Santos a A, Martins-Filho PR, da Silva LC, de Oliveira ESED, Gomes AC. Prediction of postoperative facial swelling, pain and trismus following third molar surgery based on preoperative variables. Med Oral Patol Oral Cir Bucal 2013;18:e65-70.
  • 6.Ozcelik O, Cenk Haytac M, Kunin A, Seydaoglu G. Improved wound healing by low-level laser irradiation after gingivectomy operations: a controlled clinical pilot study. J Clin Periodontol 2008;35:250-4.
  • 7.Sarver DM. Use of the 810 nm diode laser: soft tissue management and orthodontic applications of innovative technology. Pract Proced Aesthet Dent 2006; 18: suppl 7-13.
  • 8.Vescovi P, Corcione L, Meleti M, Merigo E, Fornaini C, Manfredi M, et al. Nd:YAG laser versus traditional scalpel. A preliminary histological analysis of specimens from the human oral mucosa. Lasers Med Sci 2010;25:685-91.
  • 9.Fornaini C, Rocca JP, Bertrand MF, Merigo E, Nammour S, Vescovi P. Nd:YAG and diode laser in the surgical management of soft tissues related to orthodontic treatment. Photomed Laser Surg 2007; 25:381-92.
  • 10.Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. J Dent Child (Chic) 2005;72:10-5.
There are 10 citations in total.

Details

Subjects Dentistry
Journal Section Research
Authors

Elif Öncü

Publication Date April 28, 2017
Submission Date December 9, 2016
Published in Issue Year 2017 Volume: 4 Issue: 1

Cite

Vancouver Öncü E. Comparison of gingivectomy procedures for patient satisfaction: Conventional and diode laser surgery. Selcuk Dent J. 2017;4(1):6-9.