COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY

Yıl 2017, Cilt: 27 Sayı: 2, 57 - 62, 14.06.2017

Hatice Balcı Yüce , Feyza Tulu Özkan Karataş Fatma Uçan Yarkaç

https://doi.org/10.17567/ataunidfd.321371

Öz

ABSTRACT

 

Aim: Frenulum is a sagittal fibrous fold of oral mucosa with a periosteal
insertion that extends from the lip or cheek to the alveolar or gingival
mucosa. Sometimes frenulums have high attachments and wide soft tissue folds
and these high frenulums may cause functional and aesthetic problems. The aim
of this study is evaluate the pain and discomfort in patients treated with
conventional or diode laser frenectomy through VAS scale.

Material-method: In this study, in totally 74 patients frenectomy procedure was
indicated. 39 patients had frenectomy performed with conventional surgery
(Group C) and 35 patients had frenectomy performed with laser surgery (Group
L). None of the patients had systemic disease or any prescribed drug use. A VAS
scale was prepared in order to evaluate pain and dis- comfort in speaking and
chewing. All patients were in- formed about how to fill the form in detail and a
form was given to each patient. All patients were recalled at 10^th
day and VAS scale forms were recollected.

Results: There were no significant differences in demographic data of the groups
(p>0.05). Pain was found to be significantly higher in conventional group
(p<0.05). Likewise, discomfort in speaking and chewing was also
significantly lower in laser surgery group than conventional surgery
(p<0.05).

Conclusion: Diode laser frenectomy procedure caused lower pain and discomfort in
speaking and chewing, and within the limitations of this study, based on these
results it can be concluded that diode laser surgery had beneficial results in
frenectomy procedure.

Key words: Diode Laser; Frenectomy, Pain, Visual Analog Scale (VAS).

KONVANSİYONEL VE
DİYOT LAZER YÖNTEMLERİ İLE YAPILAN FRENEKTOMİ İŞLEMİ SONRASI AĞRI VE HASTA
KONFORUNUN KARŞILAŞTIRILMASI

ÖZ

Amaç: Frenilum dudak
ve yanaklardan ağız mukozası veya yapışık dişetine uzanan, periosta tutunan kas
ve bağ dokusu liflerinden oluşan fizyolojik-anatomik bir bağlantı- dır. Bazı
hastalarda frenilum yüksek seviyede ataçman ve geniş mukoza katlantıları
yaparak fonksiyonel ve/veya estetik problemlere neden olabilir. Bu gibi
durumlarda cerrahi olarak alınması gereklidir. Frenektomi konvansiyo- nel
olarak uygulandığında sütür gerektirir ve sonrasında kanama, şişlik ve ağrı
olabilir. Lazer uygulaması, kanama olmaması, sütür gerektirmemesi ve hasta
konforu açısın- dan tercih edilmektedir. Bu çalışmanın amacı konvansi- yonel ve
diyot lazer cerrahisi ile yapılan frenektomi işlemi sonrasında VAS skalası
aracılığıyla ağrı, konuşma ve çiğneme güçlüğünün değerlendirilmesidir.

Gereç ve Yöntem: Frenektomi endikasyonu konulmuş toplam 74 hastada 39 hastaya
konvansiyonel cerrahi (K grubu) uygulanmış, 35 hastaya ise diyot lazer
cerrahisi (L grubu) ile frenektomi uygulanmıştır. Dahil edilen hastalar
sistemik hastalığı olmayan, düzenli ilaç kullanmayan has- talardı. Ağrı,
çiğneme ve konuşma fonksiyonlarının değer- lendirilebilmesi için hazırlanan VAS
skalası formu hastalara verilerek nasıl doldurmaları gerektiği detaylı bir
biçimde anlatılmıştır. Hastalar işlem sonrası 10. günde kontrole çağırılmıştır.

Bulgular: Her iki grup
arasında yaş ve cinsiyet dağılı- mı açısından fark bulunmadı (p>0.05). Ağrı
konvansi- yonel grupta lazer gurubuna oranla anlamlı düzeyde yüksek bulundu
(p<0.05). Aynı şekilde lazer grubunda konvansi- yonel gruba oranla daha az konuşma
ve çiğneme güçlüğü yaşandı (p<0.05).

Sonuç: Diyot lazer ile frenektomi cerrahisi konvansiyonel cerrahiye oranla
daha az ağrı, konuşma ve çiğneme güç- lüğüne neden olmuştur ve bu çalışmanın
sınırları dahilin- de, bu sonuçlara dayanarak diyot lazerin frenektomi
cerrahisinde faydalı sonuçlar verdiği söylenebilir

Anahtar Kelimeler: Ağrı, Diyot lazer; Frenektomi, Visual Analog
Skala(VAS).

Anahtar Kelimeler

Diode Laser; Frenectomy, Pain

Kaynakça

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