Preventive aspects and patient satisfaction with laser aided gingivectomy versus conventional method. An in-vivo comparative study

  • Aras Maruf Rauf Department of Pedodontics, Orthodontics and Preventive Dentistry, College of Dentistry, University of Sulaimani, Sulaimaniyah, Iraq.
  • Ara Omer Fattah Department of Pedodontics, Orthodontics and Preventive Dentistry, College of Dentistry, University of Sulaimani, Sulaimaniyah, Iraq.
Keywords: Diode laser, Gingivectomy, Comparative study, Preventive tool.

Abstract

Background and Objectives: Nowadays, the field of dentistry has undergone an outstanding remarkable advances in both scientific and technological aspects, dentists are obligated to synchronize the progressive demands of the patients. Gingival diseases are among the most
common health problems of human being. Gingivectomy, as a surgical interference can be performed with either scalpel or soft tissue Laser The objective of this study was to evaluate the preventive extent of Diode Laser in regards to gingivectomy associated complications beside
the patient`s satisfaction.
Methods: This in vivo comparative study was designed to include 64 patients, divided into 2 groups of patients treated with either Laser therapy (34 Patients) or conventional method (30 Patients) of gingivectomy. The outcomes of the study plus patients` satisfaction with each
procedure were analyzed using IBM SPSS V. 22 program.
Results: The mean age of the sample was 25.01 + 6.56 years, more than half (57.8%) of the sample were females. All the patients in the surgery group needed local anesthesia and periodontal pack compared to 23.5% and 0% of patients in the laser group respectively. The bleeding
was significantly more severe in the first group than second group. The mean ranks of the post-operative pain scores among patients of the surgery group were significantly higher than laser group (p < 0.001). More than forty percent of the patients in the laser group were strongly
satisfied with the procedure compared to 10% of patients in the surgery group.
Conclusions: Diode laser can be used as a preventive tool for undesired Gingivectomyassociated pain, bleeding, and needs for anaesthesia which subsequently leads to more patient satisfaction compared to conventional methods.

References

Carranza FA, Hogan EL. Gingival enlargement. Newman MG, Takei HH and Carranza FA, editors. Carranza's clinical periodontology. Saunders; 2002.

p. 279-96.

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.

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.

Parker S. Low-level laser use in dentistry. Br Dent J 2007; 202:131-8.

de Santana-Santos T, de Souza-Santos A, MartinsFilho 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.

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.

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.

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.

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.

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.

Coluzzi DJ. Fundamentals of dental lasers: science and instruments. Dent Clin North Am 2004; 48:751- 70.

Luomanen M. Experience with a carbon dioxide laser for removal of benign oral soft-tissue lesions. Proc Finn Dent Soc 1992; 88:49-

Pirnat S. Versatility of an 810 nm diode laser in dentistry: An overview. J Laser Health Acad 2007; 4:1-9.

Genovese MD, Olivi G. Use of laser technology in orthodontics: hard and soft tissue laser treatments. Eur J Paediatr Dent 2010; 11:44-8.

Ize-Iyamu IN, Saheeb BD, Edetanlen BE. Comparing the 810nm diode laser with conventional surgery in orthodontic soft tissue procedures.

Ghana Med J 2013; 47:107-11.

Shankar BS, T R, S NM, Reddy PS, Saritha G, Reddy JM. Chronic inflammatory gingival overgrowths: laser gingivectomy & gingivoplasty. J Int Oral Health 2013; 5:83-7.

Sobouti F, Rakhshan V, Chiniforush N, Khatami M. Effects of laser-assisted cosmetic smile lift gingivectomy on postoperative bleeding and pain in fixed orthodontic patients: a controlled clinical trial. Prog Orthod 2014; 15:66.

Kumar, P., Rattan, V. and Rai, S. Comparative evaluation of healing after gingiva with electrocautery and laser. Journal of oral

biology and craniofacial research, 2015; 5(2), pp.69-74.

Kravitz ND, Kusnoto B. Soft-tissue lasers in orthodontics: an overview. Am J Orthod Dentofacial Orthop 2008; 133: S110-4.

Kafas P, Stavrianos C, Jerjes W, Upile T, Vourvachis M, Theodoridis M, et al. Upper-lip laser frenectomy without infiltrated anaesthesia in a

paediatric patient: a case report. Cases J 2009;2: 7138.

Webert K, Cook RJ, Sigouin CS, Rebulla P, Heddle NM. The risk of bleeding in thrombocytopenic patients with acute myeloid leukemia. Haematologica 2006; 91:1530-7.

Kersten P, White PJ, Tennant A. Is the pain visual analogue scale linear and responsive to change? An exploration using Rasch analysis. PLoS One

; 9: e99485.

Amaral, M.B.F., de Avila, J.M.S., Abreu, M.H.G. and Mesquita, R.A., 2015. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. International journal of oral and maxillofacial surgery, 44(11), pp.1383-1389

Asnaashari, M., Azari-Marhabi, S., Alirezaei, S. and Asnaashari, N., 2013. Clinical Application of 810nm Diode Laser to Remove Gingival Hyperplasic Lesion. Journal of lasers in medical sciences, 4(2), p.96.

Aoki, A., Watanabe, H., Namiki, N., Takiguchi, T., Miyazawa, Y., Suzuki, M., Hasegawa, K. and Ishikawa, I., 2003, May. Periodontal soft tissue

management with a high pulse rate Er: YAG laser. In International Congress Series (Vol. 1248, pp. 367-369). Elsevier.

Grossi GB, Maiorana C, Garramone RA, Borgonovo A, Creminelli L, Santoro F. Assessing postoperative discomfort after third molar surgery: a

prospective study. J Oral Maxillofac Surg 2007; 65:901-17.

Stubinger S., Saldamli B. Soft tissue surgery with the diode laser– theoretical and clinical aspects. Schweiz Monatsschr Zahnmed. 2006;

:812–820.

Janda P., Sroka R. Comparison of thermal effects induced by contact application of fiber guided laser systems. Lasers Surg Med. 2003; 33:93–101.

Goharkhay K., Moritz A. Effects on oral soft tissue produced by a diode laser in vitro. Lasers Surg Med. 1999; 25:401–406.

Fisher, S.E. and Frame, J.W., 1984. The effects of the carbon dioxide surgical laser on oral tissues. British journal of oral and maxillofacial surgery, 22(6), pp.414-425.

Öncü E, Erbeyoğlu AA, Alan R. Comparison of gingivectomy procedures for patient satisfaction: Conventional and diode laser surgery. Selcuk Dent J, 2017; 4: 6-9.

Published
2021-07-30
How to Cite
Rauf, A., & Fattah, A. (2021). Preventive aspects and patient satisfaction with laser aided gingivectomy versus conventional method. An in-vivo comparative study. Erbil Dental Journal (EDJ), 4(1), 8-14. https://doi.org/10.15218/edj.2021.02
Section
Original Articles