Aim: The purpose of the present study was to evaluate the comparison of laser versus cautery usage in various maxillofacial surgical procedures. Methodology: In this randomized double-blind clinical trial, 40 individuals were randomly allocated to two groups: group 1 (G1) consisted of 20 individuals assigned to treatment with diode laser and group 2 (G2) consisted of 20 individuals assigned to treatment with electrocautery. The following transoperative parameters were evaluated: bleeding, temperature, and surgical technique parameters (energy deposited on tissue, flow rate, and time of incision). The postoperative parameters evaluated were as follows: pain, functional alterations (chewing, speaking), analgesic medication intake, swelling, healing of the wound area, and patient satisfaction. Results: Among the 40 individuals included in the study, four (two in G1 and two in G2) did not complete the entire follow-up. Therefore, 36 individuals (18 in G1 and 18 in G2) participated. Participants in G1 and in G2 had similar demographic characteristics. No difference regarding the trans- or postoperative parameters evaluated was observed between G1 and G2 (p > 0.05). Also, no difference regarding the time for healing was observed between groups. Conclusion: Diode laser seems to be as effective and safe as electrocautery when applied under similar conditions.
Aim: The purpose of the present study was to evaluate the choice of grafting options post apicectomy procedure by various endodontists. Methodology: In the present descriptive survey, 8 questions were asked from 50 Endodontists, regarding the treatment options in cases of periapical pathologies as well as graft material preference after the apicoectomy procedure was performed. They were asked for usability, economics, long term healing of periapical region related with post apicoectomy graft placement. Results: 49.5% of participants preferred calcium hydroxyapatite as a graft material as compared to bone granules or PRP. It was also noted that radiographic resolution and improved trabecular pattern in peri-radicular area was the most important aspect that endodontists look into while looking at healing of periapical lesion (1.43 ±1.002). Most stable graft according to 61% of participants were autologous transplants- bone granules as well as calcium hydroxyapatite (1.422±1.02). Conclusion: Endodontists preferred calcium hydroxyapatite or bone grafts, which has more stable long-term results.
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