Comparison of electrosurgery with conventional fiberotomies on rotational relapse and gingival tissue in the dog

Fricke, Laurie Lee; Rankine, C.A.N.

doi:10.1016/0889-5406(90)70112-p

Cited by 10 publications

(3 citation statements)

References 20 publications

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“…The conventional surgical approach for CSF remains an acceptable method ( Proffit, 2012 ). However, the use of a scalpel blade during the procedure can lead to poor patient acceptance rates and adverse effects such as postoperative pain and bleeding ( Fricke et al, 1990 ). Therefore, minimally invasive approaches have been proposed to overcome these limitations.…”

Section: Discussionmentioning

confidence: 99%

Rotational relapse of anterior teeth following orthodontic treatment and circumferential supracrestal fiberotomy

Jasser

Al-Subaie

Al-Jasser

et al. 2020

The Saudi Dental Journal

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Background/purpose Several factors cause relapse of orthodontically de-rotated teeth after appliance removal. Circumferential supracrestal fiberotomy (CSF) may release the tension on the supra-alveolar fibers following tooth de-rotation, thereby reducing the relapse risk. However, careful identification of the amount and location of relapse enables proper clinical evaluation. We aimed to determine the amount of orthodontic relapse following CSF for de-rotated anterior teeth. Materials and methods Eleven patients with 90 orthodontically de-rotated anterior teeth were enrolled. CSF was performed after orthodontic treatment, during fixed retainer placement. Rotational correction and relapse were measured on three casts (preorthodontic treatment, cast 1; postorthodontic treatment + CSF, cast 2; and 12-month follow-up, cast 3). The Wilcoxon test was used to assess significant differences in the tooth rotation angles between casts 1 and 2 and casts 2 and 3. The relationship between the magnitude of relapse and pretreatment severity of rotation was assessed by the point biserial correlation test. The Mann-Whitney U test helped in identifying significant differences in the amount of relapse between maxillary and mandibular teeth. Results The mean amount of rotational correction was 14.05°, while the mean amount and percentage of relapse were 1.1° and 10.8%, respectively [0.81° (8%) and 1.44° (14%) for maxillary and mandibular teeth, respectively]. The relapse amount was proportional to the pretreatment rotation severity, and it was larger for the mandibular canines. There was no significant difference in the amount of relapse between the maxillary and mandibular teeth ( P = 0.07). Conclusion Post-treatment rotational relapse of anterior teeth subjected to CSF was minimal and statistically insignificant after 1 year of follow-up. This validates the promising results of CSF when combined with appropriate mechanical retention for an adequate period.

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Section: Discussionmentioning

confidence: 99%

Rotational relapse of anterior teeth following orthodontic treatment and circumferential supracrestal fiberotomy

Jasser

Al-Subaie

Al-Jasser

et al. 2020

The Saudi Dental Journal

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“…Various methods to combat the odour have been proposed in the literature. Malone and Manning [16] and Fricke and Rankine [17] also mentioned that an offensive odour is a distinct disadvantage of electrosurgery, but it can be diluted by the use of high-velocity evacuation equipment. Niamtu [18] stated in his article about special portable evacuation systems with viral and activated charcoal filters for both operator and patient safety and comfort.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Radiosurgery and Scalpel Blade Surgery in Impacted Mandibular Third Molar Incisions: a Clinical Trial

Kalia¹,

Siddiqui²,

Kalra³

2017

J. Maxillofac. Oral Surg.

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Aims This study aims to compare the outcome of radiosurgically assisted incision technique with the conventional scalpel blade technique in impacted mandibular third molar incisions. Methods On 100 patients (50 patients each in GROUP R and GROUP S) with impacted mandibular third molar, incisions were given using radio surgical and scalpel technique, respectively. Impacted third molars were classified according to Winter's classification. Two types of incisions (Ward's and modified Ward's) were performed. Results were evaluated considering various parameters like surgical ease, field of surgery, odour, bleeding, discomfort/pain, post-operative analgesic intake and healing in both groups. Results In our study, mean age of patient was 25.30 years, 54% were females and 46% males; mesioangular was the most common type of impaction, and the average length of incision was 3.105 ± 0.546 cm. There was a significant statistical difference (p \ 0.01) in the five measure moments (field of surgery, surgical ease, intra-operative bleeding, odour and post-operative analgesic intake at 3-5th day) between the impacted molars operated with scalpel and the ones done with radiosurgery. There was statistically insignificant difference in pain/discomfort, healing and post-operative analgesic intake at 1st and 7-10th day. Conclusions Radiosurgery was very effective in providing clear field of surgery, surgical ease and created less intraoperative bleeding than scalpel blade surgery making day to day minor oral surgery less stress full and productive.

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“…29 Alternative methods have therefore been described to improve these conditions, such as the use of electrosurgery and laser. [29][30][31][32][33] Using laser to perform fiberotomy shows numerous benefits over the conventional technique, since it is considered that with this technology patients experience minimum pain and inflammation, little or no bleeding and a low probability of postoperative infection, as the laser sterilizes the irradiated area of the region to be treated. 28 The Erbium laser is the most recommended for fiberotomy (Er: YAG or ER, Cr: YSGG) because it allows fiber ligaments to reestablish a tissue pattern without inducing superficial necrosis.…”

Section: Using Laser or Electrosurgerymentioning

confidence: 99%

Estabilidad Del Tratamiento De Ortodoncia Y De La Condición Periodontal Con La Fibrotomía Supracrestal Circunferencial: Revisión Sistemática

Castaño-Duque

Díaz

Amaya

et al. 2019

Rev Fac Odontol Univ Antioq

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Introducción: la estabilidad es uno de los principales objetivos del tratamiento de ortodoncia, y la fibrotomía supracrestal circunferencial es una de las alternativas para prevenir la recidiva en casos de rotaciones dentales, apiñamiento y dientes con inclinación; sin embargo, no se tienen estudios que demuestren la efectividad de este tratamiento, así como sus efectos en la condición periodontal. El objetivo de esta revisión sistemática (RS) consistió en evaluar la efectividad de la fibrotomía supracrestal circunferencial (FSC) como procedimiento coadyuvante en la estabilidad del tratamiento de ortodoncia durante la retención, así como los efectos en la condición periodontal posterior a su realización. Métodos: la búsqueda de estudios relacionados con el tema se realizó mediante las bases de datos PubMed y EMBASE hasta octubre de 2018. Los estudios fueron considerados elegibles si abarcaban el uso de la FSC durante el periodo de retención y si reportaban la condición periodontal con un tiempo de seguimiento mayor o igual a un año. Para la evaluación del riesgo de sesgos en los estudios elegidos, se aplicó la escala Newcastle-Ottawa en los estudios observacionales y la herramienta de colaboración Cochrane para los ensayos clínicos aleatorizados (ECA) y ensayos clínicos controlados (ECC). Resultados: la estrategia de búsqueda arrojó 85 posibles artículos elegibles, de los cuales 5 fueron incluidos en laRS. Cuatro de los cinco estudios reportaron un índice de irregularidad menor en los pacientes que tuvieron FSC cuando se compararon con un grupo control. Con respecto a la condición periodontal, no se reportaron cambios en índice de placa, índice gingival, niveles de inserción, profundidad al sondaje y cantidad de encía queratinizada. Conclusiones: la fibrotomía es un método eficaz para evitar la recidiva de dientes previamente rotados y no genera alteraciones a nivel periodontal. Sin embargo, es importante tener en cuenta que la calidad metodológica de los estudios no fue alta.

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Comparison of electrosurgery with conventional fiberotomies on rotational relapse and gingival tissue in the dog

Cited by 10 publications

References 20 publications

Rotational relapse of anterior teeth following orthodontic treatment and circumferential supracrestal fiberotomy

Rotational relapse of anterior teeth following orthodontic treatment and circumferential supracrestal fiberotomy

Comparative Analysis of Radiosurgery and Scalpel Blade Surgery in Impacted Mandibular Third Molar Incisions: a Clinical Trial

Estabilidad Del Tratamiento De Ortodoncia Y De La Condición Periodontal Con La Fibrotomía Supracrestal Circunferencial: Revisión Sistemática

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