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

Öncü, Elif

doi:10.15311/1441.309572

Cited by 12 publications

(9 citation statements)

References 10 publications

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“…Our findings showed that LLLT positively enhance wound healing following the gingivectomy procedure as well as decrease the post-operative pain perception by patients. This is in agreement with Oncu et al [24]; they showed that diode laser significantly accelerate healing and decrease patients' discomfort following gingivectomy.…”

Section: Discussionsupporting

confidence: 92%

The evaluation of healing effect of low-level laser treatment following gingivectomy

Madi

Mahmoud

2020

Beni-Suef Univ J Basic Appl Sci

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Background: Lasers have been investigated as an alternative or adjunctive tool to conventional procedures commonly used in periodontology. The application of low-level laser therapy (LLLT) in dentistry was proposed to provide minimally invasive and painless treatment as well as increasing the comfort for the patient following surgery. Thus, the purpose of the current study was to evaluate the effect of LLLT on healing following gingivectomy. Methods: Twenty patients with inflammatory gingival enlargement on their maxillary or mandibular anterior region were included in this study. Patients were divided randomly into two groups (test group consist of ten patients) after gingivectomy a diode laser (660 nm) was applied to the wound area immediately post-surgery, 3 and 5 days post-surgery. The control group (ten patients) did not receive laser irradiation. Healing was evaluated clinically using healing score and visual analogue scale (VAS). Results: The laser-treated group had significant improvement regarding the healing score at 5, 7, and 14 days p.s., and significant improvement in visual analogue scale (VAS) score was observed at day 3, 5, and 7 p.s., than the control group. Conclusion: LLLT can be used as an effective adjunctive treatment following gingivectomy procedure to promote healing and decrease patients' discomfort.

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Section: Discussionsupporting

confidence: 92%

The evaluation of healing effect of low-level laser treatment following gingivectomy

Madi

Mahmoud

2020

Beni-Suef Univ J Basic Appl Sci

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“…The postsurgical discomfort level was recorded using VAS. The researchers observed that the bleeding rate and pain level in the diode laser group were found to be less than in the scalpel group [16].…”

Section: Discussionmentioning

confidence: 98%

Efficacy of Low-level Laser Therapy, Hyaluronic Acid Gel, and Herbal Gel as Adjunctive Tools in Gingivectomy Wound Healing: A Randomized Comparative Clinical and Histological Study

Reddy

Koduganti

Panthula

et al. 2019

Cureus

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IntroductionGingival overgrowth is usually an inflammatory response to plaque present on tooth surfaces. The other causes could be drugs and other systemic conditions. When the local factors are responsible and subgingival scaling does not help, gingivectomy is performed. The gingivectomy wound is raw and heals slowly. Lowlevel laser therapy (LLLT), hyaluronic acid, and herbal gels aid in healing after a gingivectomy. This study compared the efficacy of LLLT, hyaluronic acid, and herbal gel when used topically after a gingivectomy. This was a single-arm, interventional trial wherein 30 patients aged between 18 and 40 years with moderate gingival overgrowth participated. The study was approved by the institutional ethical committee. (DN/0109-16). The participants signed the consent form and the study was also registered (NCT03569683). Materials and methodsThe samples were equally divided into three groups. Group A received LLLT immediately postop, and on the first, third, and seventh days after surgery. Group B received hyaluronic acid (Gengigel) while Group C received an herbal gel (Hiora SG) for the same time periods after surgery, respectively. Analysis of variance (ANOVA) followed by a post-hoc Bonferroni test was used to evaluate differences within groups. Intergroup comparison was performed using the independent t-test. A p-value of <0.05 was considered statistically significant. ResultsThe plaque index (PI), gingival index (GI), and gingival enlargement index (GEI) showed good improvement postoperatively within the groups, which was statistically significant. However, on an intergroup comparison, the GEI pertaining only to the laser group showed significant changes. Also, the pain perception analyzed by the visual analog score (VAS) was the least, and histologically, the amount of mature collagen fibers laid down were more in the laser group. ConclusionPatients irradiated with laser after gingivectomy (Group A) showed superior results in the clinical, histological variables as compared to Groups B and C.

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“…30 All the patients were satisfied with Laser surgery, on the other hand, not all the patients were happy with the conventional type of gingivectomy with a significant difference between the two groups, this proves that, laser aided operations are less frightening and more acceptable by the patients, this result was in accordance with other studies. 31 The subjective quality of pain threshold may be limitation of this clinical study, for this reason, VAS as a reliable and reproducible tool was used for patients.…”

Section: Discussionmentioning

confidence: 99%

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

Rauf

Fattah

2021

EDJ

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

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

Cited by 12 publications

References 10 publications

The evaluation of healing effect of low-level laser treatment following gingivectomy

The evaluation of healing effect of low-level laser treatment following gingivectomy

Efficacy of Low-level Laser Therapy, Hyaluronic Acid Gel, and Herbal Gel as Adjunctive Tools in Gingivectomy Wound Healing: A Randomized Comparative Clinical and Histological Study

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

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