Conventional versus laser gingivectomy in the management of gingival enlargement during orthodontic treatment: a randomized controlled trial

Lione, Roberta; Pavoni, Chiara; Noviello, Andrea; Clementini, Marco; Danesi, Carlotta; Cozza, Paola

doi:10.1093/ejo/cjz032

Cited by 36 publications

(45 citation statements)

References 23 publications

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“…Depending on the type, the laser may be used in the area of soft and hard tissues. It is used, for instance, in orthodontics, in the treatment of temporomandibular joint dysfunctions and implantological rehabilitation [5][6][7][8][9]. Moreover, lasers have been demonstrated to support the treatment of snoring and sleep apnea, as well as periodontal diseases, e.g., peri-implantitis [10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Human Gingival Fibroblast Proliferation after Laser Stimulation In Vitro Using Different Laser Types and Wavelengths (1064, 980, 635, 450, and 405 nm)—Preliminary Report

Sterczała

Grzech‐Leśniak

Michel

et al. 2021

JPM

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Purpose: to assess the effect of photobiomodulation (PBM) on human gingival fibroblast proliferation. Methods: The study was conducted using the primary cell cultures of human fibroblasts collected from systemically healthy donors. Three different laser types, Nd:YAG (1064 nm), infrared diode laser (980 nm), and prototype led laser emitting 405, 450, and 635 nm were used to irradiate the fibroblasts. Due to the patented structure of that laser, it was possible to irradiate fibroblasts with a beam combining two or three wavelengths. The energy density was 3 J/cm2, 25 J/cm2, 64 J/cm2. The viability and proliferation of cells were determined using the (Thiazolyl Blue Tetrazolium Blue) (MTT) test conducted 24, 48, and 72 h after laser irradiation. Results: The highest percentage of mitochondrial activity (MA = 122.1%) was observed in the group irradiated with the 635 nm laser, with an energy density of 64 J/cm2 after 48 h. The lowest percentage of MA (94.0%) was observed in the group simultaneously irradiated with three wavelengths (405 + 450 + 635 nm). The use of the 405 nm laser at 25 J/cm2 gave similar results to the 635 nm laser. Conclusions: The application of the 635 nm and 405 nm irradiation caused a statistically significant increase in the proliferation of gingival fibroblasts.

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Section: Introductionmentioning

confidence: 99%

Assessment of Human Gingival Fibroblast Proliferation after Laser Stimulation In Vitro Using Different Laser Types and Wavelengths (1064, 980, 635, 450, and 405 nm)—Preliminary Report

Sterczała

Grzech‐Leśniak

Michel

et al. 2021

JPM

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“…When the therapy directed to the local etiological factor does not achieve an adequate resolution of the gingival overgrowth and this persists, surgical procedures are indicated, such as gingivoplasty, which intends to re-turn the gum, or gingivectomy to remove the area of the enlarged gums [18]. These procedures are usually performed using scalpels, lasers, and electrosurgery [19]. In this way you can achieve gingival contours that allow easy hygienisation, and optimal aesthetic results for the patient.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of gingival enlargement in patients with fixed orthodontic aparatology: A cross-sectional observational study.

Soliz¹,

Ortiz²,

Carvajal³

2021

World J. Adv. Res. Rev.

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Gingival enlargement (GE) is an excessive growth of the gum, which causes functional and aesthetic disorders in individuals. Its etiology is closely related to the dental biofilm accumulation; however, other local and systemic factors can modify the response to these irritants, worsening the condition. This study objective is to determine the GE prevalence in patients with fixed orthodontic appliances and its distribution. A cross-sectional study was conducted in 105 patients older than 15 years, attended at the Postgraduate Orthodontic Clinic of the University of Cuenca. A questionnaire provided information on: sex, age, use of mouthwash, prior periodontal treatment, and stationary apparatus time use. A clinical examination was carried out to determine the periodontal biotype, cementation additives material excess, and the probing depth was evaluated with a periodontal probe PCP 11.5. Any value equal to or greater than 3.5mm was considered as GE and classified according to grade and location. As a result, a GE prevalence of 65.7% was found, with a unique statistically significant association between GE and the fixed apparatus time use, where those patients who used it for more than 12 months, had a higher risk (p= 0.0039; OR: 3.42; 95% CI: 1.46-8.02). Grade I GE (papillary) was the most prevalent; vestibular surfaces and lower anterior teeth were the most frequent locations.

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“…The most preferred method of CLP is said to be gingivectomy (Gupta et al, 2015) as the procedure is less time consuming,gives effective long term results and is less invasive. Studies also show that,non surgical procedures are less effective in controlling gingival inflammation than surgical or laser gingivectomy (Lione et al, 2019).…”

Section: Resultsmentioning

confidence: 99%

Evaluation of the method of gingivectomy done in endodontically treated teeth

2021

cibg

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Gingivectomy is done to correct gingival levels , esthetic contour and adequate crown length which is required. Gingivectomy is a type of clinical crown lengthening. The tooth requiring endodontic treatment requires Clinical crown lengthening procedure because of overgrowth of gingiva. Gingivectomy can either be done using a scalpel or laser depending on the procedure. The study aims at evaluating the gingivectomy method done in endodontically treated teeth. The details of patients requiring CLP/gingivectomy prior to RCT were collected.72 patients required the procedure. The details of these patients were collected and reviewed. Excel tabulation was done, results and graphs were obtained from SPSS. Statistical test performed was the Chi square test. 52.76% of the total underwent laser gingivectomy whereas 47.22% of them underwent laser gingivectomy. Chi square test shows p>0.05, non significant association. Thus it was found that the patients requiring gingivectomy prior to endodontic treatment had mostly undergone laser gingivectomy than surgical gingivectomy.

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Conventional versus laser gingivectomy in the management of gingival enlargement during orthodontic treatment: a randomized controlled trial

Cited by 36 publications

References 23 publications

Assessment of Human Gingival Fibroblast Proliferation after Laser Stimulation In Vitro Using Different Laser Types and Wavelengths (1064, 980, 635, 450, and 405 nm)—Preliminary Report

Assessment of Human Gingival Fibroblast Proliferation after Laser Stimulation In Vitro Using Different Laser Types and Wavelengths (1064, 980, 635, 450, and 405 nm)—Preliminary Report

Prevalence of gingival enlargement in patients with fixed orthodontic aparatology: A cross-sectional observational study.

Evaluation of the method of gingivectomy done in endodontically treated teeth

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