Management of Gingival Enlargement during Orthodontic Treatment by Diode Lasers versus Conventional Method
DOI:
https://doi.org/10.5195/d3000.2024.711Nøgleord:
Gingival Enlargement, Diode Lasers, Scalpel, GingivectomyResumé
Objective: The aim of this study was to assess the efficacy of diode lasers (810-980 nm) in treating gingival enlargement caused by orthodontic appliances. Additionally, to compare the outcomes of diode laser treatment with the conventional method (scalpel) in managing gingival enlargement.
Materials and Methods: For this study, a total of 20 patients ranging in age from 14 to 28 years old were included. These individuals were divided into two groups: the laser group and the conventional group. In the laser group, surgery was performed on 10 patients using an 810–980 nm diode laser in continuous wave mode with energy settings of 1.5–2 watts. On the other hand, the conventional group also consisted of 10 patients who underwent gingival enlargement management due to an orthodontic appliance using a scalpel. To assess pain and discomfort, patients were provided with a questionnaire to record their experiences daily for the first seven days following the surgery. Pain and discomfort were evaluated using a verbal rating scale. During follow-up visits, plaque index, bleeding on probing, healing, and swelling were assessed. Additionally, the duration of the surgery and bleeding scores were recorded during the surgical procedure.
Results: The initial postoperative bleeding score was significantly lower in the laser group compared to the conventional group. The duration of the procedure was shorter in the laser group than in the conventional group. Additionally, the laser group exhibited lower levels of PI and BOP percentages compared to the conventional group. Notably, there was a significant different in the percentage of BOP, with a P=0.03 in the first week, and a P=0.002 in the fourth week, as determined by T-tests. When comparing individuals in the laser group to those in the conventional group, it was observed that the pain and discomfort scores decreased.
Furthermore, the swelling score was significantly lower in the laser group compared to the conventional group, particularly in the third week (Chi square statistic = 4.9, P=0.05). Lastly, there was a significant variation in healing scores in the laser group throughout all weeks of follow-up, as indicated by the T-test (P< 0.05).
Conclusion: Based on the results obtained, it can be concluded that diode lasers operating within the range of 810-980 nm, when set at the appropriate power level, prove to be an effective method for managing gingal enlargement caused by orthodontic appliances.
Downloads
Publiceret
Nummer
Sektion
Licens
Copyright (c) 2024 Fatima H. Almusawi, Shaimaa S. Mahdi, Salah A. Alkurtas
Dette værk er under følgende licens Creative Commons Navngivelse (by).
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.
