Assessment of Clinical Outcomes and Patient Response to Gingival Depigmentation by Scalpel Surgical Stripping and Diode Laser: A Randomized Split-Mouth Study

Chhina, Shivjot; Gakhar, Abhishek; Gupta, Stuti; ss, Shradha; Sharma, Ejya; Arora, Sachit Anand

doi:10.1177/2320206818820995

Cited by 6 publications

(3 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study recruitment was from the outpatient dental clinics of the Based on the study of Chhina et al in 2019, the VAS was checked at 1 st , and 7 th day postoperatively. On the 1st day, 2.5 ±0.515 of patients reported pain and 0.7 was the clinical most important difference based on expert opinion (Chhina et al, 2019) , Using power 80% and p value: 0.05 as significance level, the number of patients that were enrolled to the study were 10 in each group with 20% more allocated to overcome dropouts, accordingly the number was 12 in each group with 24 patients in the study. Sample size calculation was achieved using Independent T test.…”

Section: Study Settingsmentioning

confidence: 99%

Clinical comparison of the periodontal pack with and without L-PRF on post-operative pain after surgical gingival depigmentation: A Randomized Clinical Trial

Reda

nawawy

Moussa³

et al. 2023

Advanced Dental Journal

View full text Add to dashboard Cite

Aim:The aim of the study was to evaluate the effect of platelet rich fibrin on post-operative pain after surgical depigmentation. Methodology: Twenty-four patients with gingival pigmentation were recruited and randomly assigned to control group; non-eugenol periodontal pack only, or to test group; L-PRF with periodontal pack. Gingival depigmentation was done using a combination of scalpel and bur techniques and both groups were covered using periodontal pack. Post-operative pain was measured using visual analogue scale (VAS) was tested and compared. Results: In the control group, 100% of the patients reported pain ranging from moderate to distressing pain after the 5 th day while in the test group 8.3% reported very mild pain after the 5 th day. Conclusion: Using PRF after gingival depigmentation results in decreased post-operative pain when compared to using periodontal packs alone.

show abstract

Section: Study Settingsmentioning

confidence: 99%

Clinical comparison of the periodontal pack with and without L-PRF on post-operative pain after surgical gingival depigmentation: A Randomized Clinical Trial

Reda

nawawy

Moussa³

et al. 2023

Advanced Dental Journal

View full text Add to dashboard Cite

show abstract

“…The increased activity of A power analysis was designed to have adequate power to apply a two-sided statistical test of the null hypothesis that there is no difference would be found between different tested groups. By adopting an alpha (α) level of 0.05 (5%), a beta (β) level of 0.2 (i.e., power = 80%), and an effect size (d) of (1.931) calculated based on the results of a previous study with the same primary outcome [9]; the predicted sample size (n) was a total of (6) cases. Sample size was increased by (25%) to compensate for possible drop-out during different follow up intervals to be a total of (8) cases.…”

Section: Introductionmentioning

confidence: 99%

Ceramic Soft Tissue Trimming Bur versus Conventional Scalpel Technique in Gingival Depigmentation Procedure: A Split-mouth Randomized Clinical Trial

Nassar,

Abuel-Ela,

Fouad

2023

Preprint

View full text Add to dashboard Cite

Objectives: Ceramic soft tissue trimming bur (Cerabur) was primarily launched to be used in gingivoplasty but has been used recently in gingival depigmentation. Cerabur depigmentation has the advantage of good hemostasis because of blood coagulation by frictional heat. This study aimed to compare the efficacy of depigmentation using the novel cerabur versus the gold-standard surgical scalpel technique. Materials and methods: Eight healthy, non-smokers with moderate to severe gingival hyperpigmentation in both arches were randomly assigned for cerabur depigmentation in one arch [test group (TG)] and scalpel depigmentation in the opposite arch [control group (CG)]. Pigmentation indices, pain levels, patient satisfaction, treatment time as well as re-pigmentation rates were the assessed parameters. The assessment was at baseline, 1 week, 1 month, and 3 months. Results: At all the assessment visits the pigmentation intensity represented by Dummet oral pigmentation index (DOPI), and distribution represented by Hedin melanin index (MI) were significantly less than baseline (p <0.001) in both groups. When comparing both groups, Scalpel depigmentation had better initial clinical outcomes, while Cerabur had less visible re-pigmentation, pain Scores, and treatment time, along with more patient satisfaction. However, all these differences were statistically insignificant. Conclusion: Both techniques successfully removed the gingival hyperpigmentation with comparable clinical outcomes. Cerabur depigmentation was favored by the patients. Clinical relevance: Gingival hyperpigmentation is an esthetic problem for many individuals. Investigating a simple, cost-effective, and bloodless depigmentation technique would be beneficial to both the clinician and the patient.

show abstract

“…Enhanced esthetics is the primary indication for demand of depigmentation procedure. [ 4 ] Literature evidence shows various methods of depigmentation, such as scalpel surgery, cryosurgery, electrosurgery, chemical methods, and lasers of different kinds such as neodymium, aluminum-yttrium-garnet (Nd-YAG) lasers, diode lasers, erbium-YAG lasers, and carbon dioxide (CO2). [ 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Electrosurgery and Diode Laser in Gingival Depigmentation

Yadav

Kumar²,

Chandra

et al. 2022

Journal of Pharmacy and Bioallied Sciences

View full text Add to dashboard Cite

Introduction: Gingival depigmentation is a surgical procedure done to eliminate or reduce gingival hyperpigmentation. Various techniques are employed such as scalpel de-epithelization, gingivectomy, electrosurgery, use of chemical agents, cryosurgery, and lasers. The present study was conducted to assess the efficacy of laser and electrosurgical procedure in reducing gingival pigmentation in terms of pain, wound healing, and recurrence of melanin pigmentation. Methodology: A prospective study was conducted on 40 subjects affected by melanin pigmentation. Group I patients were treated with electrosurgery and Group II patients with diode laser procedure. Evaluation for pain was done intraoperatively, 24 hours and 7 days using VAS. Wound healing and recurrence of pigmentation was assessed at one month and three months. Results: No significant difference was noted between the two groups for pain assessment at 7 days with P > 0.001. Both electrosurgery and laser group showed significant differences between intraoperative time period to 24 hours and 24 hours to 7 days at P < 0.001 for pain. Conclusion: Esthetic demands necessitate cosmetic gingival depigmentation procedure. Laser diode photoablation proves to be an effective and reliable technique in achieving the same.

show abstract

Assessment of Clinical Outcomes and Patient Response to Gingival Depigmentation by Scalpel Surgical Stripping and Diode Laser: A Randomized Split-Mouth Study

Cited by 6 publications

References 13 publications

Clinical comparison of the periodontal pack with and without L-PRF on post-operative pain after surgical gingival depigmentation: A Randomized Clinical Trial

Clinical comparison of the periodontal pack with and without L-PRF on post-operative pain after surgical gingival depigmentation: A Randomized Clinical Trial

Ceramic Soft Tissue Trimming Bur versus Conventional Scalpel Technique in Gingival Depigmentation Procedure: A Split-mouth Randomized Clinical Trial

Evaluation of Electrosurgery and Diode Laser in Gingival Depigmentation

Contact Info

Product

Resources

About