Free gingival graft adjunct with low-level laser therapy: a randomized placebo-controlled parallel group study

Yıldız, Mehmet; Günpınar, Sadiye

doi:10.1007/s00784-018-2608-6

Cited by 25 publications

(42 citation statements)

References 39 publications

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“…In our study, the recipient bed was prepared with connective tissue left on the periosteum. When the GT was 1.5–2 mm, no complaints were caused by palatinal area postoperatively.…”

Section: Discussionmentioning

confidence: 88%

“…Graft shrinkage can be evaluated during the early healing period or in the late period . There are conflicting studies reporting that graft shrinkage continues until 6 months or that graft sizes do not change between 1 and 6 months postoperatively . Based on the knowledge that the maturation of the graft lasts until the 5th month, we performed our analysis at the 6th postoperative month.…”

Section: Discussionmentioning

confidence: 99%

“…The total shrinkage ratio in present study for a graft thickness of 1.5–2 mm was found 23.27% at the sixth month. Recent studies have suggested that the use of computer software in the calculation of the graft area may be a more sensitive method than other methods, and we used this method in our study to assess graft shrinkage areas in standard photographs. The ratio of shrinkage was reported as 15.1% at 6 months by Gümüş and Buduneli in a conventional FGG group, which was prepared with standard 5 × 10 mm and 1–1.3 mm thickness .…”

Section: Discussionmentioning

confidence: 99%

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The effect of different gingival phenotypes on dimensional stability of free gingival graft: A comparative 6‐month clinical study

Akcan

Güler²,

Hatipoğlu³

2019

Journal of Periodontology

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Background: The aim of this study is to compare the effect of mesial and distal adjacent gingival phenotypes of the tooth or teeth region of free gingival graft (FGG) on the shrinkage ratio of graft at 6 months postoperatively.Methods: Thirty-one patients with inadequate keratinized gingival width (KGW) around mandibular incisors were included in this study. The phenotype of the mesial and distal terminal teeth was evaluated by the probe transparency method and keratinized gingival thickness measurements; study groups were divided as thick and thin phenotype. The plaque index (PI), gingival index (GI), probing depth (PD), clinical attachment level (CAL) and recession height (GRH), recession width (GRW) and KGW measurements were recorded at baseline and sixth month. Vertical dimension of graft (VDG), horizontal dimension of graft (HDG), recipient area horizontal width (RAHW), recipient area vertical depth (RAVD) were recorded during surgery. The shrinkage ratio was calculated with a Java-based analysis program. Results:There was no significant difference in the clinical and surgical measurements between the groups. KGW mean values for both of adjacent teeth increased at 6th month compared to baseline but there was no difference between the groups at 6 months. GRH value has decreased significantly in thick phenotype group at the 6th month. The shrinkage ratio was found 23.14 ± 12.21% and 17.76 ± 11.05% in the thin and thick phenotype group, respectively. The difference between the groups was not statistically significant (p = 0.210). Conclusion:The phenotype of the adjacent teeth has a similar impact on FGG shrinkage ratio at the sixth month. Thick phenotype of adjacent teeth seems to be more supportive for root coverage.

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“…In our study, the recipient bed was prepared with connective tissue left on the periosteum. When the GT was 1.5–2 mm, no complaints were caused by palatinal area postoperatively.…”

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The effect of different gingival phenotypes on dimensional stability of free gingival graft: A comparative 6‐month clinical study

Akcan

Güler²,

Hatipoğlu³

2019

Journal of Periodontology

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“…Several features were suggested as risk factors for the outcomes of FGG; these include but are not limited to: improper preparation of the recipient site, inadequate graft size and thickness, poor adaptation to the recipient bed and failure to stabilize the graft . As it has been shown that FGG undergoes a significant shrinkage (around 30%) during the healing process, a graft wider than the site needing soft tissue augmentation has to be harvested, and this may account for the postoperative discomfort and complications reported at the donor site . More recently, several authors have focused on the shrinkage of FGG compared with apically positioned flap alone or graft substitutes, such as collagen matrix or acellular dermal matrix (ADM) .…”

Section: The Free Gingival Graftmentioning

confidence: 88%

Autogenous soft tissue grafting for periodontal and peri‐implant plastic surgical reconstruction

Zucchelli

Tavelli

McGuire

et al. 2019

Journal of Periodontology

185

226

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This state‐of‐the‐art review presents the latest evidence and the current status of autogenous soft tissue grafting for soft tissue augmentation and recession coverage at teeth and dental implant sites. The indications and predictability of the free gingival graft and connective tissue graft (CTG) techniques are highlighted, together with their expected clinical and esthetic outcomes. CTGs can be harvested from the maxillary tuberosity or from palate with different approaches that can have an impact on graft quality and patient morbidity. The influence of CTGs on soft tissue thickness and keratinized tissue width are also discussed.

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“…During the first stage, 104 studies were excluded based on the evaluation of titles and abstracts (inter-reviewer agreement, kappa statistic = 0.92). Second, after screening the full-text articles of the remaining 23 studies, 13 studies were excluded because of inappropriate study design [15][16][17][18][19][20] and irrelevant outcome measurement [21][22][23][24][25][26][27] (S1 Table) and 10 eligible studies [28][29][30][31][32][33][34][35][36][37] (five for HLLT, four for PBMT, and one for both HLLT and PBMT) were included in this systematic review (interreviewer agreement, kappa statistic = 0.91). Of these, four studies [29,31,33,34], which showed adequate continuous data concerning the pain level measured with VAS score, were included in the meta-analysis.…”

Section: Search and Selection Resultsmentioning

confidence: 99%

Patient-reported outcomes of laser-assisted pain control following non-surgical and surgical periodontal therapy: A systematic review and meta-analysis

et al. 2020

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Adjunctive use of laser devices as high reactive-level laser/light therapy (HLLT) or photobiomodulation therapy (PBMT) for periodontal therapy is known to be more effective on suppressing pain than conventional therapy, however, there are no systematic reviews addressed its effectiveness. This systematic review and meta-analysis aim to investigate the following clinical question (CQ): does adjunctive use of lasers with conventional therapy suppress the pain associated with periodontal treatment? A systematic and extensive literature search was performed to summarize the currently available knowledge to answer the CQ using the PubMed, Cochrane Library, and Web of Science databases for randomized controlled trials (RCTs) conducted before June 2020. Bias risk was assessed using the Cochrane tool for the risk of bias evaluation. A meta-analysis was performed on quantitative evaluation of pain control based on patient-reported outcomes. After an independent screening of 165 initial records, ten RCTs were included. Six of them focused on surgical procedures and the others on non-surgical periodontal pocket therapy. The protocols of HLLT, PBMT, and combination with HLLT and PBMT were employed in five, four and one RCTs, respectively. Following the assessment of bias risk, it is revealed that all RCTs had methodological weaknesses regarding the blinding of key personnel, although other bias risk factors were not evident. Meta-analysis showed that HLLT using erbium lasers significantly reduced the patient-reported pain immediately after treatment (two RCTs, p < 0.0001), while PBMT using diode lasers significantly reduced pain 2-7 days after treatment (two RCTs, p < 0.0001 to p = 0.03). The presented systematic review and meta-analysis suggest that the alternative use of HLLT using erbium lasers to conventional instrumentation can significantly suppress postoperative pain and that intraoperative or postoperative PBMT using diode lasers combined with periodontal surgery can significantly reduce postoperative pain. However, the evidence is still insufficient and more well-designed RCTs are required.

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Free gingival graft adjunct with low-level laser therapy: a randomized placebo-controlled parallel group study

Abstract: Low-level laser therapy reduced the shrinkage of free gingival graft's surface area after 6 months and enhanced postoperative pain relief.

Cited by 25 publications

References 39 publications

The effect of different gingival phenotypes on dimensional stability of free gingival graft: A comparative 6‐month clinical study

The effect of different gingival phenotypes on dimensional stability of free gingival graft: A comparative 6‐month clinical study

Autogenous soft tissue grafting for periodontal and peri‐implant plastic surgical reconstruction

Patient-reported outcomes of laser-assisted pain control following non-surgical and surgical periodontal therapy: A systematic review and meta-analysis

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