Laser-Assisted Gingivectomy to Treat Gummy Smile

Capodiferro, Saverio; Kazakova, Rada

doi:10.1016/j.cden.2022.02.004

Cited by 8 publications

(2 citation statements)

References 20 publications

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“…For example, Damante et al, in their study, found that LLLT did not accelerate oral mucosa healing after gingivoplasty [45]. Treated and untreated gingiva did not show a statistically significant difference in terms of epithelization, inflammatory cells, collagen fibers, or number of fibroblasts [45][46][47]. In the context of this claim, it is well known that many parameters should be considered, such as wavelength, power, and distance from the source to the tissue, as well as clinical factors, such as radiation dose, exposure time, intensity, method, and number of exposures.…”

Section: Discussionmentioning

confidence: 97%

Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures

et al. 2023

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The current pilot study investigates the effects following removal of excessive gingival tissue, which is often necessary in fixed prosthodontic cases. The aim of the study is to assess gingival healing after diode laser gingivectomy prior to prosthetic procedures. Materials and methods: The healing process of the gingiva after the diode laser gingivectomy of 41 teeth was assessed. The following parameters were examined: recovery time of the gingiva, possibility to take the impression at the same visit, duration of the manipulation, bleeding during the procedure, tissue adherence to the instrument, postoperative hemorrhage on probing, postoperative pain, and wound healing in regard to tissue color, tissue contour, and appearance of the wound. Results: At the 24th hour, all gingival wounds were covered with fibrinous plaque and an erythematous halo. At the 72nd hour, in two cases (4.9%), this wound’s characteristic had already passed through to the next healing stage—granulated surface and normal pale pink color. A granulated surface in the 1st week was reported in 10 (24.4%) cases, and in all of the other 31 (75.6%) cases, complete healing was reported. In the second week, all wound surfaces had a normal pale pink color. Bleeding was self-limiting in most of the cases and negligible from a clinical point of view. The postoperative pain levels were low or nonexistent. There was lack of postoperative hemorrhage on probing after the first week in all examined cases. Tissue recovery in terms of tissue contour, color, and appearance of the wound was asymptomatic. Conclusion: within the limitations of this pilot study, the outcomes of the wound healing after laser gingivectomy aided the clinicians to perform the prosthetic procedures in the same visit.

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Section: Discussionmentioning

confidence: 97%

Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures

et al. 2023

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“…An alternative surgical approach is represented by the diode laser thanks to the possibility of reduced comorbidity, no suture needed, reduced rate of superinfections, and reduced drug intake for post-operative pain management [40]. Diode laser use in dentistry and oral surgery is widely supported by literature, mainly for soft tissue surgery (both for benign and malignant lesions) [41][42][43], providing a fast and not-bleeding lesion removal with (usually) second intention healing of the covering mucosa, as well as the transmucosal or intralesional photocoagulation of vascular malformations (thus avoiding invasive and unpredictable surgical procedures as in the past years) or lesions with high risk of intraoperative bleeding before the surgical removal [44]. It is relevant to underline that the use of diode laser was debated due to the risk of thermal alterations at the histologic examination, but it is fully demonstrated that the thermal effect is usually very low and doesn't affect the histological diagnosis [45].…”

Section: Therapeutic Strategiesmentioning

confidence: 99%

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

Forte,

Barile,

D'Amati

et al. 2024

Preprint

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Background: Peripheral Ossifying Fibroma (POF) is a benign gingival tumor generally presenting as a slow-growing mass, usually not ulcerated, and without bleeding. Histopathological exam shows fibrous connective tissue with spots or extensive areas of intralesional calcifications, which can also be detectable on radiograms. Methods and case presentation: We present the case of a 4-year-old male with a retro-incisive swelling of the hard palate, associated with speaking and feeding difficulties. On CT scans, a small intralesional calcification was detected. After conscious sedation, the patient was subjected to diode laser excision (910 nm, 2W, CW, 300 m fiber) with-out post-operative complications. A review was conducted by searching the words “peripheral ossifying fibroma” AND “children” OR “infant” and including manuscripts of the last 15 years. Results: POF is an uncommon lesion of the oral mucosa and may sporadically affect the palatal mucosa in children. Considering its epidemiology and conventional clinical presentation as epu-lis, the pre-operative diagnosis may be relatively difficult. Risk factors could be represented by plaque, calculus, or trauma, all supporting a possible reactive pathogenesis, but a certain etiology is still missing. The main problem of POF is the recurrence rate, which is particularly high (8-20%), thus suggesting that a deep excision is recommended with full extension to the hard tis-sue of bone and to the adjacent periodontal ligament. Diode laser surgery may be recommended for such treatments, especially in pediatric patients, associated with intraoperative conscious se-dation. Data emerging from the relevant literature on POF management in children have been collected and discussed. Conclusions: The authors suggest the use of diode laser for the complete excision of POF, especially in less-compliant patients as children, with a low grade of comorbidi-ties and good outcomes, giving the surgeon a viable alternative to conventional surgery.

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Lip repositioning and guided gingivectomy combined treatment for excessive gingival display by using 940-nm diode laser: a case report

et al. 2023

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Laser-Assisted Gingivectomy to Treat Gummy Smile

Cited by 8 publications

References 20 publications

Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures

Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures

Diode Laser Surgery of Peripheral Ossifying Fibroma in Children: A Case Report with Narrative Review of the Literature

Lip repositioning and guided gingivectomy combined treatment for excessive gingival display by using 940-nm diode laser: a case report

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