The Comparative Evaluation of Patient’s Satisfaction and Comfort Level by Diode Laser and Scalpel in the Management of Mucogingival Anomalies

Kumar, Rajesh; Jain, Garima; Kumathalli, Kanteshwari; Jaiswal, Gaurav

doi:10.7860/jcdr/2015/14648.6659

Cited by 11 publications

(17 citation statements)

References 6 publications

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“…A total of 4989 studies with relevant titles were further scrutinized based on eligibility criteria. After removing studies on basis of irrelevant objective, protocols only, no abstract, no full text, in vitro studies, different study designs, only 25 studies[12131421222324252627282930313233343536373839404142] were finally selected to be included for data extraction. The PRISMA flow chart of the process is shown in Figure 1.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies reported gender distribution of patients except Gera et al ., Kumar et al . [25] and Basha et al . [23] Minimum follow-up was of 24 h, and the maximum follow-up was of 15 months.…”

Section: Resultsmentioning

confidence: 99%

“…[23] Minimum follow-up was of 24 h, and the maximum follow-up was of 15 months. [3627] Out of 25 studies, 17 studies compared laser,[1214212223252628303132343637383941] 3 compared cryosurgery,[132442] 2 electrocautery,[2735] one radiosurgery[29] and 2 combination of laser and electrocautery, laser and graft. [3340] The control group in all the studies was surgical stripping.…”

Section: Resultsmentioning

confidence: 99%

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Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Gul

Hameed

Nazeer

et al. 2019

J Indian Soc Periodontol

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Background and Aim: Gingival hyperpigmentation is an esthetic problem. The aim of the present study was to identify most effective treatment modality for managing generalized physiological gingival pigmentation. Materials and Methods: A systematic review and meta-analysis were done (1919 to October 2018) using PubMed, CINHAL, Dental and Oral Science, and manual searches. Twenty-five articles were finally reviewed. Only human clinical trials were considered with physiological gingival pigmentation treated with different depigmentation methods and compared with surgical stripping. The outcome was the achievement of gingival depigmentation and its recurrence. RevMan software was used for data analysis. Results: Of 26,132 articles, 25 met the inclusion criteria. Seventeen were randomized control trials and 8 were nonrandomized control trials. Most of the studies were on laser. The control group was scalpel surgery. Majority of studies showed no difference in compared treatment modality. A meta-analysis compared laser ablation with surgical stripping revealed a nonsignificance difference regarding recurrence ( P = 0.75) and depigmentation ( P = 0.23) and a statistically significant difference regarding postoperative pain favoring laser ablation ( P ≤ 0.05). Conclusions: Surgical stripping has been the conventional treatment of choice, but our review showed that new techniques are equally effective or even better. Laser especially diode laser was the most frequently used technique and showed better esthetic outcomes, less pain, faster healing, and patients' preference and satisfaction after treatment. However, laser showed more regimentation at 6-month evaluation. More good quality randomized controlled trials with different depigmentation methods are needed to draw strong conclusions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Gul

Hameed

Nazeer

et al. 2019

J Indian Soc Periodontol

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“…[35][36][37][38] Recently, Farista et al demonstrated that diode laser decreased VAS scores significantly than conventional surgery in crown lengthening. 36 In a study evaluating the effect of diode laser on depigmentation, El Shenawy et al stated that diode laser can be used as a safe and effective treatment modality to provide optimal aesthetics with reduced discomfort.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the Postoperative Pain and Discomfort After Diode Laser and Conventional Frenectomy

YÜCE¹,

TÜLÜ²,

KARATAŞ³

et al. 2017

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Özet: Bu çalışmada konvansiyonel veya diyot lazer cerrahisi ile yapılan frenektomi işlemi sonrası konuşma ve çiğneme güçlüğü ile ağrı, VAS skalası ile değerlendirilmiştir. Diyot lazer ile yapılan frenektomi işleminin konvansiyonel cerrahiye göre daha ağrısız, daha konforlu ve hasta açısından daha tolere edilebilir bir yöntem olduğu bulunmuştur. Material-method:In this study, in totally 74 patients frenectomy procedure was indicated. 39 patients had frenectomy performed with conventional surgery (Group C) and 35 patients had frenectomy performed with laser surgery (Group L). None of the patients had systemic disease or any prescribed drug use. A VAS scale was prepared in order to evaluate pain and discomfort in speaking and chewing. All patients were informed about how to fill the form in detail and a form was given to each patient. All patients were recalled at 10 th day and VAS scale forms were recollected.Results: There were no significant differences in demographic data of the groups (p>0.05).Pain was found to be significantly higher in conventional group (p<0.05). Likewise, discomfort in speaking and chewing was also significantly lower in laser surgery group than conventional surgery (p<0.05). Conclusion:Diode laser frenectomy procedure caused lower pain and discomfort in speaking and chewing, and within the limitations of this study, based on these results it can be concluded that diode laser surgery had beneficial results in frenectomy procedure.

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“…Studies have reported less postoperative pain and discomfort and also reduction in use of analgesics and local anesthetic drugs in laser surgery. [16][17][18] However, there are still some disadvantages in regard to adjunctive laser treatment in orthodontics. Application of laser is limited due to the high cost of laser devices.…”

Section: Introductionmentioning

confidence: 99%

Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials

Seifi

Matini

2017

J Lasers Med Sci

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Introduction: Recently, a wide variety of procedures have been done by laser application in orthodontics. Apart from the mentioned range of various treatments, laser has become a tool for many soft tissue surgeries as an alternative to conventional scalpel-based technique during orthodontic treatments in the management of soft tissue. Due to scarce information in the latter subject, this study was designed in order to include clinical trials that included soft tissue ablation by laser in orthodontics. Methods: Literature was searched based on PubMed and Google Scholar databases in 5 years (2010)(2011)(2012)(2013)(2014)(2015) with English language restriction and clinical trial design. Studies that performed soft tissue application of laser during orthodontic treatment were extracted by the authors. Results: Only eight studies met the inclusion criteria. No significant difference was found between laser ablation and conventional scalpel technique in the matter of treatment outcome. However, few issues remained to clarify the differences in the mentioned procedures. Conclusion: Laser performance can be recommended in case of preceding less bleeding and discomfort during surgical procedure. There are still quandaries among clinical application of scalpel-based surgery in aesthetic region with bracket-bonded teeth. Precaution and knowledge regarding the characteristics of laser beam such as wavelength, frequency, power and timing is extremely needed.

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The Comparative Evaluation of Patient’s Satisfaction and Comfort Level by Diode Laser and Scalpel in the Management of Mucogingival Anomalies

Abstract: Laser is a desirable therapeutic alternative to correct soft tissue anomalies. It allows good control of haemorrhage with comfortable healing phase and appreciable satisfactory outcomes.

Cited by 11 publications

References 6 publications

Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Most effective method for the management of physiologic gingival hyperpigmentation: A systematic review and meta-analysis

Comparison of the Postoperative Pain and Discomfort After Diode Laser and Conventional Frenectomy

Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials

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