Gingivectomy is the most common procedure performed with dental lasers. All laser wavelengths can be used to precisely incise gingiva for restorative, cosmetic. PDF | Different methods can be used to remove tissue during gingivectomy and produce a good gingival margin, the most common is the conventional. PDF | Objectives: To compare the use of diode laser with conventional surgery evaluating the effectiveness of gingivectomy as an adjunct to.
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Case Report: Laser Gingivectomy. M Elakabawi*. Faculty of Oral and Dental Medicine, Misr University for Science and Technology, Egypt. Esthetic Correction of Gummy Smile by Gingivectomy using Diode Laser. Journal of Health Sciences & Research, January-June ;6(1) JOHSR. Chronic Inflammatory Gingival Overgrowths: Laser Gingivectomy & available in Dentistry DIODE LASERS seem to be most ideal for orthodontic soft tissue.
Upon physical examination, there was a gross enlarge- ment of the face because of a hemangioma involving the face with exception of the zygomatic and preauricular re- gions Fig 1. The anterior region of the neck was also involved. The skin surface was irregular, rough, and nodular in some areas. A hemangioma of the lips resulted in a remarkable macrocheilia.
The lower lip was hanging and lower teeth were apparent in the external view. A, Preoperative, intraoral view: upper jaw general gin- macroglossia secondary to the hemangioma.
A gross angio- gival overgrowth caused complete masking of the teeth. B, Operative matous mass was hanging from the mucosa of the right face of gingivectomy with a Nd:YAG laser arrow.
C, Postoperative upper eyelid and entirely covered the lower eyelid. In- face of gingivectomy with good hemostasis. D, Histology of gingiva showing abundant collagen and fibroblasts together with aspects of traorally, the hemangioma involved all the mucosal sur- neoangiogenesis and angiectasy. Hematoxylin-eosin stain. In both jaws there was general gingival overgrowth that was more marked in the maxillary arch, causing com- De Benedittis et al.
J Oral plete masking of the teeth Figs 1, 2. Palpation of the gums Maxillofac Surg Clinical evaluation suggested presence of at least 2 super- highest possible vasoconstriction of the gums. As expected, imposed diseases ie, SWS complicated by gingival over- considerable bleeding developed rapidly after puncture. Gingivectomy by laser and debridement with an ing movement.
In this phase, the laser parameters were: ultrasonic scaler were recommended.
A pulsing 1. After general anesthesia, rhynotracheal mode at 1 mm from the irradiated area. Laser parameters in intubation was performed with a n.
Total surgery time was approximately 2 hours. Contact infiltrated into soft tissues at the surgical sites to obtain the of the laser with teeth and normal soft tissues was carefully avoided.
Debridement and restorative therapy of the teeth were also performed. Estimated blood loss during surgery was mL, and 5, mL of crystalloid solution were transfused. The immediate postoperative view presented a bloodless, clean surgical site Fig 2.
Over the following 4 days the patient was hospitalized and remained afebrile with normal vital signs. No obvious postsurgical bleeding was noted.
Antibiotic therapy was prescribed for 2 weeks. Postoperative visits were scheduled at intervals of 1, 2, 4, and 8 weeks and showed abundant granulation tissue for- mation throughout the surgical sites followed by progres- sive complete healing and epithelialization. No signs of infection or postoperative complication were observed.
Discussion Whenever oral surgery is planned in SWS patients, particular care must be paid to control hemorrhage during and after the surgical procedure. There were no significant difference in postoperative pain experienced by the patients among the laser and cautery group at different time intervals.
Conclusion Both techniques with proper adhesion to safeguards, can be used to remove gingival overgrowth with equal efficiency and wound healing capacity.
There is no advantage of diode laser over electrocautery in performing gingivectomy. Keywords: Laser, Electrocautery, Gingivectomy, Gingival hyperplasia Introduction Electrocautery and lasers are being used routinely for oral surgical procedures.
Excision of growth, excisional or incisional biopsy, ablation of white lesions, removal of mucocoele and gingivectomy are commonly performed intraoral procedures.
With an advantage of an excellent haemostasis and clear visual field, electrocautery and lasers are now part of standard oral surgery. Electrocautery provides excellent haemostasis during surgery but can lead to generation of excess heat leading to a thermal damage. There are numerous claims made by the manufacturers about laser. These include efficient and effective soft tissue removal, excellent haemostasis, safety around implants, reduced postoperative pain, no gingival recession, reduced swelling and discomfort and better wound healing.
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Methodology The study was prospective, randomized with split mouth design. Ethical clearance was taken from the institutional ethical committee and written informed consent was obtained from all the patients.
Patients of age 12 years and above, having bilaterally symmetrical gingival hyperplasia were selected from the Outpatient Unit Fig. A standard oral hygiene regimen was done for all the patients to remove any irritant factors prior to surgery.The light source in the iod, cytokines and growth hormones post-operative complications such as room and the flash level of the camera expressed by the immune cells such as swelling, bleeding or oedema were were also standardized in order to pre- neutrophiles and macrophages orches- observed in any patient and three vent bias of the luminosity of the trate the wound healing process Stahl patients used analgesics for 4 days.
Thus, the more we improve our explain the differences in the present clinical conditions are required in order knowledge of LLLT, the better we will results and the previous ones.
Histologically, healing was with collagenization and fibrosis. Also, the effects on the teeth after occa- lasers were available, overgrown gingiva was re- sional exposure to the beam are negligible at energies moved with electrosurgery, and postsurgical bleeding of mJ and thermal effects on tissue from deeply was controlled by pressure provided by splints. For the control sites, the laser application was simu- This pilot study had an examiner- and lated, without pushing the start button.
Comparative evaluation of healing after gingivectomy with electrocautery and laser
Recall times diminished periodically, as new tissue evolves. While inner layer is responsible for osteoblast differentiation and bone regeneration, outer layer is rich in blood vessels and nerves and composed of collagen fibers and fibroblasts[ 21 ].
In both jaws there was general gingival overgrowth that was more marked in the maxillary arch, causing com- De Benedittis et al. Journal of Clinical Periodontology ing periodontal surgery. Patients were enrolled in the study and randomly assigned to three groups by a computer-generated randomization list and by a block size of 4.