Comparative evaluation of healing after gingivectomy with electrocautery and laser
Purpose of the study: To evaluate whether laser has got any advantage over electrocautery in performing gingivectomy procedure. Method: This was randomized split mouth prospective study where 17 patients having symmetrical gingival hyperplasia were treated with electrocautery and laser on each side....
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Elsevier
2015-05-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221242681500041X |
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| author | Praveen Kumar Vidya Rattan Sachin Rai |
| author_facet | Praveen Kumar Vidya Rattan Sachin Rai |
| author_sort | Praveen Kumar |
| collection | DOAJ |
| description | Purpose of the study: To evaluate whether laser has got any advantage over electrocautery in performing gingivectomy procedure. Method: This was randomized split mouth prospective study where 17 patients having symmetrical gingival hyperplasia were treated with electrocautery and laser on each side. Intra- and postoperative parameters assessed were duration of surgery, bleeding, tissue sticking, postoperative pain and healing. The results were statistically analyzed and compared. Result: There were 7 Females and 10 Males with a mean age of 28.2 ± 11.6 years. The mean time taken on the laser and electrocautery was 16 (±8.05) and 16.7 min (±9.86) respectively and the difference was not significant. On laser side, there was no bleeding in 3 (17.6%) and self limiting in 14 patients (82.4%) whereas electrocautery side, there was no bleeding in 2 (11.8%) and self limiting in 15 patients (88.2%). Both electrocautery and laser were comparable regarding ease of use during gingivectomy procedure. Charring was observed on both sides although there was more charring on the laser side. Fibrinous slough was present on both sides at 24 h. Difference in healing was not significant at various time intervals. 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. |
| format | Article |
| id | doaj-art-521145e2dfbb4e928b8771b0cbab02b2 |
| institution | DOAJ |
| issn | 2212-4268 |
| language | English |
| publishDate | 2015-05-01 |
| publisher | Elsevier |
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| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-521145e2dfbb4e928b8771b0cbab02b22025-08-20T02:50:26ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682015-05-0152697410.1016/j.jobcr.2015.04.005Comparative evaluation of healing after gingivectomy with electrocautery and laserPraveen Kumar0Vidya Rattan1Sachin Rai2Ex Junior Resident, Unit of Oral & Maxillofacial Surgery, Oral Health Sciences Centre, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, IndiaProfessor, Unit of Oral & Maxillofacial Surgery, Oral Health Sciences Centre, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, IndiaAssistant Professor, Unit of Oral & Maxillofacial Surgery, Oral Health Sciences Centre, Postgraduate Institute of Medical Education & Research, Chandigarh 160012, India; Corresponding author. Tel.: +91 172 275 6831; fax: +91 172 274 4401.Purpose of the study: To evaluate whether laser has got any advantage over electrocautery in performing gingivectomy procedure. Method: This was randomized split mouth prospective study where 17 patients having symmetrical gingival hyperplasia were treated with electrocautery and laser on each side. Intra- and postoperative parameters assessed were duration of surgery, bleeding, tissue sticking, postoperative pain and healing. The results were statistically analyzed and compared. Result: There were 7 Females and 10 Males with a mean age of 28.2 ± 11.6 years. The mean time taken on the laser and electrocautery was 16 (±8.05) and 16.7 min (±9.86) respectively and the difference was not significant. On laser side, there was no bleeding in 3 (17.6%) and self limiting in 14 patients (82.4%) whereas electrocautery side, there was no bleeding in 2 (11.8%) and self limiting in 15 patients (88.2%). Both electrocautery and laser were comparable regarding ease of use during gingivectomy procedure. Charring was observed on both sides although there was more charring on the laser side. Fibrinous slough was present on both sides at 24 h. Difference in healing was not significant at various time intervals. 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.http://www.sciencedirect.com/science/article/pii/S221242681500041XLaserElectrocauteryGingivectomyGingival hyperplasia |
| spellingShingle | Praveen Kumar Vidya Rattan Sachin Rai Comparative evaluation of healing after gingivectomy with electrocautery and laser Journal of Oral Biology and Craniofacial Research Laser Electrocautery Gingivectomy Gingival hyperplasia |
| title | Comparative evaluation of healing after gingivectomy with electrocautery and laser |
| title_full | Comparative evaluation of healing after gingivectomy with electrocautery and laser |
| title_fullStr | Comparative evaluation of healing after gingivectomy with electrocautery and laser |
| title_full_unstemmed | Comparative evaluation of healing after gingivectomy with electrocautery and laser |
| title_short | Comparative evaluation of healing after gingivectomy with electrocautery and laser |
| title_sort | comparative evaluation of healing after gingivectomy with electrocautery and laser |
| topic | Laser Electrocautery Gingivectomy Gingival hyperplasia |
| url | http://www.sciencedirect.com/science/article/pii/S221242681500041X |
| work_keys_str_mv | AT praveenkumar comparativeevaluationofhealingaftergingivectomywithelectrocauteryandlaser AT vidyarattan comparativeevaluationofhealingaftergingivectomywithelectrocauteryandlaser AT sachinrai comparativeevaluationofhealingaftergingivectomywithelectrocauteryandlaser |