Comparison of Anaesthesia use, Postoperative Healing and complications Across Surgical, Electrosurgical, and Laser Gingivectomy: A Prospective Clinical Study
Keywords:
Laser Gingivectomy technique, Surgical Gingivectomy technique, Electro-Surgery technique, Postoperative Complaints, Gingivectomy Healing, Local Anesthesia.Abstract
OBJECTIVE: To compare gingivectomy methods based on the type & amount of anesthesia and healing after various gingival procedures.
METHODOLOGY: In this prospective study data was collected from the OPDs of Bahria University of Health Sciences, and Dow University of Health Sciences, Karachi, from March 2023 to February 2024. 80 patients aged 15-75 years underwent gingivectomy for different background causes were included. Patients with any systemic disease, periodontal disease, terminally ill, alcoholics and individuals on steroids were excluded. The Fisher's exact test was done to establish a relationship between the categorical variables. P-value was set at < 0.05. SPSS V.26 was used for data recording.
RESULTS: Eighty participants revealed that surgical gingivectomy was 61.25% more practiced than electrocautery(31.55%) and laser gingivectomy(7.50%). 63.9% preferred local anesthesia for surgical gingivectomy, 34.7% opted for electrocautery. Furthermore, a
combination of topical(83.3%) and local anesthesia(1.4%) was used in laser gingivectomy. 3-5 vials were used in electrocautery, 4 in surgical and 1-3 vials in laser gingivectomy. Postoperative healing was observed in all three techniques. Pain was the most common
complaint.
CONCLUSION: Surgical gingivectomy was the most common technique. Laser gingivectomy was suggested to be most feasible, less time consuming and has best hemorrhage control. Maximum vials were used in surgical gingivectomy and least in laser-assisted. It is preferable to select a technique based on the extent of the area of interest, site of involvement, expected postoperative outcomes, biotype of the gingiva and factor of affordability at the patient’s end.
References
1. Susilahati NL, Ramadhany EP, Laksana VA. Gingivectomy using scalpel as a management of gingival enlargement in patient under orthodontic treatment. World J Adv Res Rev. 2023; 18(3): 1509-17. doi: https://doi.org/10.30574/wjarr.2023.18.3.1243
2. Shirbhate U, Bajaj P, Solanki D, Dare S, Sarangi S, Solanki DR. Management of Orthodontic-Induced Gingival Enlargement: A Case Report. Cureus. 2023 Oct 25; 15(10): e47660. doi: 10.7759/cureus.47660
3. Diwan B, Shirbhate U, Bajaj P, Reche A, Pahade A. Conventional Scalpel and Diode Laser Approach for the Management of Traumatic Fibroma. Cureus. 2023 Oct 27; 15(10): e47810. doi: 10.7759/cureus.47810.
4. Dym H, Halpern LR, Ogle OE, editors. Oral and maxillofacial surgery, medicine, and pathology for the clinician. John Wiley & Sons; 2023 May 3.
5. Garcia?Valenzuela FS, Chambrone L. Effects of the GingivalStat approach on early gingival margin remodeling following esthetic clinical crown lengthening: A case series. J Esthet Restor Dent. 2024 Jan; 36(1): 135-43. doi: 10.1111/jerd.13161.
6. Ramesh A, Vellayappan R, Ravi S, Gurumoorthy K. Esthetic lip repositioning: A cosmetic approach for correction of gummy smile - A case series. J Indian Soc Periodontol. 2019 May-Jun; 23(3): 290-294. doi: 10.4103/jisp.jisp_548_18.
7. Abesi F, Derikvand N. Efficacy of Low-Level Laser Therapy in Wound Healing and Pain Reduction After Gingivectomy: A Systematic Review and Meta-analysis. J Lasers Med Sci. 2023; 14: e17. doi: 10.34172/jlms.2023.17.
8. Kotb SH. Management of Gingival Hyperpigmentation by scalpel surgery and Bur abrasion. (Case Report ). Authorea. July 20, 2022. doi: 10.22541/au.165828140.07418107/v1.
9. Ashry A, Khamis MM, Abdelhamid AM, Segaan LG. Lip repositioning and guided gingivectomy combined treatment for excessive gingival display by using 940-nm diode laser: a case report. L D S. 2023 Mar; 7(1): 25-31.
10. Borzabadi-Farahani A. Laser use in muco-gingival surgical orthodontics. Lasers Dent Curr Concepts. 2024 Jan 9: 379-98.
11. Arapostathis K, Velonis D, Chala M. Laser-assisted pediatric dentistry. Lasers DentCurr Concepts. 2024 Jan 9: 339-376.
12. Landry RG, Turnbull RS, Howley T. Effectiveness of benzydamine HC1 in the treatment of periodontal post-surgical patients. Res Clin Forums 1988; 10: 105–18.
13. Yakout BK, Kamel FR, Khadr MA, Heikal LA, El-Kimary GI. Efficacy of hyaluronic acid gel and photobiomodulation therapy on wound healing after surgical gingivectomy: a randomized controlled clinical trial. BMC Oral Health. 2023 Oct 27; 23(1): 805.
14. Meghana IS, Bhat AR, Bhandary R, Thomas B. Potential of lasers in the realm of aesthetic dentistry: A narrative review. J Health All Sci India. 2023 Jul; 13(03): 313-22.
15. Gopal L, Palwankar P, Dhalla N. The Efficacy of Low-Level Laser Therapy on the Healing of Oral Wounds: A Systematic Review. Cureus. 2024 Oct 4; 16(10): e70832.
16. Chhabrani A, Avinash BS, Bharadwaj RS, Gupta M. Laser light: Illuminating the path to enhanced periodontal care. Photodiagnosis and Photodynamic Therapy (PD-PDT). 2024 Apr 1; 46: 104036.
17. Ahmed S, Alghamdi RJ, Basuhail S, Basuhail HM. Applications And Effectiveness Of Lasers In Periodontology. A Narrative Review. J Res Admin. 2024 Jan 14; 6(1).
18. Altuhafy M, Baig V, Jabr L, Khan J. The efficacy of photobiomodulation on dental injection pain: a systematic review of randomized clinical trials. J Dent Anesth Pain Med. 2024 Jun; 24(3): 145-159.
19. Sobouti F, Savasari AM, Aryana M, Hakimiha N, Dadgar S. Maxillary labial frenectomy: a randomized, controlled comparative study of two blue (445 nm) and infrared (980 nm) diode lasers versus surgical scalpel. BMC Oral Health. 2024; 24(1): 843.
20. Poornima R. Comparison of Two Different Techniques to Achieve Gingival Depigmentation: A Case Series with 6-months Follow-up. Clin Dent. 2024 Mar 1; 18(3)
21. Mihai LL, Parlatescu I, Calin A, Burcea A. Gingival overgrowth approached using recent mechanical and laser technologies: A case report. Exp Ther Med. 2024 Jan; 27(2): 84.
22. Diwan V, Chauhan MR, Tembhurne J, Gangurde A, Wani H, Danane S. Comparative evaluation of the effect of impregnated retraction cord versus laser on gingival attachment level and pain perception following retraction for subgingival margins-A prospective, split-mouth, controlled, clinical study. J Indian Prosthodont. Soc. 2024 Apr 1; 24(2): 136-43.
23. Orozco J, Rico D, Barrios L, Hoyos V, Blanco P. Histological artifacts associated with laser and electroscalpel gingivectomy: Case series. Biomed. 2023 Sep; 43(3): 315-322.
24. Biswas S, Padma R, Kumar V, Beldar A, Chandra D, Lal H. A Comparative Evaluation of Gingival Depigmentation by Scalpel versus Diode Laser versus Electrosurgery: A Clinical In vivo Study. Indian J Dent Sci. 2024 Jan 1; 16(1): 6-10.
25. Dalal AM, Oza RR, Shirbhate U, Gurav T. Conventional Gingivectomy Procedure in the Management of Orthodontic-Induced Gingival Overgrowth: A Case Report. Cureus. 2024 Jul 15; 16(7): e64556.
26. Koerniadi MM, Tadjoedin FM, Hutomo DI, Tadjoedin ES, Rizal MI, Sulijaya B. Bibliometric Network Analysis and Visualization of Research Trends in Gingivectomy. Clin Cosmet Investig Dent. 2024 Jun 10; 16: 209-218.
27. Sharma S, Tomar N, Rana N, Kaushik M. Comprehensive Review On Gingival Enlargement And Its Management. Educational Administration: Theory and Practice (EATP). 2024 May 30; 30(5): 13373-11377. doi: https://doi.org/10.53555/kuey.v30i5.4910
28. Abd Elghany MH. Periodontal Surgery and Operative Dentistry. EC Dental Science. 2021; 20: 11-7
29. Sari R, Anggraeni D. Prevention of Post-Gingivectomy Gingival Recession in Fixed Orthodontic Patients with Gingival Enlargement: A Case Report. KnE Medicine. 2022 Apr 25: 282-93.
30. Bansal A, Irom U, Sree Sudha TY, Krishna Sasanka KS. Significant Risk Medical Devices–Dental. Insignificant and Nonsignificant Risk Medical Devices. 2024 Aug 1 (pp. 109-150). Cham: Springer Nature Switzerland.
31. Rahimnejad M, Makkar H, Dal?Fabbro R, Malda J, Sriram G, Bottino MC. Biofabrication Strategies for Oral Soft Tissue Regeneration. Adv Healthcare Materials. 2024 July; 13(18): e2304537.
32. Varghese SS. Gingivectomy by different Techniques-a comparative analysis. Int J Dent Oral Sci. 2019; 6(8): 11-6. doi: 10.19070/2377-8075-SI02-08003.
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