Butchibabu Kalakonda1, Sana Farista2, Pradeep Koppolu1, Kusai Baroudi1, Udaykiran Uppada3, Ashank Mishra4, Abhishek Savarimath5, Amara Swapna Lingam6. 1. Faculty, Department of Preventive Dental Sciences, AlFarabi Colleges , Riyadh, KSA . 2. Faculty, Department of Periodontics, Maitri Dental College , Chhattisgarh, India . 3. Faculty, Department of Oral and Maxillofacial surgery, Sri Sai College of Dental Surgery , Vikarabad, Telangana, India . 4. Faculty, Department of Periodontics, Sri Sai College of Dental Surgery , Vikarabad, Telangana, India . 5. Faculty, Department of Prosthodontics, Sri Sai College of Dental Surgery , Vikarabad, Telangana, India . 6. Faculty, Department of Oral and Maxillofacial Sciences, AlFarabi Colleges , Riyadh, KSA .
Abstract
INTRODUCTION: Inadequate vestibular depth results in poor plaque control owing to an insufficient width of keratinized gingiva. Vestibuloplasty provides the necessary vestibular depth and can be performed either with a scalpel, electrocautery or lasers. AIM: To evaluate the patient perceptions related to pain and discomfort on the 1(st), 3(rd) and the 7(th) day post vestibuloplasty and also assess the healing outcomes related to the treatment of inadequate vestibular depth either with the diode laser or the scalpel. MATERIALS AND METHODS:Twenty patients who had inadequate vestibular depth and required vestibuloplasty were assigned randomly to undergo the procedure either with the scalpel or the laser. The data obtained was analysed for intergroup comparison with an independent paired t-test and intragroup comparison was determined by a paired t-test. RESULTS: Intragroup comparison within the laser group for VAS scores of pain and discomfort within all the reported days exhibited a significant difference (p<0.05). Inter group comparison revealed that the patients in the laser group had lower VAS cores for pain and discomfort compared to the scalpel group (p<0.05). Analysis of the three pointer scale for healing revealed that the patients in the laser group exhibited better healing outcomes on the 1(st), 3(rd) and the 7(th) day compared to the scalpel group. CONCLUSION: Observations from the study highlight the opinion that laser can be a safe and effective alternative to traditional vestibuloplasty performed with the scalpel.
RCT Entities:
INTRODUCTION: Inadequate vestibular depth results in poor plaque control owing to an insufficient width of keratinized gingiva. Vestibuloplasty provides the necessary vestibular depth and can be performed either with a scalpel, electrocautery or lasers. AIM: To evaluate the patient perceptions related to pain and discomfort on the 1(st), 3(rd) and the 7(th) day post vestibuloplasty and also assess the healing outcomes related to the treatment of inadequate vestibular depth either with the diode laser or the scalpel. MATERIALS AND METHODS: Twenty patients who had inadequate vestibular depth and required vestibuloplasty were assigned randomly to undergo the procedure either with the scalpel or the laser. The data obtained was analysed for intergroup comparison with an independent paired t-test and intragroup comparison was determined by a paired t-test. RESULTS: Intragroup comparison within the laser group for VAS scores of pain and discomfort within all the reported days exhibited a significant difference (p<0.05). Inter group comparison revealed that the patients in the laser group had lower VAS cores for pain and discomfort compared to the scalpel group (p<0.05). Analysis of the three pointer scale for healing revealed that the patients in the laser group exhibited better healing outcomes on the 1(st), 3(rd) and the 7(th) day compared to the scalpel group. CONCLUSION: Observations from the study highlight the opinion that laser can be a safe and effective alternative to traditional vestibuloplasty performed with the scalpel.
Authors: N Pourreau-Schneider; A Ahmed; M Soudry; J Jacquemier; F Kopp; J C Franquin; P M Martin Journal: Am J Pathol Date: 1990-07 Impact factor: 4.307
Authors: Luiz Gustavo N Melo; Ana Lúcia P F Almeida; José Fernando Scarelli Lopes; Maria Lúcia R Rezende; José Sérgio M Neto; Frederico Ciporkin; Maria José Hitomi Nagata Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Date: 2008-07-26