Comparison of gingivectomy procedures for patient satisfaction: Conventional and diode laser surgery
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Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Konvansiyonel ve diyot lazer ile yapılan gingivektomi prosedürlerinin hasta memnuniyeti açısından karşılaştırılması Amaç: Gingivektomi cerrahisinde konvansiyonel cerrahi veya 940 nm diyot lazer kullanımının hasta memnuniyeti açısından karşılaştırmaktır. Gereç ve Yöntemler: Bu kontrollü klinik çalışma, anterior maksilla bölgesinde sadece estetik nedenlerle gingivektomi cerrahisi isteyen 20 sağlıklı hasta üzerinde yürütüldü. Hastalar her grupta 10 hasta olacak şekilde rastgele dağıtıldı. Test grubunda diyot lazer ile cerrahi uygulanırken, kontrol grubunda cerrahi işlem bisturi ile uygulandı. Ameliyat sonrası kanama oranı, Dünya Sağlık Örgütü tarafından belirlenen kanama kriterleri kullanılarak değerlendirildi. Ameliyat sonrası rahatsızlık düzeyi görsel analog skala (VAS) kullanılarak kaydedildi, ameliyat süresi her operasyon için değerlendirildi ve postoperatif analjezik gereklilikler değerlendirilip karşılaştırıldı. Bulgular: Kontrol grubunda cerrahi sırasında anestezi gereksinimi istatistiksel olarak daha yüksek bulundu (p0.001). Ortalama kanama oranları, konvansiyonel ve lazer gruplarında sırasıyla 1.32 ve 0.24 idi (p0.001). Test grubundaki hastalarda cerrahi sonrası ağrı yoktu, ancak kontrol grubunda VAS ağrı düzeyi yüksek bulundu ve değerler arasındaki fark istatistiksel olarak anlamlıydı (p0.001). Gruplar arası ameliyat süreleri açısından istatistiksel olarak anlamlı bir fark bulunmadı. Sonuç: Bu çalışmanın sonuçları doğrultusunda, diyot lazer ile yapılan gingivektomi prosedürlerinin konvansiyonel tekniklere göre bariz avantajları bulunduğu gözlenmiştir.
Background: To compare the use of the 940 nm diode laser with conventional surgery in the management of soft tissue in gingivectomy procedures in terms of patient satisfaction. Methods: This controlled clinical trial was conducted on 20 healthy patients who needing esthetic-only gingivectomy in the anterior maxilla. The patients were randomly divided into two groups of 10 each: experimental (diode laser-assisted surgery) and control (traditional surgery using scalpels). The bleeding rate following the surgery was assessed using the bleeding criteria established by the World Health Organization. The postsurgical discomfort level was recorded using visual analog scales (VAS), surgery time was evaluated for each operation and postoperative analgesic requirements were evaluated and compared. Results: In control groups, anesthesia requirements were found statistically higher during surgery (p0.001). The average bleeding rates were 1.32 and 0.24 in the conventional and laser groups, respectively (p0.001). Experimental patients had no postsurgical pain but in the control group, VAS pain level was found higher. The difference between VAS values in each groups were significant (p0.001). There was no significant difference for surgery time between the treatment type. Conclusion: This study shows that the diode laser has a great advantage over conventional surgery in the gingivectomy procedures.
Background: To compare the use of the 940 nm diode laser with conventional surgery in the management of soft tissue in gingivectomy procedures in terms of patient satisfaction. Methods: This controlled clinical trial was conducted on 20 healthy patients who needing esthetic-only gingivectomy in the anterior maxilla. The patients were randomly divided into two groups of 10 each: experimental (diode laser-assisted surgery) and control (traditional surgery using scalpels). The bleeding rate following the surgery was assessed using the bleeding criteria established by the World Health Organization. The postsurgical discomfort level was recorded using visual analog scales (VAS), surgery time was evaluated for each operation and postoperative analgesic requirements were evaluated and compared. Results: In control groups, anesthesia requirements were found statistically higher during surgery (p0.001). The average bleeding rates were 1.32 and 0.24 in the conventional and laser groups, respectively (p0.001). Experimental patients had no postsurgical pain but in the control group, VAS pain level was found higher. The difference between VAS values in each groups were significant (p0.001). There was no significant difference for surgery time between the treatment type. Conclusion: This study shows that the diode laser has a great advantage over conventional surgery in the gingivectomy procedures.
Açıklama
Anahtar Kelimeler
Anesthesia, Gingivectomy, Lasers, Semiconductor, Visual analog scale, Anestezi, Gingivektomi, Lazerler, Yarı iletken, Görsel analog ağrı skalası
Kaynak
Selcuk Dental Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
4
Sayı
1
Künye
Öncü, E. Alan, R., Erbeyoğlu, A. A. (2017). Comparison of gingivectomy procedures for patient satisfaction: Conventional and diode laser surgery. Selcuk Dental Journal, 4, 1, 6-9.
