Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures
The current pilot study investigates the effects following removal of excessive gingival tissue, which is often necessary in fixed prosthodontic cases. The aim of the study is to assess gingival healing after diode laser gingivectomy prior to prosthetic procedures. Materials and methods: The healing...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/13/9/5527 |
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| author | Rada Kazakova Georgi Tomov Angelina Vlahova Stefan Zlatev Mariya Dimitrova Stoyan Kazakov Massimo Corsalini Marta Forte Daniela Di Venere Fabio Dell’Olio Giuseppe Barile Saverio Capodiferro |
| author_facet | Rada Kazakova Georgi Tomov Angelina Vlahova Stefan Zlatev Mariya Dimitrova Stoyan Kazakov Massimo Corsalini Marta Forte Daniela Di Venere Fabio Dell’Olio Giuseppe Barile Saverio Capodiferro |
| author_sort | Rada Kazakova |
| collection | DOAJ |
| description | The current pilot study investigates the effects following removal of excessive gingival tissue, which is often necessary in fixed prosthodontic cases. The aim of the study is to assess gingival healing after diode laser gingivectomy prior to prosthetic procedures. Materials and methods: The healing process of the gingiva after the diode laser gingivectomy of 41 teeth was assessed. The following parameters were examined: recovery time of the gingiva, possibility to take the impression at the same visit, duration of the manipulation, bleeding during the procedure, tissue adherence to the instrument, postoperative hemorrhage on probing, postoperative pain, and wound healing in regard to tissue color, tissue contour, and appearance of the wound. Results: At the 24th hour, all gingival wounds were covered with fibrinous plaque and an erythematous halo. At the 72nd hour, in two cases (4.9%), this wound’s characteristic had already passed through to the next healing stage—granulated surface and normal pale pink color. A granulated surface in the 1st week was reported in 10 (24.4%) cases, and in all of the other 31 (75.6%) cases, complete healing was reported. In the second week, all wound surfaces had a normal pale pink color. Bleeding was self-limiting in most of the cases and negligible from a clinical point of view. The postoperative pain levels were low or nonexistent. There was lack of postoperative hemorrhage on probing after the first week in all examined cases. Tissue recovery in terms of tissue contour, color, and appearance of the wound was asymptomatic. Conclusion: within the limitations of this pilot study, the outcomes of the wound healing after laser gingivectomy aided the clinicians to perform the prosthetic procedures in the same visit. |
| first_indexed | 2024-03-11T04:24:02Z |
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| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-11T04:24:02Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-3a1f58baa5824f05a83c91965987562a2023-11-17T22:35:15ZengMDPI AGApplied Sciences2076-34172023-04-01139552710.3390/app13095527Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic ProceduresRada Kazakova0Georgi Tomov1Angelina Vlahova2Stefan Zlatev3Mariya Dimitrova4Stoyan Kazakov5Massimo Corsalini6Marta Forte7Daniela Di Venere8Fabio Dell’Olio9Giuseppe Barile10Saverio Capodiferro11Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, BulgariaDepartment of Periodontology and Oral Mucosa Diseases, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, BulgariaDepartment of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, BulgariaDepartment of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, BulgariaDepartment of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, BulgariaPrivate Dental Practice–Sofia, 1000 Sofia, BulgariaDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, 70100 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, 70100 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, 70100 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, 70100 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, 70100 Bari, ItalyDepartment of Interdisciplinary Medicine, University of Bari ‘Aldo Moro’, 70100 Bari, ItalyThe current pilot study investigates the effects following removal of excessive gingival tissue, which is often necessary in fixed prosthodontic cases. The aim of the study is to assess gingival healing after diode laser gingivectomy prior to prosthetic procedures. Materials and methods: The healing process of the gingiva after the diode laser gingivectomy of 41 teeth was assessed. The following parameters were examined: recovery time of the gingiva, possibility to take the impression at the same visit, duration of the manipulation, bleeding during the procedure, tissue adherence to the instrument, postoperative hemorrhage on probing, postoperative pain, and wound healing in regard to tissue color, tissue contour, and appearance of the wound. Results: At the 24th hour, all gingival wounds were covered with fibrinous plaque and an erythematous halo. At the 72nd hour, in two cases (4.9%), this wound’s characteristic had already passed through to the next healing stage—granulated surface and normal pale pink color. A granulated surface in the 1st week was reported in 10 (24.4%) cases, and in all of the other 31 (75.6%) cases, complete healing was reported. In the second week, all wound surfaces had a normal pale pink color. Bleeding was self-limiting in most of the cases and negligible from a clinical point of view. The postoperative pain levels were low or nonexistent. There was lack of postoperative hemorrhage on probing after the first week in all examined cases. Tissue recovery in terms of tissue contour, color, and appearance of the wound was asymptomatic. Conclusion: within the limitations of this pilot study, the outcomes of the wound healing after laser gingivectomy aided the clinicians to perform the prosthetic procedures in the same visit.https://www.mdpi.com/2076-3417/13/9/5527laser gingivectomylaser crown lengtheninglaser surgeryprosthetics |
| spellingShingle | Rada Kazakova Georgi Tomov Angelina Vlahova Stefan Zlatev Mariya Dimitrova Stoyan Kazakov Massimo Corsalini Marta Forte Daniela Di Venere Fabio Dell’Olio Giuseppe Barile Saverio Capodiferro Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures Applied Sciences laser gingivectomy laser crown lengthening laser surgery prosthetics |
| title | Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures |
| title_full | Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures |
| title_fullStr | Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures |
| title_full_unstemmed | Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures |
| title_short | Assessment of Healing after Diode Laser Gingivectomy Prior to Prosthetic Procedures |
| title_sort | assessment of healing after diode laser gingivectomy prior to prosthetic procedures |
| topic | laser gingivectomy laser crown lengthening laser surgery prosthetics |
| url | https://www.mdpi.com/2076-3417/13/9/5527 |
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