A Systematic Review: Methods of Gingivectomy for Esthetic Marginal Periodontal Tissue Conditioning

Authors

DOI:

https://doi.org/10.54536/ajcp.v2i2.1681

Keywords:

Gingivectomy, Electrosurgery, Scalpel, Diode Laser, Esthetic Marginal Periodontal Tissue, Tissue Conditioning, Periodontal

Abstract

This review compared the prognosis of gingivectomy procedures carried out through a scalpel or alternative techniques. An extensive search was performed in the electronic database. Articles were identified according to inclusion criteria. The extracted data from the selected studies were organized in tables and assessed for risk of bias. Ten clinical trial studies were identified. Nine studies used the laser method for gingivectomy, and only one trial was based on the electrosurgical method. Seven studies were at low risk of bias, and three were at high risk. No significant differences were presented in pain and discomfort in the electrosurgical studies. One study reported non-significant differences between electrosurgery and scalpel regarding clinical healing. Based on limited data in this systematic review, the diode laser showed superiority over the scalpel in pain and discomfort postoperatively. In contrast, for PI and GI, the data were insufficient to conclude the results.

Downloads

Download data is not yet available.

References

Akpınar, A., Toker, H., Lektemur Alpan, A., & Çalışır, M. (2016). Postoperative discomfort after Nd: YAG laser and conventional frenectomy: comparison of both genders. Australian dental journal, 61(1), 71-75.

Akram, H. M., Ali, O. H., Omran, N. K., & Ali, A. O. (2017). Diode laser versus scalpel gingivectomy. Biomedical and Pharmacology Journal, 10(4), 1799-1804.

Aremband, D., & Wade, A. B. (1973). A comparative wound healing study following gingivectomy by electrosurgery and knives. Journal of periodontal research, 8(1), 42-50.

Asnaashari, M., Azari-Marhabi, S., Alirezaei, S., & Asnaashari, N. (2013). Clinical application of 810nm diode laser to remove gingival hyperplasic lesion. Journal of Lasers in Medical Sciences, 4(2), 96.

Bader, C., & Krejci, I. (2006). Indications and limitations of Er: YAG laser applications in dentistry. American journal of dentistry, 19(3), 178-186.

Bhusari, B., & Kasat, S. (2011). Comparison between scalpel technique and electrosurgery for depigmentation: A case series. Journal of Indian Society of Periodontology, 15(4), 402.

BM S, B. W., S J, Srihari. . (2017). Current Uses of Diode Lasers in Dentistry. Otolaryngology, 07(02), 1-4.

Broccoletti, R., Cafaro, A., Gambino, A., Romagnoli, E., & Arduino, P. G. (2015). Er: YAG laser versus cold knife excision in the treatment of nondysplastic oral lesions: a randomized comparative study for the postoperative period. Photomedicine and laser surgery, 33(12), 604-609.

Chandna, S., & Kedige, S. D. (2015). Evaluation of pain on use of electrosurgery and diode lasers in the management of gingival hyperpigmentation: A comparative study. Journal of Indian Society of Periodontology, 19(1), 49.

Chandra, R. V., Savitharani, B., & Reddy, A. A. (2016). Comparing the outcomes of incisions made by colorado microdissection needle, electrosurgery tip, and surgical blade during periodontal surgery: A randomized controlled trial. Journal of Indian Society of Periodontology, 20(6), 616.

Cobb, C. M. (2006). Lasers in periodontics: a review of the literature. Journal of periodontology, 77(4), 545-564.

Do Hoang Viet, V. T. N., Ngoc, L. Q. A., Le Hoang Son, D.-T. C., & Phung Thi Thu Ha, T. C. (2019). Reduced need of infiltration anesthesia accompanied with other positive outcomes in diode laser application for frenectomy in children. Journal of Lasers in Medical Sciences, 10(2), 92.

Durham, J. R. (2009). A comparison of two soft tissue gingivectomy techniques University of Alabama–Birmingham].

E, H. (1951). Paradentitis and paradentosis. Oral Surg Oral Med Oral Pathol. , 4(1), 126.

Eisenmann D, M. W., Kusek J. (1970). Electron microscopic evaluation of electrosurgery. . Oral Surg Oral Med Oral Pathol., 29(5), 660-665. http://www.ncbi.nlm.nih.gov/pubmed/5265873

Elif, Ö. (2017). Comparison of gingivectomy procedures for patient satisfaction: conventional and diode laser surgery. Selcuk Dental Journal, 4(1), 6-9.

Fisher SE, F. J., Browne RM. (1983). A comparative histological study of wound healing following CO2 laser and conventional surgical excsion of canine buccal mucosa. Arch Oral Biol., 28(2), 87-91.

Fisher, S. E., Frame, J., Browne, R., & Tranter, R. (1983). A comparative histological study of wound healing following CO2 laser and conventional surgical excision of canine buccal mucosa. Archives of oral Biology, 28(4), 287-291.

Fisher, S. E., & Frame, J. W. (1984). The effects of the carbon dioxide surgical laser on oral tissues. British journal of oral and maxillofacial surgery, 22(6), 414-425.

Fornaini, C., Merigo, E., Sozzi, M., Rocca, J.-P., Poli, F., Selleri, S., & Cucinotta, A. (2016). Four different diode lasers comparison on soft tissues surgery: a preliminary ex vivo study. Laser Therapy, 25(2), 105-114.

Glickman, I., & Imber, L. R. (1970). Comparision of Gingival Resection with Electrosurgery and Periodontal Knives—A Biometric and Histologic Study. Journal of periodontology, 41(3), 142-148.

Gnanasekhar, J. D., & Al-Duwairi, Y. S. (1998). Electrosurgery in dentistry. Quintessence international, 29(10).

Goharkhay, K., Moritz, A., Wilder‐Smith, P., Schoop, U., Kluger, W., Jakolitsch, S., & Sperr, W. (1999). Effects on oral soft tissue produced by a diode laser in vitro. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery, 25(5), 401-406.

Hale, G. M., & Querry, M. R. (1973). Optical constants of water in the 200-nm to 200-μm wavelength region. Applied optics, 12(3), 555-563.

Harashima, T., Kinoshita, J.-I., Kimura, Y., Brugnera Jr, A., Zanin, F., Pecora, J. D., & Matsumoto, K. (2005). Morphological comparative study on ablation of dental hard tissues at cavity preparation by Er: YAG and Er, Cr: YSGG lasers. Photomedicine and Laser Therapy, 23(1), 52-55.

Haytac, M. C., & Ozcelik, O. (2006). Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. Journal of periodontology, 77(11), 1815-1819.

HS., H. (1976). Electrosurgery in Dental Practice. 3. Blackwell Scientific Publications.

Ishikawa, I., Aoki, A., Takasaki, A. A., Mizutani, K., Sasaki, K. M., & Izumi, Y. (2009). Application of lasers in periodontics: true innovation or myth? Periodontology 2000, 50(1), 90-126.

Ize-Iyamu, I., Saheeb, B., & Edetanlen, B. (2013). Comparing the 810nm diode laser with conventional surgery in orthodontic soft tissue procedures. Ghana medical journal, 47(3), 107-111.

Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Demirel, K., de Sanctis, M., Ercoli, C., & Fan, J. (2018). Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri‐Implant Diseases and Conditions. Journal of clinical periodontology, 45, S219-S229.

Kalakonda, B., Farista, S., Koppolu, P., Baroudi, K., Uppada, U., Mishra, A., Savarimath, A., & Lingam, A. S. (2016). Evaluation of patient perceptions after vestibuloplasty procedure: a comparison of diode laser and scalpel techniques. Journal of clinical and diagnostic research: JCDR, 10(5), ZC96.

Kara, C. (2008). Evaluation of patient perceptions of frenectomy: a comparison of Nd: YAG laser and conventional techniques. Photomedicine and laser surgery, 26(2), 147-152.

Keller, U., & Hibst, R. (1989). Experimental studies of the application of the Er: YAG laser on dental hard substances: II. Light microscopic and SEM investigations. Lasers in surgery and medicine, 9(4), 345-351.

Koppolu, P., Kalakonda, B., Mishra, A., Lingam, A. S., Elkhatat, E., Ibrahim, A. A., Alhegbani, F. A., Alshahrani, F. S. F., Nassar, A. I., & Abdulaziz, A. A. (2017). Smile Correction Using an Esthetic Crown Lengthening with Either Diode Laser or Scalpel–A Comparative Clinical Patient Perspective Study. British Journal of Medicine and Medical Research, 19, 1-9.

Kravitz, N. D., & Kusnoto, B. (2008). Soft-tissue lasers in orthodontics: an overview. American journal of orthodontics and dentofacial orthopedics, 133(4), S110-S114.

Kumar, R., Jain, G., Dhodapkar, S. V., Kumathalli, K. I., & Jaiswal, G. (2015). The comparative evaluation of patient’s satisfaction and comfort level by diode laser and scalpel in the management of mucogingival anomalies. Journal of clinical and diagnostic research: JCDR, 9(10), ZC56.

Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gøtzsche, P. C., Ioannidis, J. P., Clarke, M., Devereaux, P. J., Kleijnen, J., & Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Journal of clinical epidemiology, 62(10), e1-e34.

Lione, R., Pavoni, C., Noviello, A., Clementini, M., Danesi, C., & Cozza, P. (2020). Conventional versus laser gingivectomy in the management of gingival enlargement during orthodontic treatment: a randomized controlled trial. European journal of orthodontics, 42(1), 78-85.

López-Jornet, P., & Camacho-Alonso, F. (2013). Comparison of pain and swelling after removal of oral leukoplakia with CO2 laser and cold knife: a randomized clinical trial. Medicina oral, patologia oral y cirugia bucal, 18(1), e38.

Low, S. B., & Mott, A. (2014). Laser technology to manage periodontal disease: a valid concept? Journal of Evidence Based Dental Practice, 14, 154-159.

Maiman, T. (1960). NPG library. Nature, 187, 493-494.

Manivannan, N., Ahathya, R., & Rajaram, P. (2013). Scalpel versus electrosurgery: Comparison of gingival perfusion status using ultrasound Doppler flowmetry. Journal of Pharmacy & Bioallied Sciences, 5(Suppl 2), S154.

Musaa, F. E., Awazli, L. G., & Alhamdani, F. (2017). Gingival enlargement management using diode laser 940 nm and conventional scalpel technique (A comparative study). Iraqi Journal of Laser, 16(B), 1-9.

N, S. (1917). Formaldehyde for Treatment of Alveolar Pyorrhea. Vrtljschr f Zahnheilk, 33, 403.

Natekar, M., Raghuveer, H.-P., Rayapati, D.-K., Shobha, E.-S., Prashanth, N.-T., Rangan, V., & Panicker, A. G. (2017). A comparative evaluation: Oral leukoplakia surgical management using diode laser, CO2 laser, and cryosurgery. Journal of Clinical and Experimental Dentistry, 9(6), e779.

Orban, B. (1943). Gingivectomy by chemosurgery. The Journal of the American Dental Association, 30(3), 198-202.

Oringer, M. J. (1975). Electrosurgery in dentistry. WB Saunders Company.

Parker, S. (2007a). Introduction, history of lasers and laser light production. British dental journal, 202(1), 21-31.

Parker, S. (2007b). Lasers and soft tissue: periodontal therapy. British dental journal, 202(6), 309-315.

Pereira, A. N., Eduardo, C. d. P., Matson, E., & Marques, M. M. (2002). Effect of low‐power laser irradiation on cell growth and procollagen synthesis of cultured fibroblasts. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery, 31(4), 263-267.

Perry, J., Parker, G., & Jagger, J. (2003). Scalpel blades: reducing injury risk. Adv Exposure Prev, 6(4), 37-40.

Prasad R, B. R. D., Raj A, J.N S, B. B. . (2018). Comparative assessment of pain associated with soft tissue crown lengthening using laser and conventional scalpel techniques. . Int J Recent Sci Res, 9(4), 25566–25570.

Sinha, U. K., & Gallagher, L. A. (2003). Effects of steel scalpel, ultrasonic scalpel, CO2 laser, and monopolar and bipolar electrosurgery on wound healing in guinea pig oral mucosa. The Laryngoscope, 113(2), 228-236.

Sobouti, F., Rakhshan, V., Chiniforush, N., & Khatami, M. (2014). Effects of laser-assisted cosmetic smile lift gingivectomy on postoperative bleeding and pain in fixed orthodontic patients: a controlled clinical trial. Progress in orthodontics, 15(1), 1-5.

Sterne, J. A., Savović, J., Page, M. J., Elbers, R. G., Blencowe, N. S., Boutron, I., Cates, C. J., Cheng, H.-Y., Corbett, M. S., & Eldridge, S. M. (2019). RoB 2: a revised tool for assessing risk of bias in randomised trials. bmj, 366.

Tambuwala, A., Sangle, A., Khan, A., & Sayed, A. (2014). Excision of oral leukoplakia by CO2 lasers versus traditional scalpel: a comparative study. Journal of maxillofacial and oral surgery, 13(3), 320-327.

Verma, S. K., Maheshwari, S., Singh, R. K., & Chaudhari, P. K. (2012). Laser in dentistry: An innovative tool in modern dental practice. National journal of maxillofacial surgery, 3(2), 124.

Vickers, N. J. (2017). Animal communication: when i’m calling you, will you answer too? Current biology, 27(14), R713-R715.

Viraparia, P., White, J. M., & Vaderhobli, R. M. (2012). CO2 Laser: Evidence Based Applications in Dentistry. In CO2 Laser-Optimisation and Application. IntechOpen.

Yadav, R. K., Verma, U. P., Sajjanhar, I., & Tiwari, R. (2019). Frenectomy with conventional scalpel and Nd: YAG laser technique: A comparative evaluation. Journal of Indian Society of Periodontology, 23(1), 48.

Yalamanchili, P. S., Davanapelly, P., & Surapaneni, H. (2013). Electrosurgical applications in Dentistry. Sch J App Med Sci, 1(5), 530-534.

Downloads

Published

2023-07-21

How to Cite

Munshi, M. (2023). A Systematic Review: Methods of Gingivectomy for Esthetic Marginal Periodontal Tissue Conditioning. American Journal of Chemistry and Pharmacy, 2(2), 74–85. https://doi.org/10.54536/ajcp.v2i2.1681