Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial

Abstract Fibrous hyperplasia is treated by surgical incision using a scalpel, together with removal of the source of chronic trauma. However, scalpel techniques do not provide the haemostasis that is necessary when dealing with highly vascular tissues. Diode laser surgery can be used in the manageme...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2015-11, Vol.44 (11), p.1383-1389
Main Authors: Amaral, M.B.F, de Ávila, J.M.S, Abreu, M.H.G, Mesquita, R.A
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
clinical trial
Dentistry
Dentures - adverse effects
diode laser
Female
Fibrosis - etiology
Fibrosis - surgery
Humans
hyperplasia
Hyperplasia - etiology
Hyperplasia - surgery
Lasers, Semiconductor - therapeutic use
Male
Middle Aged
Mouth Mucosa - injuries
Mouth Mucosa - surgery
Oral Surgical Procedures
Surgery
Treatment Outcome
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Summary:Abstract Fibrous hyperplasia is treated by surgical incision using a scalpel, together with removal of the source of chronic trauma. However, scalpel techniques do not provide the haemostasis that is necessary when dealing with highly vascular tissues. Diode laser surgery can be used in the management of oral tissues due to its high absorption by water and haemoglobin, and has provided good results in both periodontal surgery and oral lesions. The aim of the present study was to compare the effects of diode laser surgery to those of the conventional technique in patients with fibrous hyperplasia. A randomized clinical trial was performed in which surgical and postoperative evaluations were analyzed. On comparison of the laser-treated (study group) patients to those treated with a scalpel (control group), significant differences were observed in the duration of surgery and the use of analgesic medications. Over a 3-week period, clinical healing of the postoperative wound was significantly faster in the control group as compared to the study group. In conclusion, diode laser surgery proved to be more effective and less invasive when compared to scalpel surgery in the management of fibrous hyperplasia. However, wound healing proved to be faster when using scalpel surgery.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2015.05.015