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Evaluation of Patient's Perceptions, Healing, and Reattachment After Conventional and Diode Laser Frenectomy: A Three-Arm Randomized Clinical Trial

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dc.contributor.authorÖZTÜRK ÖZENER, HAFİZE
dc.contributor.authorsSezgin, Gamze; Ozener, Hafize Ozturk; Meseli, Suleyman Emre; Kuru, Leyla
dc.date.accessioned2022-03-12T22:42:50Z
dc.date.available2022-03-12T22:42:50Z
dc.date.issued2020
dc.description.abstractObjective:The aim of this study is to compare the conventional and diode laser techniques in terms of patient's perceptions, epithelization, reattachment, and periodontal clinical parameters in the treatment of abnormal papillary frenum. Materials and methods:Forty-eight patients with abnormal papillary frenum were enrolled in the study. Patients were randomly assigned into three groups; conventional frenectomy operation (C group), diode laser-assisted frenectomy (L group), and diode laser-assisted frenectomy with conventional horizontal incision on the periosteum (L + P group). Post-operative pain, discomfort in speaking, and chewing scores were assessed with visual analogue scale (VAS) at post-operative 3rd hour and on days 1, 7, 14, 21, and 45. Epithelialization process of the wound surface was evaluated by hydrogen peroxide solution applied to the wound on days 7, 14, 21, and 45 following operations. The distance between the frenum attachment point and mucogingival junction (FMGJ) was recorded at baseline, post-operative 45th day, and 6th month to assess the reattachment of the frenum. Plaque index, gingival index, bleeding on probing, and probing depth were recorded at baseline and post-operative 7th, 14th, 21(st), and 45th days. Results:On the 1st and 7th day after operation, VAS pain score in the C group was significantly higher than in the L and L + P groups (p < 0.017). Difficulty in speaking and chewing scores were significantly lower in the L and L + P groups compared to the C group at post-operative 3rd hour and 7th day (p < 0.017). The FMGJ and epithelization period demonstrated no difference among the groups at any time point (p > 0.05). Conclusions:Our results suggest that diode laser provides better post-operative patient's perceptions than the conventional technique in frenectomy operation. In addition, both conventional and laser-assisted frenectomy surgeries prevent the frenum reattachment regardless of periosteal horizontal incision.
dc.identifier.doi10.1089/photob.2019.4783
dc.identifier.eissn2578-5478
dc.identifier.pubmed32609576
dc.identifier.urihttps://hdl.handle.net/11424/236266
dc.identifier.wosWOS:000547121600001
dc.language.isoeng
dc.publisherMARY ANN LIEBERT, INC
dc.relation.ispartofPHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectlabial frenum
dc.subjectlasers
dc.subjectlaser therapy
dc.subjectvisual analogue scale
dc.subjectpost-operative pain
dc.subjectND-YAG LASER
dc.subjectCARBON-DIOXIDE LASER
dc.subjectPULSED NDYAG LASER
dc.subjectPERIODONTAL TREATMENT
dc.subjectCO2-LASER
dc.subjectOPERATIONS
dc.subjectDIASTEMA
dc.subjectADJUNCT
dc.subjectER
dc.titleEvaluation of Patient's Perceptions, Healing, and Reattachment After Conventional and Diode Laser Frenectomy: A Three-Arm Randomized Clinical Trial
dc.typearticle
dspace.entity.typePublication
local.avesis.id631f757f-126e-4af9-b76c-3a8437b452f1
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
local.journal.quartileQ3
oaire.citation.endPage559
oaire.citation.issue9
oaire.citation.startPage552
oaire.citation.titlePHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY
oaire.citation.volume38
relation.isAuthorOfPublication0a9f4732-a3d2-4cea-a27f-93ee4f007f67
relation.isAuthorOfPublication.latestForDiscovery0a9f4732-a3d2-4cea-a27f-93ee4f007f67

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