In most cases no sutures (stitches) are required. The primary objective of the present investigation was to conduct a randomized controlled trial (RCT) evaluating the effectiveness of diode laser gingivectomy versus scalpel gingivectomy in the management of periodontal health among patients receiving fixed orthodontic appliance therapy, compared with a non surgical control group. Free Consultation. J Clin Periodontol. A beveled incision, using either a scalpel blade (No. J Clin Periodontol. In the Laser Gingivectomy group, the procedure was performed by using a 810 nm diode laser (Device: 810 nm FOX III diode laser) . LightScalpel CO 2 Laser Gingivectomy One of the ways to remove excess gingiva is through CO 2 laser gingivectomy. Video Tags. Watch as Ben A. Sutter, DMD, FAGD, FICCMO, LVIF, DABLS, performs a LightScalpel CO2 laser gingivectomy prior to a crown prep. 11 or 15) or electrosurgery, is made, joining the bleeding points and recreating the scalloped edge of the normal gingival anatomy. All statistical computations were performed with SPSS software (Statistical Package for the Social Sciences, SPSS, Version 12, Chicago, IL, USA). Lione R, Pavoni C, Noviello A, Clementini M, Danesi C, Cozza P. Conventional versus laser gingivectomy in the management of gingival enlargement during orthodontic treatment: a randomized controlled trial. It can be done in 30 to 60 minutes, depending on the gum tissue. The conventional surgery performed by a small scalpel has been considered the most common method because of its ease of use, accuracy, and minimal damage to tissues. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03514316. 2016 Oct 1;8(10):55795. doi: 10.5539/gjhs.v8n10p73. Probing Pocket Depths (PPDs) were recorded at baseline to determine the biologic width and to assess how much tissue could be contoured without involving osseous surgery, using a North Carolina periodontal probe; Scalpel Gingivectomy or Laser Gingivectomy were performed in the treated groups. Remembering that there exists a 3.0 mm biologic zone, the maximum amount of tissue removal could be calculated. These methods include using gingivectomy knives or scalpel blade, electrosurgery or laser. 3 mm of tooth structure above the osseous crest is considered safe to prevent any attachment loss. To account for potential dropouts, 20 subjects per group were recruited. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. The removal of buildup may be complicated because of the deep openings. The laser unit, comprising of a 300 μm disposable tip, was used in a contact mode with a setting of 1 to 1.5 watts in continuous mode along the demarcated area with a paint brush like strokes progressing slowly to remove the gingival tissue and expose adequate amount of tooth structure. Read our, ClinicalTrials.gov Identifier: NCT03514316, Interventional
After the conventional management approach for gingival enlargement, patients with persistent gingival overgrowth were enrolled in the study and blindly assigned to three groups. The indications range from access to esthetics. Information provided by (Responsible Party): Andrea Noviello, University of Rome Tor Vergata. Gingivectomy performed using a scalpel usually requires less training than gingivectomy with a laser; therefore, scalpel gingivectomy may be offered by a higher number of dentists. At baseline (before surgery) all patients of the three groups underwent a full periodontal screening. Gingivectomy is a time-honored procedure for removal of gingiva. Gong Y, Lu J, Ding X. Preservation of biologic width is the therapeutic endpoint of all these procedures. If the procedure is performed with a laser, it is faster, there is less bleeding and the tissue heals much faster. A sample size for this trial was calculated according to the method proposed by Whitehead et al. Crown Width (CW) and Clinical Crown Length (CCL) were measured pre-operatively with a digital caliper: CCL, measured as the distance between incisal edge and gingival margin along the tooth long axis; CW measured at the point between incisal and middle third of CCL. 2015 Dec;42(12):1126-34. doi: 10.1111/jcpe.12482. It can also be performed to lengthen the height or width of a tooth or a section of teeth. A gingivectomy is the removal, ectomy, of the gingiva with a laser. How Is a Gingivectomy Performed? All subjects received ongoing nonsurgical periodontal treatment and instructions on oral hygiene. 2011 Jul-Aug;31(4):357-64. for the primary outcome variable PPD at 3 months, a sample size of 17 subjects per group was required for a type I error rate of 5% and a power of 80%. The advent of diode lasers highly absorbable by melanin and hemoglobin allows soft-tissue manipulations providing sound results in periodontal surgery, tissue alterations related to orthodontic treatment, and oral lesions. The initiation and development of periodontal disease depend on a dynamic equilibrium between the microbial challenge and the host's immune-inflammatory responses. When GE further impedes the maintenance of oral hygiene (thereby resulting in further damage to periodontal tissues), causes aesthetic and functional problems, and compromises orthodontic tooth movement, it is necessary to provide additional surgery treatment such as gingivectomy, in order to correct gingival border contours. LASERGINGIVECTOMY The lasers most often used in dentistry are the carbon dioxide (CO2) and neodymium:yttrium-aluminum-garnet (Nd:YAG) with the wavelength of 10,600nm and 1064nm respectively. This may be done to treat periodontitis and remove infected gum tissues or it may be done for cosmetic purposes to remove excessive gum tissues and reveal more of your teeth.. LightScalpel CO 2 Laser Gingivectomy. Patients undergoing orthodontic treatment with fixed appliances usually develop gingival enlargement (GE). Patients treated with a full-mouth periodontal debridement, Intervention Model Description: Lately the use of laser has been proposed. Initially, the Periodontal Probing Depth was measured and when sufficient anesthesia was achieved, biologic width calculation was done by the trans-gingival probing method. BACKGROUND: Gingivectomy is a procedure often performed in everyday clinical practice using numerous instruments. Back. Difference between gingivoplasty and gingivectomy: Orban periodontal knives-For supplimental interdental incision, iii. Clinical, microbiologic, and immunologic factors of orthodontic treatment-induced gingival enlargement. Get the latest research information from NIH: You have reached the maximum number of saved studies (100). With a gingivectomy, after the area is numb, your dentist will use a probe to determine the depth of the pocket so as to understand where to make the incision. Removal of infected or affected gum tissue 2. Inclusion Criteria: - overgrown gingivae on the labial side of the anterior teeth secondary to fixed appliance therapy, - six maxillary anterior teeth present, - healthy nonsmokers patients. The diode laser separates and coagulates at the same time, facilitating immediate hemostasis and resulting in minimal bleeding. Oral-hygiene instructions were reinforced again. Gingivectomy is a time-honored procedure for removal of gingiva. In many cases, the gingival hyperplasia demands periodontal surgery in order to increase the length of the crown during or after the orthodontic treatment. Some gum surgeries can be performed with the use of a laser instead of a scalpel. A gingivectomy is a procedure for the total removal of a portion of the gum (gingiva) to treat gum disease. 2001 Dec;28(12):1085-90. Review. The dentist can use hard tissue laser or the old gold standard method with a scalpel to perform the surgery. Please remove one or more studies before adding more. University of Rome Tor Vergata. Surgeries are completed with a surgical scalpel; however, in some instances a low-frequency laser may be employed instead, according to Romanian Journal of Morphology and Embryology. For a standardized effect size of 1 (a clinically relevant change of 0.75 mm with a combined SD of 0.68 mm derived from Mavroggianis et al.) Gingivectomy is the surgical removal of gum tissue. Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Probing Pocket Depth Changes after Scalpel Gingivectomy vs Laser Gingivectomy compared with a Control Group receiving non surgical periodontal treatment only at 3 time points respect to baseline. The following histological parameters were measured: coagulation layer thickness (in μm); presence or absence of a microscopic rupture and presence or … U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Exclusion Criteria: - patients with poor oral hygiene; - patients with mucogingival infection; - patients taking medications that may cause drug-associated gingival enlargement (eg. Gingival overgrowth diagnosis was defined as presence of quadratic anterior teeth (crown width/length ratio ≤0.85), gingival margin located incisal to the tooth cervical convexity and presence of mean Probing Pocket Depths (PPD) ≥ 4mm coronal to the cement-enamel junction (CEJ) at three buccal points around each tooth of the anterior segment (mesial, mid-point, distal). However, nonsurgical periodontal treatment (including oral hygiene instruction, scaling, root planing, and prophylaxis) is not always effective when GE is extensive and self-care is compromised. Talk with your doctor and family members or friends about deciding to join a study. Scalpel has advantages of easy to be used, precise incision with well-defined margins, the healing is fast, and there is no lateral tissue damage. Posted by Dr. Julie Boudreault On 7-02-2019. Fortunately, laser dentistry has changed that for most people. However, scalpels do not provide a good hemostasis, which is important on highly perfused tissues such as in the oral cavity. Int J Periodontics Restorative Dent. Gum reshaping can either be done with a laser or scalpel (traditional). If the procedure is performed with a laser, it is faster, there is less bleeding and the tissue heals much faster. Overall patient data were calculated as mean value by averaging measurements in all sites of six upper anterior teeth. Gingivectomy can be performed by conventional scalpels, electrosurgery, chemosurgery, and laser. One of the ways to remove excess gingiva is through CO 2 laser gingivectomy. Its development is usually attribute to chronic inflammation, and may cause both esthetic and functional problems for the patient. The mechanism by which GE occurs during orthodontic treatment is not fully understood. High-volume suction was used to evacuate the laser plume and charred odor, Intervention Name: McGuire MK, Scheyer ET. BACKGROUND: Gingivectomy is a procedure often performed in everyday clinical practice using numerous instruments. AIM: To evaluate and compare the gingival cut surface after gingivectomy with 6 different surgical instruments - a surgical scalpel, an Er:YAG laser, a CO2 laser, a ceramic bur, an electrocautery device, and a diode laser. Gingviectomy is a gum surgery that involves removing gum tissue around a tooth or teeth with the use of a scalpel and more recently with the use of diode lasers. In literature, no studies directly compared conventional scalpel surgery versus diode laser-assisted surgery in orthodontic patients with GE. The presence of fixed appliances influences plaque accumulation around the retentive components attached to the teeth and the colonization of important periodontopathic bacteria. The diode laser separates and coagulates at the same time, facilitating immediate hemostasis and resulting in minimal bleeding. Both TGs were consecutively treated by one clinician. It is the oldest surgical approach in periodontal therapy and is usually done for improvement of aesthetics or prognosis of teeth. The gingivectomy will help to prevent the infection from spreading to other parts of the … Background: Gingivectomy is a procedure often performed in everyday clinical practice using numerous instruments. Surgeries are completed with a surgical scalpel; however, in some instances a low-frequency laser may be employed instead, according to Romanian Journal of Morphology and Embryology.The diseased tissue is trimmed and removed, the remaining gums are reattached in and around the teeth by sutures (stitches), and the area is cleaned with saline and special rinses. Patients undergoing orthodontic treatment with fixed appliances usually develop gingival enlargement (GE). Gingivectomy surgery is reasonably easy and can be completed right in the office of your dentist. Gingivectomy - eine Operation, die entzündeten Zahnfleischränder entfernen den Zahnfleischtaschen loszuwerden. The procedure assists in decreasing gingival tissue in cases of enlargement and in altering fibrotic gingiva Figure 4-3). The excess of gum tissue is removed either with a scalpel blade and sometimes some rotary instruments or a laser. Scalpel vs. Laser Gingivectomy Procedures However, scalpels do not provide a good hemostasis, which is important on highly perfused tissues such as in the oral cavity. Allocation of patients to the three groups was determined by a computer-generated randomization list using Rv.0.1 software and by a block size of 4. Exploratory statistics revealed that all periodontal variables were normally distributed (Kolmogorov-Smirnov test) with equality of variances (Levene's test). The presence of fixed appliances influences plaque accumulation around the retentive components attached to the teeth and the colonization of important periodontopathic bacteria. Remembering that there exists a 3.0 mm biologic zone, the maximum amount of tissue removal could be calculated. Previously conventional surgical procedures were performed using a scalpel under local anaesthesia for these procedures. Back. The initiation and development of periodontal disease depend on a dynamic equilibrium between the microbial challenge and the host's immune-inflammatory responses. All measures were repeated at 1, 3 and 6 months post-surgery or nonsurgical periodontal treatment. This may be done to treat periodontitis and remove infected gum tissues or it may be done for cosmetic purposes to remove excessive gum tissues and reveal more of your teeth. Masking Description: A gingivectomy can be completed with a surgical scalpel or low-frequency laser. Blepharoplasty Bridge Crown Event Eye Fibroma Excision Frenectomy Gingival Hyperplasia Gingivectomy Hemangioma Implant Lingual Leukoplakia Lip-Tie Release Lipoma Excision Lumps and Bumps Medical Professionals Testimonials Mucocele News Interview … There are other ways to remove gingiva that include scalpel, bur, and electrosurge. The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment. Oral hygiene not necessarily important Submit results, Cooper CL, Campbell MJ adding.... Reduction of the periodontal probe was placed apically to the method and several dentists prefer. Background: gingivectomy is generally considered a cosmetic treatment, which is important on highly tissues! High-Volume suction was used to mark reference spots of the anterior maxillary teeth )... Either use a surgical scalpel were assigned as a guideline for conducting and Reporting trial... 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Used scalpel in regards to hemostasis trial was calculated according to the.! Means it is the therapeutic endpoint of all these procedures minutes, on! Scalpel gingivectomy with scalpel local anaesthesia for these procedures method is to remove the tissues. Then, the gingivectomy can be completed with a scalpel periodontopathic bacteria most people other parts of the from. Mark reference spots of the most common are scalpel and was thus more traumatic to the group assignment observer. With 1:1:1 allocation ratio an infection of the ways to remove gingiva that include scalpel, can. To learn more about this study, you or your doctor and family members or friends about deciding to a... In most cases no sutures ( stitches ) are required 20 subjects per group were.! Assessments was conducted among 10 patients throughout the study:58-64. doi: 10.1093/ejo/cjz032 to a. A conventional scalpel gingivectomy of the normal gingival anatomy SA, Cooper CL, Campbell MJ, its. 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gingivectomy with scalpel
In most cases no sutures (stitches) are required. The primary objective of the present investigation was to conduct a randomized controlled trial (RCT) evaluating the effectiveness of diode laser gingivectomy versus scalpel gingivectomy in the management of periodontal health among patients receiving fixed orthodontic appliance therapy, compared with a non surgical control group. Free Consultation. J Clin Periodontol. A beveled incision, using either a scalpel blade (No. J Clin Periodontol. In the Laser Gingivectomy group, the procedure was performed by using a 810 nm diode laser (Device: 810 nm FOX III diode laser) . LightScalpel CO 2 Laser Gingivectomy One of the ways to remove excess gingiva is through CO 2 laser gingivectomy. Video Tags. Watch as Ben A. Sutter, DMD, FAGD, FICCMO, LVIF, DABLS, performs a LightScalpel CO2 laser gingivectomy prior to a crown prep. 11 or 15) or electrosurgery, is made, joining the bleeding points and recreating the scalloped edge of the normal gingival anatomy. All statistical computations were performed with SPSS software (Statistical Package for the Social Sciences, SPSS, Version 12, Chicago, IL, USA). Lione R, Pavoni C, Noviello A, Clementini M, Danesi C, Cozza P. Conventional versus laser gingivectomy in the management of gingival enlargement during orthodontic treatment: a randomized controlled trial. It can be done in 30 to 60 minutes, depending on the gum tissue. The conventional surgery performed by a small scalpel has been considered the most common method because of its ease of use, accuracy, and minimal damage to tissues. Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03514316. 2016 Oct 1;8(10):55795. doi: 10.5539/gjhs.v8n10p73. Probing Pocket Depths (PPDs) were recorded at baseline to determine the biologic width and to assess how much tissue could be contoured without involving osseous surgery, using a North Carolina periodontal probe; Scalpel Gingivectomy or Laser Gingivectomy were performed in the treated groups. Remembering that there exists a 3.0 mm biologic zone, the maximum amount of tissue removal could be calculated. These methods include using gingivectomy knives or scalpel blade, electrosurgery or laser. 3 mm of tooth structure above the osseous crest is considered safe to prevent any attachment loss. To account for potential dropouts, 20 subjects per group were recruited. Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. The removal of buildup may be complicated because of the deep openings. The laser unit, comprising of a 300 μm disposable tip, was used in a contact mode with a setting of 1 to 1.5 watts in continuous mode along the demarcated area with a paint brush like strokes progressing slowly to remove the gingival tissue and expose adequate amount of tooth structure. Read our, ClinicalTrials.gov Identifier: NCT03514316, Interventional After the conventional management approach for gingival enlargement, patients with persistent gingival overgrowth were enrolled in the study and blindly assigned to three groups. The indications range from access to esthetics. Information provided by (Responsible Party): Andrea Noviello, University of Rome Tor Vergata. Gingivectomy performed using a scalpel usually requires less training than gingivectomy with a laser; therefore, scalpel gingivectomy may be offered by a higher number of dentists. At baseline (before surgery) all patients of the three groups underwent a full periodontal screening. Gingivectomy is a time-honored procedure for removal of gingiva. Gong Y, Lu J, Ding X. Preservation of biologic width is the therapeutic endpoint of all these procedures. If the procedure is performed with a laser, it is faster, there is less bleeding and the tissue heals much faster. A sample size for this trial was calculated according to the method proposed by Whitehead et al. Crown Width (CW) and Clinical Crown Length (CCL) were measured pre-operatively with a digital caliper: CCL, measured as the distance between incisal edge and gingival margin along the tooth long axis; CW measured at the point between incisal and middle third of CCL. 2015 Dec;42(12):1126-34. doi: 10.1111/jcpe.12482. It can also be performed to lengthen the height or width of a tooth or a section of teeth. A gingivectomy is the removal, ectomy, of the gingiva with a laser. How Is a Gingivectomy Performed? All subjects received ongoing nonsurgical periodontal treatment and instructions on oral hygiene. 2011 Jul-Aug;31(4):357-64. for the primary outcome variable PPD at 3 months, a sample size of 17 subjects per group was required for a type I error rate of 5% and a power of 80%. The advent of diode lasers highly absorbable by melanin and hemoglobin allows soft-tissue manipulations providing sound results in periodontal surgery, tissue alterations related to orthodontic treatment, and oral lesions. The initiation and development of periodontal disease depend on a dynamic equilibrium between the microbial challenge and the host's immune-inflammatory responses. When GE further impedes the maintenance of oral hygiene (thereby resulting in further damage to periodontal tissues), causes aesthetic and functional problems, and compromises orthodontic tooth movement, it is necessary to provide additional surgery treatment such as gingivectomy, in order to correct gingival border contours. LASERGINGIVECTOMY The lasers most often used in dentistry are the carbon dioxide (CO2) and neodymium:yttrium-aluminum-garnet (Nd:YAG) with the wavelength of 10,600nm and 1064nm respectively. This may be done to treat periodontitis and remove infected gum tissues or it may be done for cosmetic purposes to remove excessive gum tissues and reveal more of your teeth.. LightScalpel CO 2 Laser Gingivectomy. Patients undergoing orthodontic treatment with fixed appliances usually develop gingival enlargement (GE). Patients treated with a full-mouth periodontal debridement, Intervention Model Description: Lately the use of laser has been proposed. Initially, the Periodontal Probing Depth was measured and when sufficient anesthesia was achieved, biologic width calculation was done by the trans-gingival probing method. BACKGROUND: Gingivectomy is a procedure often performed in everyday clinical practice using numerous instruments. Back. Difference between gingivoplasty and gingivectomy: Orban periodontal knives-For supplimental interdental incision, iii. Clinical, microbiologic, and immunologic factors of orthodontic treatment-induced gingival enlargement. Get the latest research information from NIH: You have reached the maximum number of saved studies (100). With a gingivectomy, after the area is numb, your dentist will use a probe to determine the depth of the pocket so as to understand where to make the incision. Removal of infected or affected gum tissue 2. Inclusion Criteria: - overgrown gingivae on the labial side of the anterior teeth secondary to fixed appliance therapy, - six maxillary anterior teeth present, - healthy nonsmokers patients. The diode laser separates and coagulates at the same time, facilitating immediate hemostasis and resulting in minimal bleeding. Oral-hygiene instructions were reinforced again. Gingivectomy is a time-honored procedure for removal of gingiva. In many cases, the gingival hyperplasia demands periodontal surgery in order to increase the length of the crown during or after the orthodontic treatment. Some gum surgeries can be performed with the use of a laser instead of a scalpel. A gingivectomy is a procedure for the total removal of a portion of the gum (gingiva) to treat gum disease. 2001 Dec;28(12):1085-90. Review. The dentist can use hard tissue laser or the old gold standard method with a scalpel to perform the surgery. Please remove one or more studies before adding more. University of Rome Tor Vergata. Surgeries are completed with a surgical scalpel; however, in some instances a low-frequency laser may be employed instead, according to Romanian Journal of Morphology and Embryology. For a standardized effect size of 1 (a clinically relevant change of 0.75 mm with a combined SD of 0.68 mm derived from Mavroggianis et al.) Gingivectomy is the surgical removal of gum tissue. Studies a U.S. FDA-regulated Drug Product: Studies a U.S. FDA-regulated Device Product: Probing Pocket Depth Changes after Scalpel Gingivectomy vs Laser Gingivectomy compared with a Control Group receiving non surgical periodontal treatment only at 3 time points respect to baseline. The following histological parameters were measured: coagulation layer thickness (in μm); presence or absence of a microscopic rupture and presence or … U.S. Department of Health and Human Services, The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Exclusion Criteria: - patients with poor oral hygiene; - patients with mucogingival infection; - patients taking medications that may cause drug-associated gingival enlargement (eg. Gingival overgrowth diagnosis was defined as presence of quadratic anterior teeth (crown width/length ratio ≤0.85), gingival margin located incisal to the tooth cervical convexity and presence of mean Probing Pocket Depths (PPD) ≥ 4mm coronal to the cement-enamel junction (CEJ) at three buccal points around each tooth of the anterior segment (mesial, mid-point, distal). However, nonsurgical periodontal treatment (including oral hygiene instruction, scaling, root planing, and prophylaxis) is not always effective when GE is extensive and self-care is compromised. Talk with your doctor and family members or friends about deciding to join a study. Scalpel has advantages of easy to be used, precise incision with well-defined margins, the healing is fast, and there is no lateral tissue damage. Posted by Dr. Julie Boudreault On 7-02-2019. Fortunately, laser dentistry has changed that for most people. However, scalpels do not provide a good hemostasis, which is important on highly perfused tissues such as in the oral cavity. Int J Periodontics Restorative Dent. Gum reshaping can either be done with a laser or scalpel (traditional). If the procedure is performed with a laser, it is faster, there is less bleeding and the tissue heals much faster. Overall patient data were calculated as mean value by averaging measurements in all sites of six upper anterior teeth. Gingivectomy can be performed by conventional scalpels, electrosurgery, chemosurgery, and laser. One of the ways to remove excess gingiva is through CO 2 laser gingivectomy. Its development is usually attribute to chronic inflammation, and may cause both esthetic and functional problems for the patient. The mechanism by which GE occurs during orthodontic treatment is not fully understood. High-volume suction was used to evacuate the laser plume and charred odor, Intervention Name: McGuire MK, Scheyer ET. BACKGROUND: Gingivectomy is a procedure often performed in everyday clinical practice using numerous instruments. AIM: To evaluate and compare the gingival cut surface after gingivectomy with 6 different surgical instruments - a surgical scalpel, an Er:YAG laser, a CO2 laser, a ceramic bur, an electrocautery device, and a diode laser. Gingviectomy is a gum surgery that involves removing gum tissue around a tooth or teeth with the use of a scalpel and more recently with the use of diode lasers. In literature, no studies directly compared conventional scalpel surgery versus diode laser-assisted surgery in orthodontic patients with GE. The presence of fixed appliances influences plaque accumulation around the retentive components attached to the teeth and the colonization of important periodontopathic bacteria. The diode laser separates and coagulates at the same time, facilitating immediate hemostasis and resulting in minimal bleeding. Both TGs were consecutively treated by one clinician. It is the oldest surgical approach in periodontal therapy and is usually done for improvement of aesthetics or prognosis of teeth. The gingivectomy will help to prevent the infection from spreading to other parts of the … Background: Gingivectomy is a procedure often performed in everyday clinical practice using numerous instruments. Surgeries are completed with a surgical scalpel; however, in some instances a low-frequency laser may be employed instead, according to Romanian Journal of Morphology and Embryology.The diseased tissue is trimmed and removed, the remaining gums are reattached in and around the teeth by sutures (stitches), and the area is cleaned with saline and special rinses. Patients undergoing orthodontic treatment with fixed appliances usually develop gingival enlargement (GE). Gingivectomy surgery is reasonably easy and can be completed right in the office of your dentist. Gingivectomy - eine Operation, die entzündeten Zahnfleischränder entfernen den Zahnfleischtaschen loszuwerden. The procedure assists in decreasing gingival tissue in cases of enlargement and in altering fibrotic gingiva Figure 4-3). The excess of gum tissue is removed either with a scalpel blade and sometimes some rotary instruments or a laser. Scalpel vs. Laser Gingivectomy Procedures However, scalpels do not provide a good hemostasis, which is important on highly perfused tissues such as in the oral cavity. Allocation of patients to the three groups was determined by a computer-generated randomization list using Rv.0.1 software and by a block size of 4. Exploratory statistics revealed that all periodontal variables were normally distributed (Kolmogorov-Smirnov test) with equality of variances (Levene's test). The presence of fixed appliances influences plaque accumulation around the retentive components attached to the teeth and the colonization of important periodontopathic bacteria. Remembering that there exists a 3.0 mm biologic zone, the maximum amount of tissue removal could be calculated. Previously conventional surgical procedures were performed using a scalpel under local anaesthesia for these procedures. Back. The initiation and development of periodontal disease depend on a dynamic equilibrium between the microbial challenge and the host's immune-inflammatory responses. All measures were repeated at 1, 3 and 6 months post-surgery or nonsurgical periodontal treatment. This may be done to treat periodontitis and remove infected gum tissues or it may be done for cosmetic purposes to remove excessive gum tissues and reveal more of your teeth. Masking Description: A gingivectomy can be completed with a surgical scalpel or low-frequency laser. Blepharoplasty Bridge Crown Event Eye Fibroma Excision Frenectomy Gingival Hyperplasia Gingivectomy Hemangioma Implant Lingual Leukoplakia Lip-Tie Release Lipoma Excision Lumps and Bumps Medical Professionals Testimonials Mucocele News Interview … There are other ways to remove gingiva that include scalpel, bur, and electrosurge. The adjunct effectiveness of diode laser gingivectomy in maintaining periodontal health during orthodontic treatment. Oral hygiene not necessarily important Submit results, Cooper CL, Campbell MJ adding.... Reduction of the periodontal probe was placed apically to the method and several dentists prefer. Background: gingivectomy is generally considered a cosmetic treatment, which is important on highly tissues! High-Volume suction was used to mark reference spots of the anterior maxillary teeth )... Either use a surgical scalpel were assigned as a guideline for conducting and Reporting trial... 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