Comparison of Scalpel and Diode Laser in Management of Gingival Enlargement: A Case Report

  • Abhinav Bhasker
  • Viniti Goel
  • Deept Jain
  • Vijita Mehta
Keywords: Gingival Enlargement, Gingivectomy, Diode Laser, Scalpel

Abstract

Inflammatory gingival enlargement is an excessive growth of gingival tissue due to inflammation in response to plaque accumulation. Enlargement of gingiva hampers the efficiency of daily oral hygiene practices which in turn accumulates more plaque, thus causing inflammation. Phase I therapy, consisting of scaling and root planning only reduces the inflammatory component of the enlarged gingival tissues but the fibrotic gingival enlargement remaining thereafter is then removed surgically by gingivectomy. Apart from the conventional scalpel gingivectomy, many other treatment modalities such as gingivectomy by lasers and electrocautery are now being widely used in the field of surgical periodontal therapy. This case report describes the management of gingival enlargement in relation with gingivae of maxillary teeth by administering separate treatment modalities i.e. diode laser and conventional scalpel gingivectomy.

Downloads

Download data is not yet available.

Author Biographies

Abhinav Bhasker

PG Student, Department of Periodontology and Oral Implantology, Bhojia Dental College & Hospital, Baddi, Himachal Pradesh, India

Viniti Goel

Professor and Head of Department, Department of Periodontology and Oral Implantology, B.R.S. Dental College & Hospital, Panchkula, Haryana, India

Deept Jain

Reader, Department of Periodontology and Oral Implantology, Bhojia Dental College & Hospital, Baddi, Himachal Pradesh, India

Vijita Mehta

Reader, Department of Conservative Dentistry and Endodontics, B.R.S. Dental College & Hospital, Panchkula, Haryana, India

References

Camargo PM, Melnick PR, Pirih FQM, Lagos R, Takei HH. Treatment of drug-induced gingival enlargement: Aesthetic and functional considerations. Periodontol. 2000 2001;27:131-38.

Palomo F, Kopczyk RA. Rationale and methods for crown lengthening. J Am Dent Assoc 1978;96:257-60.

Guler B, Isler SC, Uraz A, Bozkaya S, Cetimer FD. The comparison of postoperative wound healing following different gingivectomy techniques: A randomized prospective clinical trial. Ann Med Res. 2017;26(3):382-8. https://doi.org/10.5455/annalsmedres.2018.10.214

Romanos G, Nentwig GH. Diode laser (980 nm) in oral and maxillofacial surgical procedures: Clinical observations based on clinical applications. J Clin Laser Med Surg. 1999;17:193-7.

Luomanen M, Meurman JH, Lehto VP. Extracellular matrix in healing CO2 laser incision wound. J Oral Pathol. 1987;16:322-31.

Schuller DE. Use of the laser in the oral cavity. Orolaryngol Clin North Am. 1990;23:31-42.

Amaral MB, De Avila JM, Abrew MH, Mesquita RA. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: A randomized clinical trial. Int J Oral Maxillofac Surg. 2015;44(11):1383-9. https://doi.org/10.1016/j.ijom.2015.05.015

Pogrel MA, Yen CK, Hansen LS. A comparison of carbon dioxide laser, liquid nitrogen cryosurgery, and scalpel wounds in healing. J Oral Surg, Oral Med, Oral Pathol. 1990;69(3):269-73.

Gupta G, Kumar A, Khatri M et al. Comparison of two different depigmentation techniques for treatment of hyperpigmented gingiva. J Indian Soc Periodontol 2014;18:705-9. https://doi.org/10.4103/0972-124X.147404

Mussa FE, Awazil LG, Alhamdani FY, Hussien SG. Diode laser 940nm versus scalpel surgery in the treatment of chronic inflammatory gingival enlargement. J Oral Dent Res. 2019;6(2):59-69.

CITATION
DOI: 10.26440/IHRJ/0412.03398
Published: 2021-03-19
How to Cite
1.
Abhinav Bhasker, Viniti Goel, Deept Jain, Vijita Mehta. Comparison of Scalpel and Diode Laser in Management of Gingival Enlargement: A Case Report. IHRJ [Internet]. 2021Mar.19 [cited 2024Apr.24];4(12):CR1-CR3. Available from: https://ihrjournal.com/ihrj/article/view/398