| Autor: |
Maboudi A; Department of Periodontology, Dental Research Center, Mazandaran University of Medical Sciences, Sari, Iran.; Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran., Fekrazad R; Radiation Sciences Research Center, AJA University of Medical Sciences, Tehran, Iran.; International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran., Shiva A; Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran.; Department of Oral and Maxillofacial Pathology, Dental Research Center, Mazandaran University of Medical Sciences, Sari, Iran., Salehabadi N; Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran., Moosazadeh M; Gastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, Iran., Ehsani H; Department of Periodontology, Dental Research Center, Mazandaran University of Medical Sciences, Sari, Iran.; Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran., Yazdani O; Student Research Committee, Faculty of Dentistry, Mazandaran University of Medical Sciences, Sari, Iran. |
| Abstrakt: |
Background and objective : Some studies support the superiority of diode laser gingivectomy to scalpel surgery and nonsurgical treatments. However, a systematic review on this topic is lacking. This study aimed to compare gingivectomy with diode laser versus the conventional scalpel surgery and nonsurgical periodontal therapy (NSPT) in the treatment of orthodontic treatment-induced gingival enlargement (GE). Materials and methods : In this systematic review, an electronic search of the relevant literature was conducted in Web of Science, Medline/PubMed, Scopus, Cochrane Central Register of Controlled Trials, and ProQuest with no language restriction. Randomized clinical trials published between 1985 and 2020 on comparative treatment of orthodontic treatment-induced GE by diode laser gingivectomy and scalpel surgery or NSPT regarding intraoperative and postoperative bleeding and/or pain were included. Risk of bias was assessed by the Cochrane 1 tool. Results : Of the initially retrieved 288 articles, 40 were duplicates and excluded; 236 articles were excluded following title and abstract screening, and 5 others were excluded following full-text assessment. Finally, 7 studies underwent systematic review. In the risk-of-bias assessment, 5 studies scored 2, and 2 studies scored 3 out of 6. Intraoperative and postoperative bleeding and pain were found to be significantly lower in the laser group. Conclusions : Within the limitations of this systematic review and with respect to the quality of evidence, the present results revealed lower level of pain and bleeding in diode laser gingivectomy compared with the conventional scalpel surgery and NSPT for treatment of orthodontic treatment-induced GE. |
