Diode laser for harvesting de-epithelialized palatal graft in the treatment of gingival recession defects: a randomized clinical trial.

Autor: Ozcelik, Onur, Seydaoglu, Gulsah, Haytac, Cenk Mehmet
Předmět:
Zdroj: Journal of Clinical Periodontology; Jan2016, Vol. 43 Issue 1, p63-71, 9p, 2 Color Photographs, 4 Charts
Abstrakt: Aims The aim of present randomized controlled clinical study was to evaluate the effects of the use of diode laser for graft harvesting and palatal wound irradiation on post-operative morbidity and root coverage outcomes after a coronally advanced flap ( CAF) with de-epithelialized gingival grafts ( DGG). Methods Fifty-two patients with isolated recessions were treated. The CTG resulted from the de-epithelialization of a free gingival graft ( FGG) with blade (control group: DGG-B) or diode laser ( DL) (test group: DGG-L). The DL was used to de-epithelialize the outer part of the FGG and photo-biostimulate the palatal wound area. Post-operative morbidity was evaluated by using Oral Health-related Quality of Life ( OHQoL) and Visual Analogue Scale-discomfort ( VAS). Root coverage outcomes were also evaluated 6 months after operation. Results Statistically significant differences were found for OHQoL ( p = 0.0001) and VAS ( p = 0.0001) at the 7th day post-operatively favouring test sites. Root coverage results did not show a statistically significant difference. Conclusions While both techniques were effective with regard to root coverage at 6 months, the DGG-L technique decreased post-operative morbidity associated with palatal donor-site surgery. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index