Comparison of two treatment modalities in the management of gingival enlargement during orthodontic treatment: a randomized clinical trial.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-11-01 DOI:10.3290/j.qi.b5809024
Hummam Rihawi, Rola Al Habashneh, Reem Abdel-Hafez, Majdi Alzoubi
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Abstract

Objective: This clinical trial aimed to evaluate and compare the effectiveness of diode laser gingivectomy, conventional gingivectomy, and nonsurgical periodontal treatment (NSPT) in the management of gingival enlargement (GE) during orthodontic treatment.

Materials and methods: forty-five healthy, orthodontic patients with labial gingival enlargement on the 6 anterior teeth were selected and randomly assigned to one of the groups (Conventional, Laser, and NSPT). Clinical parameters including clinical crown length (CCL) , periodontal pocket depth (PPD), and vertical gingival overgrowth index (vGOi) were recorded at baseline, 1 month, 3 months, and 6 months. Postoperative pain was evaluated at 1,3, and 7 days. Esthetic satisfaction and acceptance of the procedure were recorded on day 10 and repeated after 6 months.

Results: Statistically significant results were obtained for mean reduction in PPD for conventional, laser, and NSPT groups (-1.43, -.1.75, and -0.9 mm, respectively; P < 0.001), CCL gain (1.45, 1.7, and 0.38 mm, respectively; P<0.001) and mean vGOi score (-1.14, -1.29 and -0.76, respectively; P<0.001) over 6 months. Both test groups showed greater statistically significant changes in clinical parameters over 6 months compared to NSPT (P<0.001). There was a gradual decrease in postoperative pain for all three groups over 7 days, with conventional group showing statistical difference in mean pain score on days 1 and 3 compared to other groups.

Conclusion: Both conventional and laser gingivectomies were more effective in controlling enlargement over non-surgical periodontal treatment alone at 1, 3, and 6 months.

Clinical significance: laser and conventional gingivectomies as adjunctive treatments achieved superior results when compared to NSPT alone in the treatment of GE and gingival inflammation during orthodontic treatment, with no significant clinical differences between the two treatments.

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比较两种治疗方式在正畸治疗期间对牙龈增生的处理效果:随机临床试验。
研究目的本临床试验旨在评估和比较二极管激光龈切除术、传统龈切除术和非手术牙周治疗(NSPT)在正畸治疗期间治疗牙龈增生(GE)的有效性。材料和方法:选择 45 名健康的、6 颗前牙唇侧牙龈增生的正畸患者,将其随机分配到其中一组(传统组、激光组和 NSPT 组)。在基线、1个月、3个月和6个月时记录临床参数,包括临床牙冠长度(CCL)、牙周袋深度(PPD)和垂直龈过度生长指数(vGOi)。术后 1、3 和 7 天对疼痛进行评估。第 10 天记录美容满意度和对手术的接受程度,6 个月后再次进行记录:结果:传统组、激光组和 NSPT 组的 PPD 平均减少量(分别为-1.43、-1.75 和 -0.9毫米;P < 0.001)、CCL 增加量(分别为 1.45、1.7 和 0.38 毫米;PC 结论:传统组和激光组的牙龈切除术均能达到预期效果:临床意义:在正畸治疗期间,激光和传统龈切开术作为辅助治疗方法在治疗GE和牙龈炎症方面比单纯的NSPT取得了更好的效果,两种治疗方法之间没有显著的临床差异。
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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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