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Evaluation of the effect of Low Intensity Laser after Gingival Correction Surgeries

Not Applicable
Conditions
E04.545
Gingivectomy
Registration Number
RBR-3xdbk9q
Lead Sponsor
Fundação Universidade de Pernambuco
Brief Summary

The use of laser therapy acts as an adjunct in the process of reducing pain sensitivity. This study aimed to evaluate postoperative comfort, aesthetic perception and quality of life in patients undergoing gummy smile treatment after low-level laser therapy. A total of 20 patients participated in the research. After clinical crown lengthening by means gingivectomy, a 660 nanometers diode laser was randomly applied to a hemiarch immediately at the end of surgery, and after 3, 7 and 14 days. Comfort was assessed using the visual analogue scale after laser applications. Records of the Oral Health Impact Profile and orofacial aesthetic scale were obtained before the procedure and 90 days postoperatively. The findings showed that in relation to comfort, on days 3 and 7, patients had progressively less postoperative pain in the laser group (p=0.023) and (p=0.008). In relation to OHIP-14, there was a statistically significant change in the psychological disability aspect, which corresponds to questions 9 (p= 0.01655) and 10 (p=00673). Regarding OES, all items showed a significant improvement in patient satisfaction after 90 days. Thus, the laser may have a promising effect in terms of postoperative pain in periodontal surgeries, such as aesthetic smile surgeries. Furthermore, these procedures improve orofacial aesthetics and promote a better quality of life for the patient.

Detailed Description

Not available

Recruitment & Eligibility

Status
Data analysis completed
Sex
Not specified
Target Recruitment
Not specified
Inclusion Criteria

Patients of both sexes; over eighteen years of age; diagnosis of periodontal health on clinical examination; gingival exposure of three millimeter or more when smiling and surgical indication of at least two teeth in each hemiarch; patients without occlusal discrepancies and or premature contacts; individuals who underwent periodontal surgery or orthodontic treatment more than three months ago

Exclusion Criteria

Smokers and or alcohol drinkers; women who are pregnant or breastfeeding; patients requiring additional surgical, restorative and rehabilitative procedures that could influence the measurements performed in the study; patients with a history of maxillofacial cancer in the last five years; patients with uncontrolled systemic conditions; need for treatment due to infection; patients who make chronic use of antiinflammatories, analgesics or psychotropic drugs; patients who are allergic or have some idiosyncrasy to any component of the drugs used in the research

Study & Design

Study Type
Intervention
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
It is expected to find an increase in postoperative comfort after application of low-intensity laser, using the Visual Analogue Scale;Regarding comfort, on the third and seventh postoperative day there was less discomfort in the laser group, the difference was significant presenting (p=0.023) and (p=0.008) respectively;It is expected that the patient's aesthetic perception will improve after surgery, which will be evaluated using the Orofacial Aesthetic Scale;With regard to aesthetic perception, which was evaluated using the Orofacial Aesthetic Scale (EEO), all items showed a significant improvement in patient satisfaction, proving the expected aesthetic improvement;Espera-se uma melhor qualidade de vida do paciente após a cirurgia, avaliado por meio de um questionário sobre Qualidade de Vida Relacionada à Saúde Bucal-14 (OHIP-14);In relation to OHIP-14, there was a statistically significant change in the Psychological disability aspect, confirming a better quality of life after surgery
Secondary Outcome Measures
NameTimeMethod
o secondary outcomes are expected
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