22 research outputs found

    Periodontal Management on the treatment of Gingival Overgrowth

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    AIM: The aim of the present study was to compare oral improvement achieved by different periodontal therapies (surgical and non-surgical) for different aetiological factors induced gingival overgrowth in 10 subjects (mean age +/- SD = 15 +/- 1 years; age range = 10-30 years). MATERIALS AND METHODS: Subjects received oral hygiene instructions, scaling, surgical treatment (if necessary) and periodontal maintenance therapy. Clinical parameters were taken at baseline, after initial treatment and after periodontal surgery. RESULTS: The decrease in the clinical index values after all treatments compared to the initial values is found to be statistically significant (P < 0.05). Although there was a statistically significant difference in all aspects of the clinical index values of the study groups after initial treatments, for drug-induced gingival overgrowth subjects full improvement was seen only after periodontal surgery. CONCLUSION: Attention to plaque control and removal of local irritants is very important for the gingival health of the patients in puberty. In puberty, plaque-induced gingival overgrowth can be treated with plaque removal. However, these approaches alone do not prevent drug-induced gingival overgrowth and surgical therapy often becomes the treatment of choice

    Diode Laser in Oral Surgical Management

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    AIM: Soft-tissue lasers have numerous applications in oral surgery, including gingivectomy, frenectomy, operculectomy, papilla flattening, uncovering temporary anchorage devices, ablation of aphthous ulcerations, exposure of impacted teeth, and even tooth whitening. Before incorporating soft-tissue lasers into clinical practice, the clinician must fully understand the basic science, safety protocol, and risks associated with them. The purpose of this article is to provide the correct management regarding safe and proper use of soft-tissue lasers in dentistry. MATERIALS AND METHODS: Two different wavelengths were used (diode 810 nm, diode 980 nm) in different surgical situations: maxillary vestibular and lingual frenectomies and surgical site decontamination. The wavelengths were used with different parameters for each case, according to international current studies in view of minimally invasive therapy. RESULTS: The cases reported showed very quick and good healing of the laser treated tissues. These treatments, necessary for i.e. periodontal therapy or orthodontic therapy or for its completion, become extremely simple, safe and rapid and the dental specialist can perform them himself. CONCLUSION: The laser technique is very effective in many operative and surgical procedures during dental therapy. Further studies are however necessary to set the treatment protocols in surgical biostimulation
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