Gingival Recession Clinical Trial
Official title:
Diode Laser For Harvesting Subepithelial Connective Tissue Graft in The Treatment of Gingival Recession Defects: A Novel Approach to Limit Morbidity
Aims: The aim of present randomized controlled clinical study was to evaluate whether the
additional use of diode laser would facilitate the donor surgery, improve the palatal wound
healing and reduce post-operative morbidity after the coronally advanced flap (CAF) with
connective tissue (CTG) grafts.
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) or diode
laser (DL) (test group). 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 (QoL), smile related QoL and visual analogue
scale-discomfort (VAS). Root coverage outcomes were also evaluated 6 months after operation.
The procedure of connective tissue harvesting from the palate is often characterized by the
challenge of obtaining the largest volume of tissue possible on one side while minimizing
post-operative pain and reducing the risk of complications on the other.The present clinical
study evaluated whether the additional use of diode laser would facilitate the donor
surgery, improve the palatal wound healing and reduce post-operative morbidity after the
bilaminar periodontal plastic surgery procedure for the treatment of isolated single
gingival recession defects with no loss of interdental clinical attachment.
In the test sites, an aluminum, gallium, and arsenide diode laser (wavelength 810 nm and
power of 1W) was applied in continuous mode. In the control group,a free (epithelialized)
gingival graft was harvested by two horizontal and two vertical incisions defining the area.
The post operative course of the patients were evaluated by visual analogical scale and the
oral health impact profile
;
Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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