Year 2017, Volume 27 , Issue 2, Pages 57 - 62 2017-06-14

COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY

Hatice BALCI YÜCE [1] , Feyza TULU [2] , Özkan KARATAŞ [3] , Fatma UÇAN YARKAÇ [4]


ABSTRACT

 

Aim: Frenulum is a sagittal fibrous fold of oral mucosa with a periosteal insertion that extends from the lip or cheek to the alveolar or gingival mucosa. Sometimes frenulums have high attachments and wide soft tissue folds and these high frenulums may cause functional and aesthetic problems. The aim of this study is evaluate the pain and discomfort in patients treated with conventional or diode laser frenectomy through VAS scale.

Material-method: In this study, in totally 74 patients frenectomy procedure was indicated. 39 patients had frenectomy performed with conventional surgery (Group C) and 35 patients had frenectomy performed with laser surgery (Group L). None of the patients had systemic disease or any prescribed drug use. A VAS scale was prepared in order to evaluate pain and dis- comfort in speaking and chewing. All patients were in- formed about how to fill the form in detail and a form was given to each patient. All patients were recalled at 10th day and VAS scale forms were recollected.

Results: There were no significant differences in demographic data of the groups (p>0.05). Pain was found to be significantly higher in conventional group (p<0.05). Likewise, discomfort in speaking and chewing was also significantly lower in laser surgery group than conventional surgery (p<0.05).

Conclusion: Diode laser frenectomy procedure caused lower pain and discomfort in speaking and chewing, and within the limitations of this study, based on these results it can be concluded that diode laser surgery had beneficial results in frenectomy procedure.

Key words: Diode Laser; Frenectomy, Pain, Visual Analog Scale (VAS).


KONVANSİYONEL VE DİYOT LAZER YÖNTEMLERİ İLE YAPILAN FRENEKTOMİ İŞLEMİ SONRASI AĞRI VE HASTA KONFORUNUN KARŞILAŞTIRILMASI


ÖZ

Amaç: Frenilum dudak ve yanaklardan ağız mukozası veya yapışık dişetine uzanan, periosta tutunan kas ve bağ dokusu liflerinden oluşan fizyolojik-anatomik bir bağlantı- dır. Bazı hastalarda frenilum yüksek seviyede ataçman ve geniş mukoza katlantıları yaparak fonksiyonel ve/veya estetik problemlere neden olabilir. Bu gibi durumlarda cerrahi olarak alınması gereklidir. Frenektomi konvansiyo- nel olarak uygulandığında sütür gerektirir ve sonrasında kanama, şişlik ve ağrı olabilir. Lazer uygulaması, kanama olmaması, sütür gerektirmemesi ve hasta konforu açısın- dan tercih edilmektedir. Bu çalışmanın amacı konvansi- yonel ve diyot lazer cerrahisi ile yapılan frenektomi işlemi sonrasında VAS skalası aracılığıyla ağrı, konuşma ve çiğneme güçlüğünün değerlendirilmesidir.

Gereç ve Yöntem: Frenektomi endikasyonu konulmuş toplam 74 hastada 39 hastaya konvansiyonel cerrahi (K grubu) uygulanmış, 35 hastaya ise diyot lazer cerrahisi (L grubu) ile frenektomi uygulanmıştır. Dahil edilen hastalar sistemik hastalığı olmayan, düzenli ilaç kullanmayan has- talardı. Ağrı, çiğneme ve konuşma fonksiyonlarının değer- lendirilebilmesi için hazırlanan VAS skalası formu hastalara verilerek nasıl doldurmaları gerektiği detaylı bir biçimde anlatılmıştır. Hastalar işlem sonrası 10. günde kontrole çağırılmıştır.

Bulgular: Her iki grup arasında yaş ve cinsiyet dağılı- mı açısından fark bulunmadı (p>0.05). Ağrı konvansi- yonel grupta lazer gurubuna oranla anlamlı düzeyde yüksek bulundu (p<0.05). Aynı şekilde lazer grubunda konvansi- yonel gruba oranla daha az konuşma ve çiğneme güçlüğü yaşandı (p<0.05).

Sonuç: Diyot lazer ile frenektomi cerrahisi konvansiyonel cerrahiye oranla daha az ağrı, konuşma ve çiğneme güç- lüğüne neden olmuştur ve bu çalışmanın sınırları dahilin- de, bu sonuçlara dayanarak diyot lazerin frenektomi cerrahisinde faydalı sonuçlar verdiği söylenebilir

Anahtar Kelimeler: Ağrı, Diyot lazer; Frenektomi, Visual Analog Skala(VAS).



Diode Laser; Frenectomy, Pain
  • 1. Devishree, Gujjari SK, Shubhashini PV. Frenectomy: a review with the reports of surgical techniques. Journal Of Clinical And Diagnostic Research : JCDR 2012;6:1587-92.
  • 2. Delli K, Livas C, Sculean A, Katsaros C, Bornstein MM. Facts and myths regarding the maxillary midline frenum and its treatment: a systematic review of the literature. Quintessence Int 2013;44:177-87.
  • 3. Gargari M, Autili N, Petrone A, Prete V. Using the diode laser in the lower labial frenum removal. ORAL & Implantology 2012;5:54-7.
  • 4. Akpinar A, Toker H, Lektemur Alpan A, Calisir M. Postoperative Discomfort After Nd: YAG laser and conventional frenectomy: comparison of both genders. Australian Dental Journal 2015.
  • 5. Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. J Periodontology 2006; 77: 1815-9.
  • 6. Shetty K, Trajtenberg C, Patel C, Streckfus C. Maxillary frenectomy using a carbon dioxide laser in a pediatric patient: a case report. General Dentistry 2008;56:60-3.
  • 7. Pie-Sanchez J, Espana-Tost AJ, Arnabat-Dominguez J, Gay-Escoda C. Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser. Medicina Oral, Patologia Oral Y Cirugia Bucal 2012;17:e228-32.
  • 8. De Santis D, Gerosa R, Graziani PF, et al. Lingual frenectomy: a comparison between the conventional surgical and laser procedure. Minerva Stomatologica 2013.
  • 9. Romanos G. Current concepts in the use of lasers in periodontal and implant dentistry. Journal of Indian Society of Periodontology 2015;19:490-494.
  • 10. Kafas P, Stavrianos C, Jerjes W, et al. Upper-lip laser frenectomy without infiltrated anaesthesia in a paediatric patient: a case report. Cases J 2009; 2:7138.
  • 11. Ishikawa I, Aoki A, Takasaki AA. Clinical application of erbium:YAG laser in periodontology. Journal of the International Academy of Periodontology 2008;10:22-30.
  • 12. Aras MH, Goregen M, Gungormus M, Akgul HM. Comparison of diode laser and Er:YAG lasers in the treatment of ankyloglossia. Photomedicine and Laser Surgery 2010;28:173-7.
  • 13. Goharkhay K, Moritz A, Wilder-Smith P, et al. Effects on oral soft tissue produced by a diode laser in vitro. Lasers İn Surgery And Medicine 1999;25:401-6.
  • 14. Vivek V, Jayasree RS, Balan A, Sreelatha KT, Gupta AK. Three-year follow-up of oral leukoplakia after neodymium:yttrium aluminum garnet (Nd:YAG) laser surgery. Lasers in Medical Science 2008;23:375-9.
  • 15. van der Hem PS, Egges M, van der Wal JE, Roodenburg JL. CO2 laser evaporation of oral lichen planus. International Journal Of Oral And Maxillofacial Surgery 2008;37:630-3.
  • 16. Saetti R, Silvestrini M, Cutrone C, Narne S. Treatment of congenital subglottic hemangiomas: our experience compared with reports in the literature. Archives Of Otolaryngology--Head & Neck Surgery 2008;134:848-51.
  • 17. Azma E, Safavi N. Diode laser application in soft tissue oral surgery. Journal Of Lasers İn Medical Sciences 2013;4:206-11.
  • 18. Stubinger S, Saldamli B, Jurgens P, Ghazal G, Zeilhofer HF. [Soft tissue surgery with the diode laser--theoretical and clinical aspects]. Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie = Rivista mensile svizzera di odontologia e stomatologia / SSO 2006;116:812-20.
  • 19. Andreana S. The use of diode lasers in periodontal therapy: literature review and suggested technique. Dentistry today 2005;24:130, 132-135.
  • 20. Akbulut N, Kursun ES, Tumer MK, Kamburoglu K, Gulsen U. Is the 810-nm diode laser the best choice in oral soft tissue therapy? European Journal Of Dentistry 2013;7:207-11.
  • 21. Benhamou D. [Evaluation of postoperative pain]. Annales francaises d'anesthesie et de reanimation 1998;17:555-72.
  • 22. Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. Journal of Clinical Nursing 2005;14:798-804.
  • 23. Yucel A, Senocak M, Kocasoy Orhan E, Cimen A, Ertas M. Results of the Leeds assessment of neuropathic symptoms and signs pain scale in Turkey: a validation study. The journal of pain : official journal of the American Pain Society 2004;5:427-32.
  • 24. Medeiros Junior R, Gueiros LA, Silva IH, de Albuquerque Carvalho A, Leao JC. Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study. Lasers in Medical Science 2015;30:851-6.
  • 25. Deppe H, Horch HH. Laser applications in oral surgery and implant dentistry. Lasers in medical Science 2007;22:217-21.
  • 26. Coleton S. Lasers in surgical periodontics and oral medicine. Dental clinics of North America 2004;48:937-962, vii.
  • 27. Leclere FM, Magalon G, Philandrianos C, Unglaub F, Servell P, Mordon S. Prospective ex-vivo study on thermal effects in human skin phototypes II, IV and VI: a comparison between the 808, 1064, 1210 and 1320-nm diode laser. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology 2012;14:7-13.
  • 28. Uysal D GC. Laser ın dentıstry: a lıterature revıew J Dent Fac Atatürk Uni 2012; Supplementary:44-53.
  • 29. Stabholz A, Zeltser R, Sela M, Peretz B, Moshonov J, Ziskind D. The use of lasers in dentistry: principles of operation and clinical applications. Compend Contin Educ Dent 2003;24:935-48;
  • 30. Slot DE, Jorritsma KH, Cobb CM, Van der Weijden FA. The effect of the thermal diode laser (wavelength 808-980 nm) in non-surgical periodontal therapy: a systematic review and meta-analysis. Journal Of Clinical Periodontology 2014; 41:681-92.
  • 31. Saglam E SN, Emrem Doğan G. The treatment of ankyloglossia with frenectomy: case report. J Dent Fac Atatürk Uni 2015;25:233-7.
  • 32. Suter VG, Altermatt HJ, Sendi P, Mettraux G, Bornstein MM. CO2 and diode laser for excisional biopsies of oral mucosal lesions. A pilot study evaluating clinical and histopathological parameters. Schweizer Monatsschrift fur Zahnmedizin = Revue mensuelle suisse d'odonto-stomatologie=Rivista mensile svizzera di odontologia e stomatologia/SSO 2010;120:664-71.
  • 33. Boj JR, Poirier C, Hernandez M, Espassa E, Espanya A. Case series: laser treatments for soft tissue problems in children. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 2011; 12:113-7.
  • 34. Boj JR, Poirier C, Hernandez M, Espassa E, Espanya A. Review: laser soft tissue treatments for paediatric dental patients. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 2011;12:100-5.
  • 35. Kumar R, Jain G, Dhodapkar SV, Kumathalli KI, Jaiswal G. The Comparative Evaluation of Patient's Satisfaction and Comfort Level by Diode Laser and Scalpel in the Management of Mucogingival Anomalies. Journal Of Clinical And Diagnostic Research : JCDR 2015;9:ZC56-8.
  • 36. Farista S, Kalakonda B, Koppolu P, Baroudi K, Elkhatat E, Dhaifullah E. Comparing Laser and Scalpel for Soft Tissue Crown Lengthening: A Clinical Study. Global Journal Of Health Science 2016;8:55795.
  • 37. El Shenawy HM, Nasry SA, Zaky AA, Quriba MA. Treatment of Gingival Hyperpigmentation by Diode Laser for Esthetical Purposes. Open access Macedonian Journal Of Medical Sciences 2015;3:447-54.
  • 38. Reddy Kundoor VK, Patimeedi A, Roohi S, Maloth KN, Kesidi S, Masabattula GK. Efficacy of Diode Laser for the Management of Potentially Malignant Disorders. Journal Of Lasers İn Medical Sciences 2015;6:120-3.
  • 39. Ize-Iyamu IN, Saheeb BD, Edetanlen BE. Comparing the 810nm diode laser with conventional surgery in orthodontic soft tissue procedures. Ghana Medical J 2013;47:107-11.
  • 40. Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. J Dent Child (Chic) 2005;72:10-5.
  • 41. Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. Journal Of Periodontology 1993;64:589-602.
Subjects Health Care Sciences and Services
Journal Section Articles
Authors

Author: Hatice BALCI YÜCE

Author: Feyza TULU

Author: Özkan KARATAŞ

Author: Fatma UÇAN YARKAÇ

Dates

Publication Date : June 14, 2017

Bibtex @research article { ataunidfd321371, journal = {Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi}, issn = {1300-9044}, eissn = {2667-5161}, address = {}, publisher = {Ataturk University}, year = {2017}, pages = {57 - 62}, doi = {10.17567/ataunidfd.321371}, title = {COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY}, key = {cite}, author = {BALCI YÜCE, Hatice and TULU, Feyza and KARATAŞ, Özkan and UÇAN YARKAÇ, Fatma} }
APA BALCI YÜCE, H , TULU, F , KARATAŞ, Ö , UÇAN YARKAÇ, F . (2017). COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi , 27 (2) , 57-62 . DOI: 10.17567/ataunidfd.321371
MLA BALCI YÜCE, H , TULU, F , KARATAŞ, Ö , UÇAN YARKAÇ, F . "COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 (2017 ): 57-62 <https://dergipark.org.tr/en/pub/ataunidfd/article/321371>
Chicago BALCI YÜCE, H , TULU, F , KARATAŞ, Ö , UÇAN YARKAÇ, F . "COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 (2017 ): 57-62
RIS TY - JOUR T1 - COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY AU - Hatice BALCI YÜCE , Feyza TULU , Özkan KARATAŞ , Fatma UÇAN YARKAÇ Y1 - 2017 PY - 2017 N1 - doi: 10.17567/ataunidfd.321371 DO - 10.17567/ataunidfd.321371 T2 - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi JF - Journal JO - JOR SP - 57 EP - 62 VL - 27 IS - 2 SN - 1300-9044-2667-5161 M3 - doi: 10.17567/ataunidfd.321371 UR - https://doi.org/10.17567/ataunidfd.321371 Y2 - 2016 ER -
EndNote %0 Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY %A Hatice BALCI YÜCE , Feyza TULU , Özkan KARATAŞ , Fatma UÇAN YARKAÇ %T COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY %D 2017 %J Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi %P 1300-9044-2667-5161 %V 27 %N 2 %R doi: 10.17567/ataunidfd.321371 %U 10.17567/ataunidfd.321371
ISNAD BALCI YÜCE, Hatice , TULU, Feyza , KARATAŞ, Özkan , UÇAN YARKAÇ, Fatma . "COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 / 2 (June 2017): 57-62 . https://doi.org/10.17567/ataunidfd.321371
AMA BALCI YÜCE H , TULU F , KARATAŞ Ö , UÇAN YARKAÇ F . COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY. Ata Diş Hek Fak Derg. 2017; 27(2): 57-62.
Vancouver BALCI YÜCE H , TULU F , KARATAŞ Ö , UÇAN YARKAÇ F . COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2017; 27(2): 62-57.