TY  - JOUR
TT  - COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY
AU  - Balcı Yüce, Hatice
AU  - Tulu, Feyza
AU  - Karataş, Özkan
AU  - Uçan Yarkaç, Fatma
PY  - 2017
DA  - June
DO  - 10.17567/ataunidfd.321371
JF  - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi
JO  - Ata Diş Hek Fak Derg
PB  - Atatürk Üniversitesi
WT  - DergiPark
SN  - 1300-9044
SP  - 57
EP  - 62
VL  - 27
IS  - 2
KW  - Diode Laser; Frenectomy
KW  - Pain
N2  - ABSTRACTAim: Frenulum is a sagittal fibrous fold of oral mucosa with a periostealinsertion that extends from the lip or cheek to the alveolar or gingivalmucosa. Sometimes frenulums have high attachments and wide soft tissue foldsand these high frenulums may cause functional and aesthetic problems. The aimof this study is evaluate the pain and discomfort in patients treated withconventional or diode laser frenectomy through VAS scale.Material-method: In this study, in totally 74 patients frenectomy procedure wasindicated. 39 patients had frenectomy performed with conventional surgery(Group C) and 35 patients had frenectomy performed with laser surgery (GroupL). None of the patients had systemic disease or any prescribed drug use. A VASscale was prepared in order to evaluate pain and dis- comfort in speaking andchewing. All patients were in- formed about how to fill the form in detail and aform was given to each patient. All patients were recalled at 10thday 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 alsosignificantly lower in laser surgery group than conventional surgery(p<0.05). Conclusion: Diode laser frenectomy procedure caused lower pain and discomfort inspeaking and chewing, and within the limitations of this study, based on theseresults it can be concluded that diode laser surgery had beneficial results infrenectomy procedure.Key words: Diode Laser; Frenectomy, Pain, Visual Analog Scale (VAS).KONVANSİYONEL VEDİYOT LAZER YÖNTEMLERİ İLE YAPILAN FRENEKTOMİ İŞLEMİ SONRASI AĞRI VE HASTAKONFORUNUN KARŞILAŞTIRILMASIÖZAmaç: Frenilum dudakve yanaklardan ağız mukozası veya yapışık dişetine uzanan, periosta tutunan kasve bağ dokusu liflerinden oluşan fizyolojik-anatomik bir bağlantı- dır. Bazıhastalarda frenilum yüksek seviyede ataçman ve geniş mukoza katlantılarıyaparak fonksiyonel ve/veya estetik problemlere neden olabilir. Bu gibidurumlarda cerrahi olarak alınması gereklidir. Frenektomi konvansiyo- nelolarak uygulandığında sütür gerektirir ve sonrasında kanama, şişlik ve ağrıolabilir. Lazer uygulaması, kanama olmaması, sütür gerektirmemesi ve hastakonforu açısın- dan tercih edilmektedir. Bu çalışmanın amacı konvansi- yonel vediyot lazer cerrahisi ile yapılan frenektomi işlemi sonrasında VAS skalasıaracılığıyla ağrı, konuşma ve çiğneme güçlüğünün değerlendirilmesidir.Gereç ve Yöntem: Frenektomi endikasyonu konulmuş toplam 74 hastada 39 hastayakonvansiyonel cerrahi (K grubu) uygulanmış, 35 hastaya ise diyot lazercerrahisi (L grubu) ile frenektomi uygulanmıştır. Dahil edilen hastalarsistemik hastalığı olmayan, düzenli ilaç kullanmayan has- talardı. Ağrı,çiğneme ve konuşma fonksiyonlarının değer- lendirilebilmesi için hazırlanan VASskalası formu hastalara verilerek nasıl doldurmaları gerektiği detaylı birbiçimde anlatılmıştır. Hastalar işlem sonrası 10. günde kontrole çağırılmıştır.Bulgular: Her iki gruparasında yaş ve cinsiyet dağılı- mı açısından fark bulunmadı (p>0.05). Ağrıkonvansi- yonel grupta lazer gurubuna oranla anlamlı düzeyde yüksek bulundu(p<0.05). Aynı şekilde lazer grubunda konvansi- yonel gruba oranla daha az konuşmave çiğneme güçlüğü yaşandı (p<0.05).Sonuç: Diyot lazer ile frenektomi cerrahisi konvansiyonel cerrahiye oranladaha az ağrı, konuşma ve çiğneme güç- lüğüne neden olmuştur ve bu çalışmanınsınırları dahilin- de, bu sonuçlara dayanarak diyot lazerin frenektomicerrahisinde faydalı sonuçlar verdiği söylenebilirAnahtar Kelimeler: Ağrı, Diyot lazer; Frenektomi, Visual AnalogSkala(VAS).
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UR  - https://doi.org/10.17567/ataunidfd.321371
L1  - http://dergipark.org.tr/tr/download/article-file/314258
ER  -