Post-operative Pain
Conditions
Keywords
post-operative pain, diode laser
Brief summary
The aim of this study was to investigate if using lasers instead of scalpel for flap advancement in bone augmentation procedures would reduce post-operative swelling and pain.
Detailed description
Guided bone regeneration (GBR) is a well established method to augment excessive alveolar bone loss before and at the time of implant placement. Primary closure of soft tissue is a prerequisite for successful bone augmentation procedures. Adequate flap advancement is a key factor for tension free primary wound closure. The tension free flap is usually attained by incising the buccal flap using scalpels. However, this procedure, especially in cases with major flap advancement, results in increased patient morbidity after surgery. Swelling and hemorrhage during the first week after surgery have a negative effect on patient's quality of life. Currently, lasers are widely used as a tool for soft tissue management and diode laser appears to be an effective tool for incision and excision of the soft tissue. The major advantageous property of lasers is ablation of tissue together with effective hemostasis, minimal swelling and virtually no pain.
Interventions
PROCEDURELaser-assisted surgery.
laser-assisted surgery
PROCEDUREconventional surgery by blade
conventional surgery
Sponsors
Tehran University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* patients with the need for a single-tooth replacement in the maxilla by implant and simultaneous GBR
Exclusion criteria
* general contraindication for bone augmentation or implant surgeries, * existence of swelling or pain at the time of surgery, * smoking habits, pregnancy, and lactation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post-operative swelling intensity | Within the first 6 days after surgery | Swelling on the operated side was evaluated as follows: 0 (none: no inflammation), 1 (mild: intraoral swelling confined to the surgical field), 2 (moderate: extra oral swelling in the surgical zone), or 3 (intense: extra oral swelling spreading beyond the surgical zone). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| post-operative pain intensity | Within the first 6 days after surgery | Postoperative pain was measured using a visual analog scale (VAS) ranging from zero for no pain to 100 for the worst possible pain.(questionnaire) |
| implant success | 3 months later | based on Albrektsson success criteria. |
Countries
Iran
Outcome results
None listed