Gingival Enlargement
Conditions
Keywords
Surgical gingivectomy, Hyaluronic acid, Photobiomodulation
Brief summary
The aim of this study was to evaluate the effect of hyaluronic acid gel after photobiomodulation on the healing of surgical gingivectomy sites
Interventions
The surgical sites were irradiated with a diode laser (980 nm, 0.2W) only.
The surgical sites after gingivectomy were irradiated with a diode laser (980 nm, 0.2W) then covered by 2% Hyaluronic acid gel loaded in a special appliance for each patient.
Sponsors
Study design
Eligibility
Inclusion criteria
* Chronic inflammatory gingival enlargement grade 2 and 3 according to the gingival overgrowth index by Miller and Damn. * Adequate amount of keratinized tissue. * Attachment loss= 0 * Well educated patients as post-operative instructions need to be followed precisely.
Exclusion criteria
* Patients with history of smoking * Pregnant women * Patients with bad oral hygiene * Patients who have any known systemic disease that interfere with performance of surgical gingivectomy or periodontal wound healing * Patients who have any previous adverse reactions to the products (or similar products) used in this study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound healing | up to 21 days | Assessed using Landry's healing index which grades the wound on a scale of 1 (poor) to 5 (excellent) * Very poor (1): ≥50% of gingiva red, bleeding on palpation, Granulation tissue present, Non-epithelialized incision margin with loss of epithelium beyond the margin. * Poor (2): ≥50% of gingiva red, bleeding on palpation, Granulation tissue present, Non-epithelialized incision margin with exposed connective tissue * Good (3): ≥25% and\<50% of gingiva red, No bleeding on palpation, no granulation tissue, No exposed connective tissue on the incision margin * Very good (4): \<25% of gingiva red, No bleeding on palpation, no granulation tissue, No exposed connective tissue on the incision margin * Excellent (5): All tissues are pink, No bleeding on palpation, no granulation tissue, No exposed connective tissue on the incision margin |
| Perceived pain | up to 21 days | This was assessed using Visual Analogue Scale (VAS). Patients were instructed to chart their perceptions of pain using VAS ranging from 0-10; where 0 represents no pain/burning sensation and 10 represents severe pain/burning sensation. |
Countries
Egypt