Gingival recession, Insufficient keratinized gingiva, Peri implant soft tissue deficiency Gingival Recession, Periodontal Plastic Surgery, Free Gingival Graft, Connective Tissue Graft, Wound Healing, Lasers, Erbium Chromium Yttrium Scandium Gallium Garnet Laser, Pain, Postoperative, Biomarkers, Hydrogen Peroxide, Intraoral Scanners
Conditions
Interventions
The palatal donor site will receive Er,Cr YSGG laser treatment in Band Aid mode using the WaterLase MD system. Laser settings are wavelength 2780 nm, output power 0.5 W, frequency 20 Hz ,Air 20 percen
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Er,Cr YSGG laser assisted palatal wound management,Conventional palatal wound management
Sponsors
Faculty of dentistry, thammasat university
Eligibility
Sex/Gender
All
Age
20 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Adult patients (age 20-65 years). 2. Good general health (ASA 1, 2) and not a contraindication for minor surgery. 3. No history of mucogingival surgery on the palatal area. 4. No systemic antibiotics taken for at least 6 months before the study.
Exclusion criteria
Exclusion criteria: 1. History of periodontal disease 2. Patients with poor oral hygiene, low cooperation, smoking habit 3. Patients who are unsuitable for laser therapy, such as those with pacemakers, untreated infections, or the presence of nearby metallic restorations or dental implants. 4. Pregnancy or lactation during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Remaining palatal wound area Baseline, Immediately after surgery, Days 7, 14, 21, and 30 after surgery serial intraoral scans acquired using a TRIOS 5 (3Shape, Copenhagen, Denmark) and quantified by three-dimensional superimposition and surface area analysis using Geomagic Control X software.,Wound epithelialization Baseline, Immediately after surgery, Days 7, 14, 21, and 30 after surgery 3% hydrogen peroxide test by evaluating the presence or absence of oxygen bubble formation on the wound surface. | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS score Immediately after surgery, Days 1, 2, 3, 7, 14, 21, and 30 after surgery Visual Analog Scale, 0 to 10 scale,NSAID intake Immediately after surgery, Days 1, 2, 3, 7, 14, 21, and 30 after surgery number of NSAID intake after surgery,Palatal wound fluid biomarkers Days 3 and 7 after surgery Palatal wound fluid biomarkers concentrations, measured using ELISA and reported in pg/mL | — |
Countries
Thailand
Contacts
Public ContactBorvornwut Buranawat
Thammasat University
Outcome results
None listed