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06:47
Isolation and Culture of Primary Human Gingival Epithelial Cells using Y-27632
Published on: November 6, 2021
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Histological Gingival Assessment after Conventional and Laser Gingivectomy
Rada T Kazakova1, Georgi T Tomov2, Christo K Kissov1
1Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Medica
|June 13, 2019
Summary
The CO2 laser offers superior gingival cut surfaces in gingivectomy procedures. Other lasers and instruments show varied results in coagulation and hemostasis, requiring careful selection based on clinical needs.
Area of Science:
- Dental Surgery
- Laser Dentistry
- Histopathology
Background:
- Gingivectomy is a common dental procedure.
- Numerous instruments are utilized in clinical practice for gingivectomy.
Purpose of the Study:
- To compare the histological outcomes of gingivectomy using six distinct surgical instruments.
- Evaluation of gingival cut surface characteristics after using a surgical scalpel, Er:YAG laser, CO2 laser, ceramic bur, electrocautery, and diode laser.
Main Methods:
- Histological analysis of gingival samples from 18 patients undergoing gingivectomy.
- Surgical scalpel samples served as the control group.
- Measurement of coagulation layer thickness, microscopic rupture, and depth of hemostasis for each instrument.
Main Results:
- CO2 laser demonstrated excellent gingival cut surface results.
- Er:YAG laser produced a thin coagulation layer with minimal deep hemostasis.
- Diode laser exhibited the widest coagulation layer, while electrocautery was effective but contraindicated near metal restorations. Ceramic bur showed less pronounced deep hemostasis.
Conclusions:
- Knowledge of instrument-specific advantages and disadvantages is crucial for optimal gingivectomy outcomes.
- Selection of the appropriate instrument depends on the specific clinical scenario.
- Modern dentistry offers diverse methods for gingivectomy, necessitating informed clinical decision-making.
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