Document Detail


Esthetic treatment of gingival hyperpigmentation with Nd:YAG laser or scalpel technique: a 6-month RCT of patient and professional assessment.
MedLine Citation:
PMID:  23291916     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
This double-masked, randomized controlled trial with a split-mouth design aimed to compare patient- and professional-centered outcomes using different therapeutic approaches-neodymium-yttrium aluminum garnet (Nd:YAG) laser or scalpel technique-for gingival depigmentation. Patients presenting bilateral melanin gingival hyperpigmentation and who requested cosmetic therapy were recruited. Contralateral quadrants were randomly assigned to receive Nd:YAG laser (settings: 6 W, 60 mJ/pulse, and 100 Hz) or scalpel technique. Patient morbidity experienced at intratherapy and during the first postoperative week was evaluated. In addition, after 6 months, the cosmetic results achieved for the different therapeutic approaches were evaluated by patients and professionals. The chair time of each technique was also calculated. Patient-oriented outcomes concerning intratherapy morbidity did not demonstrate any differences between groups (p > 0.05), although a higher extent of discomfort/pain was experienced in the side treated by the scalpel technique compared to the Nd:YAG laser procedure during the first posttherapy week (p < 0.05). Regarding to cosmetic outcomes, no differences between techniques were observed for patient and professionals (p > 0.05). Significantly higher chair time was required for the scalpel technique than for the Nd:YAG laser therapy (p < 0.05). The Nd:YAG laser or the scalpel technique may be successfully used for the treatment of melanin gingival hyperpigmentation. However, the use of the Nd:YAG laser has presented advantages in terms of less discomfort/pain during the posttherapy period and a reduction of treatment chair time.
Authors:
Fernanda V Ribeiro; Clara P Cavaller; Renato C V Casarin; Márcio Z Casati; Fabiano R Cirano; Maristela Dutra-Corrêa; Suzana P Pimentel
Related Documents :
20357416 - Rehabilitation following lumbosacral percutaneous nucleoplasty: a case report.
21030896 - Morphological analysis of the cervical pedicles, lateral masses, and laminae in develop...
19805586 - Cervical disc arthroplasty compared with arthrodesis for the treatment of myelopathy. s...
20194346 - Outcome of lumbar arthrodesis in patients sixty-five years of age or older. surgical te...
21181756 - Surgical outcome of modified versus conventional parotidectomy in treatment of benign p...
19682106 - Lateral view dissection of the prostato-urethral junction to reduce positive apical mar...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-6
Journal Detail:
Title:  Lasers in medical science     Volume:  -     ISSN:  1435-604X     ISO Abbreviation:  Lasers Med Sci     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8611515     Medline TA:  Lasers Med Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Dental Research Division, School of Dentistry, Paulista University, Av. Dr. Bacelar, 1212, 4° andar, Vila Clementino, 04026-002, São Paulo, São Paulo, Brazil, fernanda@ribbeiro.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Measuring forest structure along productivity gradients in the Canadian boreal with small-footprint ...
Next Document:  Risk assessment of excess drug and sunscreen absorption via skin with ablative fractional laser resu...