Split-mouth clinical trial with diode laser and electrocautery treatment for inflammatory fibrous hyperplasia
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Resumo
Inflammatory fibrous hyperplasia (IFH), a tumor-like fibrous
connective tissue hyperplasia, can develop due to the flange of ill fitting complete or partial dentures. Laser and electrocautery
treatments result in lower morbidity, swelling, and bleeding, and
no pain, compared to a conventional scalpel treatment.
Objective: To evaluate and compare transoperative out comes during treatment of IFH with a diode laser or electrocautery
with a simultaneous, split-mouth clinical trial, at 3.5 W power
rating.
Methods: Bleeding, surgery time, incision time, tissue tem perature, and energy deposition were recorded. One-way ANOVA
statistical analysis was performed. Eight patients (2 male, 6 female),
with ages ranging from 52 to 71 years, prosthesis use duration
ranging from 15 to 40 years, and lesions measuring from 5 to 60 mm
comprised the sample.
Results: Energy deposited by laser and electrocautery was
2,000.5 ± 435.78 and 1,108.9 ± 286.28 J, respectively, the surgery
times 1,245 ± 268 and 1,248 ± 297 s were similar, and bleeding
was minimal in both. Incision with electrocautery was faster
(579.6 ± 122.6 s) than laser treatment (313.4 ± 83.78 s), but with
no statistical difference.
Conclusion: Both the treatments were rapid, effective, safe,
with no recurrence, low energy deposition, and no significant bleed ing. Further studies with larger series are required to identify the
better tool to treat IFH.
Abstract
Assunto
Connective tissue diseases, Hyperplasia, Lasers, semiconductor, Electrocoagulation, Surgical wound, Evaluation study, Network meta-analysis
Palavras-chave
Oral surgery oral medicine oral pathology oral radiology, acesso restrito Split-mouth clinical trial with diode laser and electrocautery treatment for inflammatory fibrous hyperplasia dia 12/07/2024, título do periódico:Oral surgery oral medicine oral pathology oral radiology.issn 22124403 issn online 2212-4411
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https://www.oooojournal.net/article/S2212-4403(18)30695-3/fulltext