Naslov
Diode laser vs. conventional technique for second stage surgery – a pilot study

Autori
Gabrić Pandurić, Dragana ; Sušić, Mato ; Brozović, Juraj ; Žagar, Maja ; Katanec, Davor ; Bago Jurič, Ivona ; Filipović Zore, Irina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Clinical Oral Implants Research / Lang, Niklaus P. - Hong Kong : Wiley-Blackwell, 2013, 123-123

Skup
22th Annual Scientific Meeting of the European Association for Osseointegration (EAO)

Mjesto i datum
Dublin, Irska, 16.10.2013. - 19.10.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
laser; diode; oral implantology; exposure

Sažetak
Background: Dental implants may be placed following single or second stage protocol during healing phase. With the second stage procedure the risk of unwanted loading is minimized, but second minor surgical intervention and more time prior to prosthetic phase are needed. The surgical exposure of dental implants can be performed using scalpel, punch, or, with less bleeding and postoperative discomfort, laser uncovering. Diode laser for soft tissue oral surgery is becoming widely used due to its beneficial effects regarding sufficient haemostasis, precise incision margin, absence of swelling and pain. The importance of the soft tissue-implant interface is a vital element of treatment, especially when there are aesthetic and patients' satisfaction considerations. Aim: The purpose of this study was to compare diode laser and conventional scalpel surgery for dental implants exposure with regard to oedema, haematoma, postoperative pain and patients’ satisfaction. Material and methods: The sample of presented study consists of 29 patients with dental implants previously inserted in the lateral mandible, 16 in the study group (laser) and 13 in the control group (scalpel). Local anesthetic was administered to all patients before the procedure. Dental implants in the study group were treated with high power diode laser (Hager&Werken, Duisburg, Germany), layer of (Al-In-Ga-As-P) on a (Ga-As) substrate, using wavelength of 975 nm, Fibroma removal program, and power of 5W, continuous mode with the spot size of 0.1-0.5 mm. Control group was treated using scalpel for crestal incision technique with silk sutures. Three days after the surgical procedure oedema, haematoma, postoperative pain and patient’s satisfaction rate were assessed by a single examiner. After three weeks patients were recalled again to evaluate delayed postoperative complications. Statistical analysis was performed with χ2 test for categorical and Mann-Whitney test for numerical variables. P-values lower than 0.05 were considered as significant. Results: No significant differences regarding age and gender of the participants were observed between the groups. Patients in the study group had significantly lower oedema and haematoma scores compared to the patients in the control group (p<0.05). Patients in the study group reported significantly lower pain and higher satisfaction rate compared to the patients in the control group (p<0.05). After three weeks follow- up no postoperative complications or healing complications were found in study or control group. Conclusions and clinical implications: Diode laser can improve healing and patients' satisfaction, and minimize postoperative complications. Diode laser can be used as an effective modality for dental implants exposure, due to precise incision, reduced bleeding and postoperative discomfort. KEY WORDS: diode laser, dental implants, second stage, healing, satisfaction

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA