EFFICACY OF 810NMM DIODE LASER AND SCAPEL TECHNIQUE IN GINGIVAL PHYSIOLOGIC MELANIN HYPERPIGMENTATION TREATMENT

Yến Nga Trần, Thiện Quang Lê, Bảo Trân Nguyễn , Thị Kim Chi Nguyễn

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Abstract

Objectives: The objective of this study was to compare efficacy of  810nm diode laser and scapel surgery in gingival physiologic melanin hyperpigmentation treatment. Materials and methods: Total 26 arches of 16 patients with bilateral physiologic melanin hyperpigmentaion were recruited in this study. Contralateral quadrants were randomly assigned to receive 810nm diode laser (test group) or scapel technique (control group). Clinical assessments included: pain perception on 1st day and 7th day postoperatively (PO) according to the VAS scale,  intensity of gingival pigmentation at baseline, 1 month and 3 months PO using DOPI (Dummett oral pigmentation index). Wilcoxon signed-rank test and Mann-Whitney one were applied to analyze these data. Results: Postoperative intensity of pain was mild, scapel group showed higher pain but no significant difference when comparing to laser group (p>0.05). At 1 month and 3 months PO, intensity of gingival pigmentation in both laser and scapel groups decreased significantly compared to baseline (p<0.00). However, no statistically significant difference was observed in term of PODI between two grous at both two time points PO (p>0.05). Conclusion: Both 810nm diode laser and scapel technique only cause mild pain and have similar efficacy in improving intensity of gingival pigmentation.

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References

1. Ansari MA, Erfanzadeh M, Mohajerani E (2013). Mechanisms of laser-tissue interaction: II. Tissue thermal properties. Journal of lasers in medical sciences. 4(3):99.
2. Bakutra G, Shankarapillai R, Mathur L, Manohar B (2017). Comparative evaluation of diode laser ablation and surgical stripping technique for gingival depigmentation: A clinical and immunohistochemical study. Int J Health Sci (Qassim). Apr-Jun ;11(2):51-58.
3. Chandra GB, VinayKumar MB, Walavalkar NN, Vandana KL, Vardhan PK (2020). Evaluation of surgical scalpel versus semiconductor diode laser techniques in the management of gingival melanin hyperpigmentation: A split-mouth randomized clinical comparative study. J Indian Soc Periodontol. Jan-Feb;24(1):47-53.
4. Dummett CO, Gupta OP (1964). Estimating the Epidemiology of Oral Pigmentation. J Natl Med Assoc. Sep;56:419-20.
5. Grover HS, Dadlani H, Bhardwaj A, Yadav A, Lal S (2014). Evaluation of patient response and recurrence of pigmentation following gingival depigmentation using laser and scalpel technique: A clinical study. J Indian Soc Periodontol. Sep;18(5):586-92.
6. Mahajan G, Kaur H, Jain S, Kaur N, Sehgal NK, Gautam A (2017). To compare the gingival melanin repigmentation after diode laser application and surgical removal. J Indian Soc Periodontol. Mar-Apr;21(2):112-118.
7. Nammour S, El Mobadder M, Namour M, et al. (2020). A Randomized Comparative Clinical Study to Evaluate the Longevity of Esthetic Results of Gingival Melanin Depigmentation Treatment Using Different Laser Wavelengths (Diode, CO(2), and Er:YAG). Photobiomodul Photomed Laser Surg. Mar;38(3):167-173.
8. Suragimath G, Lohana MH, Varma S (2016). A Split Mouth Randomized Clinical Comparative Study to Evaluate the Efficacy of Gingival Depigmentation Procedure Using Conventional Scalpel Technique or Diode Laser. J Lasers Med Sci. Fall ;7(4):227-232.