Clinical Evaluation of Laser Application Versus conventional Surgery in Operculectomy

Abstract

aim of this study is to evauate the efficiency of the use of lasers in clinical techniques used in operculectomy, with particular reference to the diode laser (980nm), and to compare it with the conventional periodontal surgical technique.Ten patients. with bilateral pericoronal inflammation were treated by phase one therapy then the operculum around one tooth was removed by diode laser 980 nm with 1.5- 2 Watts power in continuous wave mode, and the contra lateral operculum was removed after two weeks from the laser operculectomy by conventional surgery.The surgical phase ie. Gingivectomy was done using size 15c scalpel with distal molar flap technique All the patients experienced a sensation of pain during the laser surgery which subsides during and immediately after the laser operculectomy. And then started again at the second day of the treatment then it subsided during period of two weeks. All the patients experienced a sever post operative pain immediately after the conventional operculectomy. Which started to be subsided during period of two weeks. A statistically significant result shows less pain in laser operculectomy procedures. (p value = 000). No swelling was claimed to be associated with laser operculectomy during the period of follow up while Conventional operculectomy shows mild swelling one day post operatively which started to be subsided. The evaluation of mean swelling size during the period of two weeks following laser operculectomy comparing it with conventional operculectomy shows a statistically significant result with less swelling in laser operculectomy than conventional procedure (p value = 000). Gingival index for laser operculectomy shows provoked bleeding during and immediately after laser surgery it disappears the day after the treatment. Gingival index following conventional operculectomy shows spontaneous bleeding during, immediately and one day after the treatment which subsided during one week. A significant result shows less gingival inflammation in laser operculectomy than conventional operculectomy during two weeks following surgery (p value = 000). Most of the patients were satisfied with the laser removal of the operculum. From this results Pain and discomfort in laser operculectomy is less than that in conventional surgery. There is no marked swelling around the tooth when operculectomy is done using laser. The area of surgery shows less inflammation and less healing duration when operculectomy is done using laser.