Research Article


DOI :10.26650/eor.20190022   IUP :10.26650/eor.20190022    Full Text (PDF)

Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery

Ra'ed mohammed ayoub Al-delayme

Purpose 
The aim of the present study was to assess if a 940-nm diode laser or a traditional scalpel approach is more effective in minimizing patient comfort and postoperative sequelae, preserving peri-implant keratinized mucosa, and in enhancing impression quality after uncovering dental implants. 

Materials and methods 
We designed a prospective, split mouth, single blinded, randomi¬zed controlled trial with patients who needed uncovering of dental implants. Our analysis included 388 implants in 73 patients. Split mouth technique was used to compare two approaches for uncovering implants: laser study group vs. scalpel control group. Patients were evaluated for intra- and post-operative pain and bleeding. At 1, 2, and 3 weeks post procedure patients in both groups were rechecked for postoperative sequelae, keratinized mucosal thickness quality and quantity, and accuracy of the implant emergence profile. 

Results 
The laser study group showed that there was a reduction in postoperative pain and bleeding that was statistically significant in comparison to the control group. There were also statistically significant differences in gingival color and presence or absence of soft tissue edema and in the gingival was emergency profile between the laser and scalpel sides at 1, 2, and 3 weeks’ post-procedure. Statistically significant differences (p< 0.001) were observed between the two groups in the criteria of ideal or satisfactory soft tissue projection in the gingival emergency profile, which indicates that impressions can be taken immediately or within 1 week after laser surgery. 

Conclusion 
Uncovering dental implants using a diode laser operating at the wavelength of 940 ±10 nm, and a power output of 0.4-10 W is recommended for preparing an accurate implant emergence profile. Laser treatment can also effectively preserve keratinized mucosa around implants in comparison to the conventional scalpel technique. 

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APA

Al-delayme, R. (2019). Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery. European Oral Research, 53(3), 106-112. https://doi.org/10.26650/eor.20190022


AMA

Al-delayme R. Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery. European Oral Research. 2019;53(3):106-112. https://doi.org/10.26650/eor.20190022


ABNT

Al-delayme, R. Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery. European Oral Research, [Publisher Location], v. 53, n. 3, p. 106-112, 2019.


Chicago: Author-Date Style

Al-delayme, Ra'ed mohammed ayoub,. 2019. “Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery.” European Oral Research 53, no. 3: 106-112. https://doi.org/10.26650/eor.20190022


Chicago: Humanities Style

Al-delayme, Ra'ed mohammed ayoub,. Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery.” European Oral Research 53, no. 3 (Feb. 2023): 106-112. https://doi.org/10.26650/eor.20190022


Harvard: Australian Style

Al-delayme, R 2019, 'Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery', European Oral Research, vol. 53, no. 3, pp. 106-112, viewed 1 Feb. 2023, https://doi.org/10.26650/eor.20190022


Harvard: Author-Date Style

Al-delayme, R. (2019) ‘Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery’, European Oral Research, 53(3), pp. 106-112. https://doi.org/10.26650/eor.20190022 (1 Feb. 2023).


MLA

Al-delayme, Ra'ed mohammed ayoub,. Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery.” European Oral Research, vol. 53, no. 3, 2019, pp. 106-112. [Database Container], https://doi.org/10.26650/eor.20190022


Vancouver

Al-delayme R. Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery. European Oral Research [Internet]. 1 Feb. 2023 [cited 1 Feb. 2023];53(3):106-112. Available from: https://doi.org/10.26650/eor.20190022 doi: 10.26650/eor.20190022


ISNAD

Al-delayme, Ra'ed mohammed ayoub. Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery”. European Oral Research 53/3 (Feb. 2023): 106-112. https://doi.org/10.26650/eor.20190022



TIMELINE


Submitted01.01.2019
Accepted03.05.2019
Published Online10.09.2019

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