Comparative evaluation of the efficacy of diode laser and cryosurgery (Using 1,1,1,2 tetrafluroethane) for the treatment of gingival pigmentation
Journal Title: Journal of Dental Specialities - Year 2018, Vol 6, Issue 2
Abstract
Introduction Cosmetic expectations have increased with time and pigmentation of gingiva is a negative factor in an otherwise acceptable smile window Amongst the various treatment modalities for depigmentation like scalpel technique cryosurgery laser abrasion etc there seems to be a need to compare efficacy of cryosurgery with TFE and Diode laserObjective The objective was to compare the efficacy of cryosurgery with 1112 tetrafluroethane and Diode Laser for the treatment of gingival pigmentationMaterials and Methods A randomized controlled split mouth study was conducted for 10 patients with gingival pigmentation wherein one quadrant was treated with the TFE cooled swab Group A and the other quadrant was treated using diode laser 980nm at 1W Group B Pre and post treatment photographs VAS pain scores were evaluated by the clinician at 4 days 1 week 1month and also number of analgesics required to be taken by the patient following treatment with both the techniquesResults Clinically significant results were seen in both the groups Mild erythema was seen immediately after the application of cryogen following which a whitish slough could be separated from the underlying connective tissue at fourth day In group B a white fibrin slough was seen 24hrs after the procedure The healing was uneventful and complete epithelialization takes place in 34 weeks in both the groups Though the patient acceptance was good for both the procedures mild pain and discomfort was experienced by the patient in group BConclusion Depigmentation of gingival melanin hyperpigmentation by cryosurgery using TFE and diode laser were found to be an effective procedures however the patient compliance and acceptance was greater in Tetrafluoroethane cryosurgery when compared to the Diode laserKeywords Cryosurgery Laser Depigmentation Tetrafluroethane
Authors and Affiliations
Lakita Gulati, Prerna Mohan, Rahul Chopra, Nikhil Sharma, Trishu Chowdhery
Keywords
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- EP ID EP512921
- DOI 10.18231/2393-9834.2018.0033
- Views 47
- Downloads 0
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