The laser method and its effect on the oral mucous membrane in the context of the preprosthetic surgery
Journal Title: Journal of Stomatology (Czasopismo Stomatologiczne) - Year 2017, Vol 70, Issue 6
Abstract
Background: Various treatment methods are applied in the preprosthetic surgery. The most frequently used are lasers, standard excision of the lesion with a scalpel and with an electrocauter. As a subject of the analysis one chose the comparison of the laser method (using the CO2 laser) and the standard method. Material and method: The tests were conducted in 40 patients registering for the prosthetic treatment in Uniwersyteckiej Klinice Stomatologicznej in Cracow. Generally healthy patients of both sexes, aged 44-90 with diagnozed stomatitis prothetica hyperplastica fibrosa (SPHF) were selected. Randomly divided patients formed two 20-people groups. In group I patients were subjected to the laser therapy, and in group II proliferative lesions were removed by excision with a scalpel and suture closure. Results: Differences in the clinical estimation of the healing process were indicated in both testing groups. In the course of the wound healing after the laser therapy, on the 30th day of observation, the presence of smooth scars was confirmed in 25% of patients, and scarless healing in 75% of patients. In patients undergoing the CO2 laser therapy, there were not astringent scars observed. In 70% of the operated with the standard procedure one noticed the smooth scars and in 30% of the patients astringent scar occured. Conclusions: On the basis of the clinical estimation of the wound healing process one pointed to the CO2 laser as the method which is more effective than the standard surgical excision in preprosthetic correction of the prosthetic base.
Authors and Affiliations
Joanna Ryniewicz, Wojciech Ryniewicz, Jolanta Loster, Bartłomiej Loster
Keywords
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