Clinical Efficacy of Soft Tissue Trimmer versus conventional surgical excision of gingival hyperplasia on postoperative pain: A randomized clinical trial

Document Type : Original Article

Authors

1 Periodontology department, faculty of dentistry, MSA University, Giza, Egypt.

2 Oral Medicine and Periodontology Department, Faculty of Dentistry, Cairo University

3 Periodontology department, Faculty of Dentistry, MSA University

4 Periodontology department, Fayoum University, MSA University, Giza Egypt

Abstract

Aim: This study aimed to evaluate postoperative pain after gingivectomy procedures using soft tissue trimmer compared to conventional scalpel technique in gingival hyperplasia.
Subjects and methods: Twenty-eight patients with inflammatory gingival hyperplasia or uneven gingival margins in anterior teeth region were randomly allocated into two groups; Group A (control group) included 14 patients that were treated with gingivectomy using conventional surgical blade. Group B (test group) included 14 patients that were treated by gingivectomy using
soft tissue trimmer. VAS pain score was used to measure postoperative pain at 1, 3, 5 and 7th day.
Results: Regarding post-operative pain intensity, the results of the present study revealed that there was a statistically significant difference between the tested groups (P <0.001) after one day. After 3 days (P =0.069), 5 days (P =0.63) and 7 days (P =0.32), there was no statistically significant difference between the tested groups.
Conclusion: Gingivectomy and gingivoplasty procedures using soft tissue trimmer could be a promising and fast approach with less significant post-operative pain scores compared to the surgical blade. Intra-operative bleeding is minimized with immediate coagulation and improved wound healing using the soft tissue trimmer resulting in less postoperative pain.

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Advanced Dental Journal
Volume 5, Issue 1
January 2023
Pages 119-143

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