Skip to main content
Top
Published in: Lasers in Dental Science 4/2023

03-11-2023 | Diode Laser | Original Article

Mucous membrane healing following vestibuloplasty via 940-nm diode laser and scalpel: an in vivo study

Authors: Tahmineh Bamdadian, Mozhgan Tavakoli, Nadia Elyassi Gorji, Fatemeh Mashhadiabbas, Alireza Mirzaei, AmirHossein Pakravan

Published in: Lasers in Dental Science | Issue 4/2023

Login to get access

Abstract

Purpose

The surgical scalpel is frequently employed in oral procedures, albeit with certain drawbacks such as post-operative bleeding, discomfort, and swelling. In this regard, the diode laser presents itself as a promising alternative for oral soft tissue  procedures. Consequently, the present study aimed to appraise the regeneration of epithelial mucosa post-vestibuloplasty using both the diode laser and surgical scalpel.

Methods

In this clinical trial study, 12 male rabbits were utilized in total. On one side of the mouth, a surgical scalpel was employed, while on the other, a diode laser (940-nm continuous wave) was utilized. The preparatory stages necessary for histological assessment were completed. Following the surgical site sampling, the data underwent analysis using version 21 of the SPSS program.

Results

The group that underwent diode laser treatment demonstrated a greater degree of epithelium development, leading to a statistically significant difference between the two groups. Notably, the diode laser-treated group exhibited complete epithelial repair, while the surgical scalpel group only demonstrated marginal repair. Furthermore, the diode laser-treated group exhibited a greater degree of normal tissue development and keratinization. Conversely, the surgical scalpel–treated group exhibited more membrane formation, granulation tissue, inflammation, bleeding, and the presence of eosinophils.

Conclusion

The group that received treatment with the diode laser demonstrated a higher level of completeness in the development of the epithelium. As such, the utilization of the diode laser in vestibuloplasty is deemed to be the recommended approach due to its heightened efficacy and the lower incidence of complications.
Literature
1.
go back to reference Nath AS, Surej LK, Kurien NM (2020) A comparative study using electrosurgery and 810 nm diode laser in vestibuloplasty. J Adv Med Dent Scie Res 8(6):101–107 Nath AS, Surej LK, Kurien NM (2020) A comparative study using electrosurgery and 810 nm diode laser in vestibuloplasty. J Adv Med Dent Scie Res 8(6):101–107
2.
go back to reference Shanab HG, Ustad F, Alayfan GIA et al (2021) Preprosthetic surgeries and its protocol for complete dentures: a review. Int J Pharm Res 13(1):5239–5243 Shanab HG, Ustad F, Alayfan GIA et al (2021) Preprosthetic surgeries and its protocol for complete dentures: a review. Int J Pharm Res 13(1):5239–5243
3.
go back to reference Markose G, Graham RM, Woodwards RTM, Nasry H, Thomson EF (2019) Modified tie-over technique for lingual sulcoplasty (vestibuloplasty). Br J Oral Maxillofac Surg 57(1):90–92CrossRefPubMed Markose G, Graham RM, Woodwards RTM, Nasry H, Thomson EF (2019) Modified tie-over technique for lingual sulcoplasty (vestibuloplasty). Br J Oral Maxillofac Surg 57(1):90–92CrossRefPubMed
4.
go back to reference Rahman S, Mattoo K, Qassadi T (2020) Vestibuloplasty as an aid to enhance complete denture stability. JMSCR 8(4):331–334CrossRef Rahman S, Mattoo K, Qassadi T (2020) Vestibuloplasty as an aid to enhance complete denture stability. JMSCR 8(4):331–334CrossRef
5.
go back to reference Bhuskute MV, Shet RG (2019) Preprosthetic surgery: an adjunct to complete denture therapy. J Int Clin Dent Res Organ 11(1):49CrossRef Bhuskute MV, Shet RG (2019) Preprosthetic surgery: an adjunct to complete denture therapy. J Int Clin Dent Res Organ 11(1):49CrossRef
6.
go back to reference Reichwage D, Barjenbruch T, Lemberg K, Janiszewski T, Marr D (2004) Esthetic contemporary dentistry and soft tissue recontouring with the diode laser. J (Indiana Dental Association). 83(1):13 Reichwage D, Barjenbruch T, Lemberg K, Janiszewski T, Marr D (2004) Esthetic contemporary dentistry and soft tissue recontouring with the diode laser. J (Indiana Dental Association). 83(1):13
7.
go back to reference Butchibabu K, Koppolu P, Mishra A, Pandey R, Swapna LA, Uppada UK (2014) Evaluation of patient perceptions after labial frenectomy procedure: a comparison of diode laser and scalpel techniques. Eur J Gen Dent 3(2):129CrossRef Butchibabu K, Koppolu P, Mishra A, Pandey R, Swapna LA, Uppada UK (2014) Evaluation of patient perceptions after labial frenectomy procedure: a comparison of diode laser and scalpel techniques. Eur J Gen Dent 3(2):129CrossRef
10.
go back to reference Amaroli A, Ravera S, Parker S, Panfoli I, Benedicenti A, Benedicenti S (2016) An 808-nm diode laser with a flat-top handpiece positively photobiomodulates mitochondria activities. Photomed Laser Surg 34:564–571CrossRefPubMed Amaroli A, Ravera S, Parker S, Panfoli I, Benedicenti A, Benedicenti S (2016) An 808-nm diode laser with a flat-top handpiece positively photobiomodulates mitochondria activities. Photomed Laser Surg 34:564–571CrossRefPubMed
11.
go back to reference Amaroli A, Benedicenti A, Ferrando S et al (2016) Photobiomodulation by infrared diode laser: effects on intracellular calcium concentration and nitric oxide production of paramecium. Photochem Photobiol 92:854–862CrossRefPubMed Amaroli A, Benedicenti A, Ferrando S et al (2016) Photobiomodulation by infrared diode laser: effects on intracellular calcium concentration and nitric oxide production of paramecium. Photochem Photobiol 92:854–862CrossRefPubMed
12.
go back to reference Houreld NN, Ayuk SM, Abrahamse H (2018) Cell adhesion molecules are mediated by photobiomodulation at 660 nm in diabetic wounded fibroblast cells. Cells 7:E30CrossRef Houreld NN, Ayuk SM, Abrahamse H (2018) Cell adhesion molecules are mediated by photobiomodulation at 660 nm in diabetic wounded fibroblast cells. Cells 7:E30CrossRef
13.
14.
go back to reference Çayan T, Hasanoğlu Erbaşar GN, Akca G, Kahraman S (2019) Comparative evaluation of diode laser and scalpel surgery in the treatment of inflammatory fibrous hyperplasia: a split-mouth study. Photobiomodulation, Photomed, Laser Surg 37(2):91–98CrossRef Çayan T, Hasanoğlu Erbaşar GN, Akca G, Kahraman S (2019) Comparative evaluation of diode laser and scalpel surgery in the treatment of inflammatory fibrous hyperplasia: a split-mouth study. Photobiomodulation, Photomed, Laser Surg 37(2):91–98CrossRef
15.
go back to reference D'Arcangelo C, Di Nardo Di Maio F, Prosperi GD, Conte E, Baldi M, Caputi S. A preliminary study of healing of diode laser versus scalpel incisions in rat oral tissue: a comparison of clinical, histological, and immunohistochemical results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:764–773.CrossRefPubMed D'Arcangelo C, Di Nardo Di Maio F, Prosperi GD, Conte E, Baldi M, Caputi S. A preliminary study of healing of diode laser versus scalpel incisions in rat oral tissue: a comparison of clinical, histological, and immunohistochemical results. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103:764–773.CrossRefPubMed
16.
go back to reference Haytac MC, Ozcelik O (2006) Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. J Periodontol 77:1815–1819CrossRefPubMed Haytac MC, Ozcelik O (2006) Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. J Periodontol 77:1815–1819CrossRefPubMed
18.
go back to reference Amaral MB, de Avila JM, Abreu MH, Mesquita RA (2015) Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg 44:1383–1389CrossRefPubMed Amaral MB, de Avila JM, Abreu MH, Mesquita RA (2015) Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg 44:1383–1389CrossRefPubMed
19.
go back to reference Eroglu CN, Tunc SK, Elasan S (2015) Removal of epulis fissuratum by Er,Cr:YSGG laser in comparison with the conventional method. Photomed Laser Surg 33:533–539CrossRefPubMed Eroglu CN, Tunc SK, Elasan S (2015) Removal of epulis fissuratum by Er,Cr:YSGG laser in comparison with the conventional method. Photomed Laser Surg 33:533–539CrossRefPubMed
20.
go back to reference Govila V, Gulati M, Govila S (2011) Diode laser applications in periodontics. Indian J Dent Sci 3:64–67 Govila V, Gulati M, Govila S (2011) Diode laser applications in periodontics. Indian J Dent Sci 3:64–67
21.
go back to reference Vendramini Y, Salles A, Portella FF, Brew MC, Steier L, de Figueiredo JAP, Bavaresco CS (2020) Antimicrobial effect of photodynamic therapy on intracanal biofilm: a systematic review of in vitro studies. Photodiagnosis Photodyn Ther 32:102025CrossRefPubMed Vendramini Y, Salles A, Portella FF, Brew MC, Steier L, de Figueiredo JAP, Bavaresco CS (2020) Antimicrobial effect of photodynamic therapy on intracanal biofilm: a systematic review of in vitro studies. Photodiagnosis Photodyn Ther 32:102025CrossRefPubMed
22.
go back to reference Qassab AHM, Hamad SA (2019) Comparison between diode laser and scalpel for lip lengthening in patients with gummy smile. J Baghdad Coll Dent 31(1):60–64CrossRef Qassab AHM, Hamad SA (2019) Comparison between diode laser and scalpel for lip lengthening in patients with gummy smile. J Baghdad Coll Dent 31(1):60–64CrossRef
23.
go back to reference Coleton S (2004) Laser in surgical periodontitis and oral medicine. Dent Clin North Am 48(4):937–962CrossRefPubMed Coleton S (2004) Laser in surgical periodontitis and oral medicine. Dent Clin North Am 48(4):937–962CrossRefPubMed
24.
go back to reference Noor SK, Munahi AK, Allban AA, Hussain MH (2021) Study the beneficial activity of low level laser in experimentally induced pain in mice. Iraqi J Vet Sci 35(3):569–573CrossRef Noor SK, Munahi AK, Allban AA, Hussain MH (2021) Study the beneficial activity of low level laser in experimentally induced pain in mice. Iraqi J Vet Sci 35(3):569–573CrossRef
25.
go back to reference Karmisholt KE, Haerskjold A, Karlsmark T, Waibel J, Paasch U, Haedersdal M (2018) Early laser intervention to reduce scar formation—a systematic review. J Eur Acad Dermatol Venereol 32(7):1099–1110CrossRefPubMed Karmisholt KE, Haerskjold A, Karlsmark T, Waibel J, Paasch U, Haedersdal M (2018) Early laser intervention to reduce scar formation—a systematic review. J Eur Acad Dermatol Venereol 32(7):1099–1110CrossRefPubMed
26.
go back to reference Walsh LJ (1997) The current status of low level laser therapy in dentistry. Part 1. Soft tissue applications. Aust Dent J 42:247–254CrossRefPubMed Walsh LJ (1997) The current status of low level laser therapy in dentistry. Part 1. Soft tissue applications. Aust Dent J 42:247–254CrossRefPubMed
Metadata
Title
Mucous membrane healing following vestibuloplasty via 940-nm diode laser and scalpel: an in vivo study
Authors
Tahmineh Bamdadian
Mozhgan Tavakoli
Nadia Elyassi Gorji
Fatemeh Mashhadiabbas
Alireza Mirzaei
AmirHossein Pakravan
Publication date
03-11-2023
Publisher
Springer International Publishing
Published in
Lasers in Dental Science / Issue 4/2023
Electronic ISSN: 2367-2587
DOI
https://doi.org/10.1007/s41547-023-00203-3

Other articles of this Issue 4/2023

Lasers in Dental Science 4/2023 Go to the issue