scholarly journals Nine hundred and seventy nanometer diode laser in the management of gingival hyperplasia following fixed orthodontic treatment

2020 ◽  
Vol 4 (1) ◽  
pp. 20-23
Author(s):  
Swaminathan Rajendran ◽  
Raghunathan Jagannathan ◽  
Lakshmi Priya Sridhar ◽  
Thodur Madapusi Balaji ◽  
Saranya Varadarajan ◽  
...  
Keyword(s):  
Diode Laser ◽  
Orthodontic Treatment ◽  
Gingival Hyperplasia

Idiopathic gingival hyperplasia and orthodontic treatment: a case report

2003 ◽  
Vol 30 (1) ◽  
pp. 13-19 ◽  
Author(s):  
K. Clocheret ◽  
C. Dekeyser ◽  
C. Carels ◽  
G. Willems
Keyword(s):  
Case Report ◽  
Orthodontic Treatment ◽  
Gingival Hyperplasia

scholarly journals Prioritization of predisposing factors of gingival hyperplasia during orthodontic treatment: the role of amount of biofilm.

2021 ◽  
Author(s):  
Séverine VINCENT-BUGNAS ◽  
Leslie BORSA ◽  
Apolline GRUSS ◽  
Laurence LUPI
Keyword(s):  
Orthodontic Treatment ◽  
Predisposing Factors ◽  
Qualitative Assessment ◽  
P Value ◽  
Gingival Hyperplasia ◽  
Duration Of Treatment ◽  
Cross Sectional ◽  
Gingival Enlargement ◽  
Periodontal Phenotype

Abstract Background: The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its predicting factors, especially the quantity of biofilm. Methods: This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of bracket, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.25 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement".Results: A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The predisposing factors for this pathology during fixed orthodontic treatment were conventional metal brackets (p = 0.021), mouth breathing (p = 0.040), male gender (p = 0.035), thick periodontal phenotype (p = 0.043), elastomeric ligations (p = 0.007), duration of treatment (p = 0.022) and presence of plaque (p = 0.004). After achievement of the logistic regression, only two factors remained related to gingival enlargement: metallic brackets (OR:3.5, 95% CI:1.1- 10.55) and duration of treatment (OR:2.03, 95% CI:1.01-4.08). The amount of plaque would not be directly related to the development of gingival increase during orthodontic treatment. Conclusions: Among the predisposing factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.Trial registration: Cross-sectional study.

Application of the diode laser for soft-tissue surgery in orthodontics: Case series

2020 ◽  
pp. 146531252095870
Author(s):  
John Hyunbaek Ahn ◽  
Susan Power ◽  
Eleanor Thickett
Keyword(s):  
Soft Tissue ◽  
Diode Laser ◽  
Patient Compliance ◽  
Laser Surgery ◽  
Orthodontic Treatment ◽  
Case Series ◽  
Effective Alternative ◽  
Laser Exposure ◽  
Laser Technology ◽  
Soft Tissue Surgery

Referral to an oral surgeon for soft-tissue surgery before, during or after orthodontic treatment is not uncommon. This process may delay treatment and could potentially increase the risk of complications. In addition, seeing multiple specialties in different environments may demotivate paediatric or anxious patients from pursuing orthodontic treatment and could also adversely affect patient compliance and satisfaction. The development of laser technology provides a safe and effective alternative, allowing the orthodontic clinician to perform soft-tissue surgery. To date, there are no laser exposure protocols or UK guidelines regarding the use of laser surgery in orthodontics. This case series reports four clinical cases that demonstrate potential advantages of using a diode laser for the management of soft tissue in the field of orthodontics.

Gingival hyperplasia treatment using diode laser gingivectomy in a child with cerebral palsy: case report

2021 ◽  
Vol 10 (16) ◽  
pp. e405101622597
Author(s):  
Letícia Helena Theodoro ◽  
João Victor Soares Rodrigues ◽  
Beatriz Alves Furtado ◽  
Marina Módolo Cláudio ◽  
Liliane Passanezi Almeida Louzada ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Diode Laser ◽  
Photobiomodulation Therapy ◽  
Posterior Region ◽  
Gingival Hyperplasia ◽  
Safe Procedure ◽  
Periodontal Inflammation ◽  
Occlusal Surfaces ◽  
Bacterial Plaque ◽  
High Level

Gingival hyperplasia is associated with several factors, such as chronic inflammation due to the large accumulation of biofilm and medications including anticonvulsants. The aim of this study is to report a clinical case of a 4-year-old spastic quadriplegic cerebral palsy patient with gingival hyperplasia in the palatal region of the upper teeth induced by the use of high doses of anticonvulsant medications. The patient attended the Dental Assistance Center for People with Disabilities, with fibrotic gingival hyperplasia in the upper posterior region, covering the dental crowns on the palatal and occlusal surfaces. Oral hygiene instructions were previously carried out using chlorhexidine gluconate solution (0.12%) on the teeth with the aid of a cotton swab, twice a day for seven days, to reduce bacterial plaque levels and control periodontal inflammation. Gingivectomy was performed using a gallium aluminum arsenide diode laser (GaAlAs; 808±10 nm, 2.5 W output power, continuous mode). Following the surgical procedures, photobiomodulation therapy was performed with a low-level aluminum gallium indium phosphide diode laser (InGaAlP; 660±10 nm, 100 mW, 3 J) at three points (anterior, middle and posterior region of surgical wound). The patient returned at 7 and 30 days after surgery presenting accelerated wound healing. It was concluded that the high-level diode laser associated with photobiomodulation therapy were effective for performing a conservative and safe procedure in a patient with severe neurological disorder.

scholarly journals TREATMENT OF ORTHODONTICALLY INDUCED GINGIVAL HYPERPLASIA BY DIODE LASER - CASE REPORT

2015 ◽  
Vol 05 (02) ◽  
pp. 066-068
Author(s):  
Manavi Prabhu ◽  
Amitha Ramesh ◽  
Biju Thomas
Keyword(s):  
Case Report ◽  
Diode Laser ◽  
Negative Impact ◽  
Anterior Region ◽  
Gingival Hyperplasia ◽  
Anterior Teeth ◽  
Gingival Enlargement ◽  
Crown Lengthening

AbstractIt is well known that excessive gingival display in the anterior region can have a very negative impact on the patients smile and psychology. This excessive gingival display could be due to gingival enlargement or altered passive eruption of the teeth. These defects can be corrected through periodontal surgeries. This case report describes successful aesthetic crown lengthening in maxillary and mandibular anterior teeth using diode laser.

Prospect of relieving pain due to tooth movement during orthodontic treatment utilizing a Ga-Al-As diode laser

1995 ◽  
Author(s):  
Noriyoshi Shimizu ◽  
Masaru Yamaguchi ◽  
Takemi Goseki ◽  
Yasuko Shibata ◽  
Hisashi Takiguchi ◽  
...  
Keyword(s):  
Diode Laser ◽  
Orthodontic Treatment ◽  
Tooth Movement

Nd:YAG and Diode Laser in the Surgical Management of Soft Tissues Related to Orthodontic Treatment

2007 ◽  
Vol 25 (5) ◽  
pp. 381-392 ◽  
Author(s):  
C. Fornaini ◽  
J.P. Rocca ◽  
M.F. Bertrand ◽  
E. Merigo ◽  
S. Nammour ◽  
...  
Keyword(s):  
Diode Laser ◽  
Surgical Management ◽  
Orthodontic Treatment ◽  
Soft Tissues

scholarly journals Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm.

2020 ◽  
Author(s):  
Séverine VINCENT-BUGNAS ◽  
Leslie BORSA ◽  
Apolline GRUSS ◽  
Laurence LUPI
Keyword(s):  
Associated Factors ◽  
Orthodontic Treatment ◽  
Qualitative Assessment ◽  
P Value ◽  
Gingival Hyperplasia ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Gingival Enlargement ◽  
Periodontal Phenotype

Abstract Background The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its associated factors. Methods: This comprehensive cross-sectional descriptive study was conducted on orthodontic patients aged 9 to 30 years, in good general health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of attachment, the alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, and variables presenting p value < 0.05 were included in a multivariate analysis to calculate the Odds Ratio (OR) of gingival enlargement". Results: A total of 193 patients were included (16.38 ± 4.89 years). Gingival growth occurred for 49.7% of patients included. The associated factors for this pathology during fixed orthodontic treatment were conventional metal brackets (OR = 3.5), mouth breathing (OR = 3), male gender (OR = 2.2), thick periodontal phenotype (OR = 2) and elastomeric ligations (OR = 2). After achievement of the logistic regression, the amount of plaque would not be directly related to the development of this gingival increase. Conclusions Among the associated factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.

scholarly journals Prioritization of risk factors of gingival hyperplasia during orthodontic treatment: the role of biofilm

2019 ◽  
Author(s):  
Séverine VINCENT-BUGNAS ◽  
Leslie BORSA ◽  
Apolline GRUSS ◽  
Laurence LUPI
Keyword(s):  
Risk Factors ◽  
Orthodontic Treatment ◽  
Qualitative Assessment ◽  
Gingival Hyperplasia ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Fixed Appliance ◽  
Attachment Therapy ◽  
Probing Pocket Depth

Abstract Background: The mechanism of gingival growth that may occur during fixed orthodontic treatment is not yet fully understood and the amount of dental plaque is often incriminated. The objective of this study was to evaluate the prevalence of gingival growth during multi-attachment orthodontic treatment and to prioritize its risk factors Methods: This comprehensive cross-sectional descriptive study was conducted on 193 orthodontic patients in good general health, treated by a fixed appliance. Periodontal clinical parameters such as plaque index, gingival index, probing pocket depth, periodontal phenotype and gingival enhancement index were recorded. Likewise, the brushing habits and the date of the last scaling were noted. The orthodontic parameters studied were the duration of the treatment, the type of attachment, they alloys used for the arches and the type of ligatures. Descriptive statistics were carried out, then univariate analyses were achieved thanks to cross sectional tables and lastly, a multivariate analysis allowed a hierarchization of the risk factors. Results: Gingival growth occurred for 49.7% of patients included. The risk factors for this pathology during fixed orthodontic treatment were conventional metal brackets (OR = 3.5), oral ventilation (OR = 3), male gender (OR = 2.2), thick periodontium (OR = 2) and elastomeric ligations (OR = 2). After achievement of the logistic regression, the amount of plaque would not be directly related to the development of this gingival increase. Conclusions: Among the risk factors that underlie gingival growth during multi-attachment therapy, the amount of plaque is not found. The qualitative assessment of the plaque and its evolution during treatment could clarify the role of the biofilm in the occurrence of gingival overgrowth.

scholarly journals Seven-year follow-up of a patient with hereditary gingival fibromatosis treated with a multidisciplinary approach: case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ning Li ◽  
Wenfang Wang ◽  
Yuanyuan Sun ◽  
Hongning Wang ◽  
Tiejun Wang
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Long Term Results ◽  
Orthodontic Appliances ◽  
Gingival Hyperplasia ◽  
Fixed Orthodontic Appliances ◽  
Gingival Enlargement ◽  
Gingival Fibromatosis

Abstract Background Hereditary gingival fibromatosis (HGF) is rare in clinical practice, and the long-term results of the combined orthodontic-periodontal treatment of HGF are rarely reported. Case presentation This study reports for the first time the results of seven years of follow-up in a seven-year-old girl with HGF. The diagnosis was confirmed by clinical signs, family history and histopathological examination. First, periodontal scaling and oral hygiene reinforcement were performed regularly in the mixed dentition stage. Next, gingivoplasty was performed on the permanent dentition. Two months after the surgery, treatment with fixed orthodontic appliances was conducted. The teeth were polished on a monthly basis, and oral hygiene was reinforced to control gingival enlargement. Gingival hypertrophy recurred slightly, and gingivectomies were performed in the months following the start of orthodontic treatment. Follow-up was performed for 24 months with orthodontic retention, and gingival enlargement remained stable after the combined treatment. Conclusions The risk of gingival hyperplasia recurrence during and after orthodontic treatment is high, but satisfying long-term outcomes can be achieved with gingivectomy, malocclusion correction, and regular follow-up maintenance.

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