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Study assesses effectiveness of three surgical methods for gingivectomy in children

Gingivectomy Gingivectomy
Gingivectomy Gingivectomy

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Laser surgery and high-frequency electrosurgery are highly effective for gingivectomy of permanent teeth with delayed tooth eruption in pediatrics aged 7-13 years.

In children, treatment with laser surgery, electrosurgery and routine surgery can effectively relieve the complication of delayed eruption of permanent anterior teeth. Principally, laser surgery and high-frequency electrosurgery have high operability, good effectiveness, and little pain, and thus can be considered a better method to help in teeth eruption, as deciphered from a recent study.

Dan Xu et al. sought to investigate effectiveness of 3 surgically assisted tooth eruption methods in 63 orthodontic children having retarded permanent anterior teeth. Participants were segregated into 3 groups: (a) Group A: Laser surgery group, (b) Group B:  Electrosurgery group, and (c) Group C: Routine surgery group. Recording of gingival healing time, Visual Analogue Scale (VAS) pain scores, total operative time (min), and pain duration post-gingival excision was done.

Following 6 months of treatment, the periodontal indexes including gingival indexes (GI), probing depth (PD), and plaque indexes (PLI) were examined by the same periodontist and documented. According to the surgical records, groups A and B exhibited remarkable differences in  healing time, operative time, pain duration, and pain intensity when compared to group C. However, no profound difference was noted between group A and group B in the above four outcomes.

Among groups A, B and C, no considerable differences were witnessed in GI, PLI and PD as per the findings of periodontal examination indicators six months after surgery. The oral clinical assessment revealed normal dental eruption in the 3 groups of volunteers with distinct therapy,

Hence, high-frequency electrosurgery and laser surgery can be considered as better methods to assist teeth eruption.

Source:

Head & Face Medicine

Article:

Efficacy of three surgical methods for gingivectomy of permanent anterior teeth with delayed tooth eruption in children

Authors:

Dan Xu et al.

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