CompletedNot Applicable

Gingival Hyperplasia Treatment With Surgical Scalpel vs Diode Laser in Orthodontic Patients.

Vietnam13 participantsStarted 2024-08-01

Plain-language summary

Gingival enlargement is a common complication in orthodontic patients, often resulting from plaque accumulation and chronic inflammatory response during fixed appliance therapy. Surgical gingivectomy is frequently required to restore gingival contour, improve esthetics, and facilitate oral hygiene. Traditionally, gingivectomy is performed using a scalpel, but laser-assisted techniques have recently gained popularity due to their potential benefits, including reduced bleeding, postoperative discomfort, and faster healing. This randomized split-mouth clinical trial aims to compare the clinical and microbiological outcomes of gingivectomy performed with a diode laser versus conventional scalpel surgery in orthodontic patients presenting with gingival enlargement. Clinical parameters, microbial profiles, and patient-reported outcomes will be evaluated at baseline and at multiple postoperative intervals to assess the effectiveness and advantages of each technique.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: * Participants aged 18 years or older who agree to take part in the study. * Individuals in good general health with no history of systemic diseases. * Patients undergoing fixed orthodontic treatment with metallic brackets for at least 6 months and presenting with gingival enlargement. * Patients with good oral hygiene (Plaque Index \[PlI\] \< 1) and who comply with the instructions provided by the dentist during the treatment period. Exclusion Criteria: * History of using medications associated with gingival enlargement, such as anticonvulsants, immunosuppressants, or calcium channel blockers (e.g., phenytoin, cyclosporine, nifedipine, verapamil, diltiazem, felodipine, nitredipine, etc.). * Pregnant or breastfeeding women, or individuals using hormonal therapy. * Patients who have undergone periodontal treatment within the last 6 months. * Use of antibiotics within 3 months prior to study enrollment. * Presence or history of systemic diseases. * Patients who refuse the use of laser in treatment. * Patients who are uncooperative, have poor oral hygiene (PlI \> 1), discontinue participation during the study, or fail to follow instructions throughout the study period.

What they're measuring

Gingival margin position

Timeframe: 1 month and 3 months after gingivectomy

Trial details

NCT IDNCT07263763

SponsorNguyen Thu Thuy

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-02-15