Hatice BALCI YÜCE, Feyza TULU, Özkan KARATAŞ, Fatma UÇAN YARKAÇ

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COMPARISON OF THE POSTOPERATIVE PAIN AND DISCOMFORT AFTER DIODE LASER AND CONVENTIONAL FRENECTOMY

ABSTRACT   Aim: Frenulum is a sagittal fibrous fold of oral mucosa with a periosteal insertion that extends from the lip or cheek to the alveolar or gingival mucosa. Sometimes frenulums have high attachments and wide soft tissue folds and these high frenulums may cause functional and aesthetic problems. The aim of this study is evaluate the pain and discomfort in patients treated with conventional or diode laser frenectomy through VAS scale. Material-method: In this study, in totally 74 patients frenectomy procedure was indicated. 39 patients had frenectomy performed with conventional surgery (Group C) and 35 patients had frenectomy performed with laser surgery (Group L). None of the patients had systemic disease or any prescribed drug use. A VAS scale was prepared in order to evaluate pain and dis- comfort in speaking and chewing. All patients were in- formed about how to fill the form in detail and a form was given to each patient. All patients were recalled at 10th day and VAS scale forms were recollected. Results: There were no significant differences in demographic data of the groups (p>0.05). Pain was found to be significantly higher in conventional group (p<0.05). Likewise, discomfort in speaking and chewing was also significantly lower in laser surgery group than conventional surgery (p<0.05). Conclusion: Diode laser frenectomy procedure caused lower pain and discomfort in speaking and chewing, and within the limitations of this study, based on these results it can be concluded that diode laser surgery had beneficial results in frenectomy procedure. Key words: Diode Laser; Frenectomy, Pain, Visual Analog Scale (VAS). KONVANSİYONEL VE DİYOT LAZER YÖNTEMLERİ İLE YAPILAN FRENEKTOMİ İŞLEMİ SONRASI AĞRI VE HASTA KONFORUNUN KARŞILAŞTIRILMASI ÖZAmaç: Frenilum dudak ve yanaklardan ağız mukozası veya yapışık dişetine uzanan, periosta tutunan kas ve bağ dokusu liflerinden oluşan fizyolojik-anatomik bir bağlantı- dır. Bazı hastalarda frenilum yüksek seviyede ataçman ve geniş mukoza katlantıları yaparak fonksiyonel ve/veya estetik problemlere neden olabilir. Bu gibi durumlarda cerrahi olarak alınması gereklidir. Frenektomi konvansiyo- nel olarak uygulandığında sütür gerektirir ve sonrasında kanama, şişlik ve ağrı olabilir. Lazer uygulaması, kanama olmaması, sütür gerektirmemesi ve hasta konforu açısın- dan tercih edilmektedir. Bu çalışmanın amacı konvansi- yonel ve diyot lazer cerrahisi ile yapılan frenektomi işlemi sonrasında VAS skalası aracılığıyla ağrı, konuşma ve çiğneme güçlüğünün değerlendirilmesidir. Gereç ve Yöntem: Frenektomi endikasyonu konulmuş toplam 74 hastada 39 hastaya konvansiyonel cerrahi (K grubu) uygulanmış, 35 hastaya ise diyot lazer cerrahisi (L grubu) ile frenektomi uygulanmıştır. Dahil edilen hastalar sistemik hastalığı olmayan, düzenli ilaç kullanmayan has- talardı. Ağrı, çiğneme ve konuşma fonksiyonlarının değer- lendirilebilmesi için hazırlanan VAS skalası formu hastalara verilerek nasıl doldurmaları gerektiği detaylı bir biçimde anlatılmıştır. Hastalar işlem sonrası 10. günde kontrole çağırılmıştır. Bulgular: Her iki grup arasında yaş ve cinsiyet dağılı- mı açısından fark bulunmadı (p>0.05). Ağrı konvansi- yonel grupta lazer gurubuna oranla anlamlı düzeyde yüksek bulundu (p<0.05). Aynı şekilde lazer grubunda konvansi- yonel gruba oranla daha az konuşma ve çiğneme güçlüğü yaşandı (p<0.05).Sonuç: Diyot lazer ile frenektomi cerrahisi konvansiyonel cerrahiye oranla daha az ağrı, konuşma ve çiğneme güç- lüğüne neden olmuştur ve bu çalışmanın sınırları dahilin- de, bu sonuçlara dayanarak diyot lazerin frenektomi cerrahisinde faydalı sonuçlar verdiği söylenebilir Anahtar Kelimeler: Ağrı, Diyot lazer; Frenektomi, Visual Analog Skala(VAS).
Anahtar Kelimeler:

Diode Laser; Frenectomy, Pain

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Current Research in Dental Sciences-Cover
  • Başlangıç: 1986
  • Yayıncı: Atatürk Üniversitesi
Arşiv
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