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RESEARCH PRODUCT

Clinical Assessment of the Effects of Low-Level Laser Therapy on Coronally Advanced Flap Procedure in the Management of Isolated Gingival Recession

Kammam AmithaRashmi ParamashivaiahMunivenkatappa Laxmaiah Venkatesh PrabhujiAshwin Parakkaje SubramanyaAli A. AssirySyed Wali PeeranHytham FageehShaeesta Khaleelahmed BhavikattiAlessandro Scardina

subject

low-level laser therapymodified coronally advanced flapbiostimulation; gingival recession; low-level laser therapy; modified coronally advanced flap; wound healingwound healingRadiology Nuclear Medicine and imagingInstrumentationbiostimulationAtomic and Molecular Physics and Opticsgingival recession

description

The aim of this randomized, controlled split-mouth clinical trial was to assess the effect of LLLT on wound healing after modified coronally advanced flap (MCAF) procedure for treatment of isolated recession-type defects. Fifteen patients with isolated bilaterally symmetrical gingival recessions (Miller’s Class I or Class II, or a combination of both) were enrolled in this study. After a modified, coronally advanced flap technique was implemented, a diode laser (810 nm) with a power of 120 mW irradiated the inner surface of the flap and the outer surface of the flap (low-level laser therapy—LLLT) after suturing for 5 min. This was repeated for the following four consecutive days. Descriptive statistics, a Kruskal–Wallis test and a Mann–Whitney test were performed to analyze the data. A p-value of less than 0.05 was considered statistically significant. The mean recession depth decreased from 3.33 ± 0.9 mm (baseline) to 0.2 ± 0.3 mm (3 months) and 0.4 ± 0.2 mm (6 months) in the test group. The mean recession width decreased from 3.8 ± 0.7 mm (baseline) to 0.2 ± 0.3 mm (3 months) and 0.5 ± 0.3 mm (6 months) in the test group. Due to minimal pain and discomfort, patient acceptability was quite high.

https://doi.org/10.3390/photonics9120932