PMID- 25988979
OWN - NLM
STAT- MEDLINE
DCOM- 20170227
LR  - 20170227
IS  - 1708-8240 (Electronic)
IS  - 1496-4155 (Linking)
VI  - 27
IP  - 6
DP  - 2015 Nov-Dec
TI  - Semilunar Coronally Advanced Flap with or without Low Level Laser Therapy in 
      Treatment of Human Maxillary Multiple Adjacent Facial Gingival Recessions: A 
      Clinical Study.
PG  - 355-66
LID - 10.1111/jerd.12160 [doi]
AB  - PURPOSE: Semilunar coronally advanced flap (SCAF) and its modifications or 
      adjuncts have been proposed in the literature for root coverage. Low level laser 
      therapy (LLLT) has been shown to enhance wound healing. The aim of this 
      split-mouth randomized controlled clinical trial was to assess the effects of 
      LLLT application with respect to root coverage after SCAF procedure for the 
      treatment of human maxillary multiple adjacent facial gingival recessions. 
      MATERIALS AND METHODS: Ten subjects with bilateral multiple adjacent maxillary 
      facial gingival recession defects (Miller I and II) were included in this study 
      (20 in test, 20 in control group). A diode laser (810 nm) at 0.3 watts was 
      applied to test sites during and 1 week after surgery for 10 seconds. Comparisons 
      of the surgical sites were made with clinical measurements. RESULTS: 
      Statistically significant differences were observed between test and control 
      sites in the change in gingival recession depth, gingival recession width, 
      clinical attachment level, and width of the keratinized tissue measurements after 
      6 months (p = 0.003, p = 0.001, p = 0.006, and p =< 0.001, respectively). The 
      test group presented significantly greater complete root coverage (N = 18/20, 
      90%) compared with the control group (N = 6/20, 30%) at 6 months 
      post-operatively. CONCLUSION: Within the confines of this study, the results 
      depicted that a Low Level Laser Technique application may enhance the 
      predictability of SCAF procedure. Further long-term studies with more sample 
      sizes are needed for a stronger evidence base. CLINICAL SIGNIFICANCE: Gingival 
      recessions are commonly encountered in dentistry and pose an esthetic concern. 
      Minimal gingival recessions can be treated by a Semilunar Coronally Advanced Flap 
      (SCAF), but the predictability and stability of the outcomes are quiet 
      questionable. In the present report, a Low Level Laser Technique (LLLT) 
      application adjunct to SCAF depicted a significant improvement in the 
      predictability and stability of root coverage outcomes (for a period of 6 months) 
      compared with as achieved by SCAF alone. From this report, it can be stated that 
      LLLT may be effectively used in a day to day practice for enhancing the root 
      coverage outcomes of SCAF.
CI  - (c) 2015 Wiley Periodicals, Inc.
FAU - Singh, Neelesh
AU  - Singh N
AD  - Department of Periodontology, Manipal College of Dental Sciences, Manipal 
      University, Light House Hill Road, Mangalore, Karnataka, 575001, India.
FAU - Uppoor, Ashita
AU  - Uppoor A
AD  - Department of Periodontology, Manipal College of Dental Sciences, Manipal 
      University, Light House Hill Road, Mangalore, Karnataka, 575001, India.
FAU - Naik, Dilip
AU  - Naik D
AD  - Department of Periodontology, DEAN, Manipal College of Dental Sciences, Manipal 
      University, Light House Hill Road, Mangalore, Karnataka, 575001, India.
LA  - eng
PT  - Journal Article
DEP - 20150518
PL  - England
TA  - J Esthet Restor Dent
JT  - Journal of esthetic and restorative dentistry : official publication of the 
      American Academy of Esthetic Dentistry ... [et al.]
JID - 101096515
MH  - Gingival Recession/*surgery
MH  - Humans
MH  - *Low-Level Light Therapy
MH  - Maxilla/*surgery
EDAT- 2015/05/20 06:00
MHDA- 2017/02/28 06:00
CRDT- 2015/05/20 06:00
PHST- 2015/05/20 06:00 [entrez]
PHST- 2015/05/20 06:00 [pubmed]
PHST- 2017/02/28 06:00 [medline]
AID - 10.1111/jerd.12160 [doi]
PST - ppublish
SO  - J Esthet Restor Dent. 2015 Nov-Dec;27(6):355-66. doi: 10.1111/jerd.12160. Epub 
      2015 May 18.