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Diode laser surgery versus electrocautery in the treatment of inflammatory fibrous hyperplasia: a randomized double-blind clinical trial

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Abstract

Objectives

To compare the efficacy and safety of diode laser and electrocautery techniques for inflammatory fibrous hyperplasia (IFH) removal.

Materials and methods

In this randomized double-blind clinical trial, 40 individuals were randomly allocated to two groups: group 1 (G1) consisted of 20 individuals assigned to treatment with diode laser and group 2 (G2) consisted of 20 individuals assigned to treatment with electrocautery. The following transoperative parameters were evaluated: bleeding, temperature, and surgical technique parameters (energy deposited on tissue, flow rate, and time of incision). The postoperative parameters evaluated were as follows: pain, functional alterations (chewing, speaking), analgesic medication intake, swelling, healing of the wound area, and patient satisfaction.

Results

Among the 40 individuals included in the study, four (two in G1 and two in G2) did not complete the entire follow-up. Therefore, 36 individuals (18 in G1 and 18 in G2) participated. Participants in G1 and in G2 had similar demographic characteristics. No difference regarding the trans- or postoperative parameters evaluated was observed between G1 and G2 (p > 0.05). Also, no difference regarding the time for healing was observed between groups.

Conclusions

Diode laser seems to be as effective and safe as electrocautery when applied under similar conditions for IFH removal.

Clinical relevance

IFH corresponds to 65% of the lesions observed in denture wearers. This study shows that under similar conditions diode laser is as effective and safe as electrocautery for removal of IFH.

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Acknowledgments

This article was supported by the Brazilian National Council for Scientific and Technological Development (CNPq). RAM and LGA are research fellows at CNPq (#305493/2018-3, #455644/2018-1). The participation of Prof. Dr. Márcio B. F. do Amaral with patient care is greatly appreciated. The authors thank the Coordination for the Improvement of Higher Education Personnel (Finance Code 001). JAAA is the recipient of a scholarship. Mrs. E. Greene provided the English editing of the manuscript.

Funding

This study was supported by the Brazilian National Council for Scientific and Technological Development (#305493/2018–3, #455644/2018–1), Brazil, and by the Coordination for the Improvement of Higher Education Personnel (Finance Code 001), Brazil.

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Authors and Affiliations

  1. Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil

    Alessandro Oliveira de Jesus, Michelle Danielle Porto Matias, José Alcides Almeida de Arruda, Amanda Vieira Aires, Isadora Pereira Gomes, Leandro Napier Souza & Ricardo Alves Mesquita

  2. Department of Child’s and Adolescent’s Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627, room 3322, Pampulha, Belo Horizonte, MG, 31270-901, Brazil

    Lucas Guimarães Abreu

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  1. Alessandro Oliveira de Jesus
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Correspondence to Lucas Guimarães Abreu.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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de Jesus, A.O., Matias, M.D.P., de Arruda, J.A.A. et al. Diode laser surgery versus electrocautery in the treatment of inflammatory fibrous hyperplasia: a randomized double-blind clinical trial. Clin Oral Invest 24, 4325–4334 (2020). https://doi.org/10.1007/s00784-020-03296-3

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