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Material and Method: Our split-mouth designed study was conducted on 37
systemically patients consisting of 19 females and 18 males, who had gingival
enlargement areas on the left and right of maxillar and mandibular anterior regions.
Clinical periodontal parameters, gingival crevicular fluid (GCF) levels and gingival
temperature levels were recorded before the investigation and during gingivectomy
operations with different techniques, gingival temperature was measured. Gingival
temperature and epithelization levels in 3, 7, 10 and 15 days; GCF levels in 15, 30 and
90 days and pain levels in 2, 8 hours and between 1-7 days of post-operative healing
process were evaluated.
Results: When clinical periodontal parameters were compared, there was no significant
difference found between all application within and between groups (p>0.05). When
gingival temperature during operations were compared, there was a significant
difference between all application groups (p<0.05). There were a significiant difference
in epithelization and pain levels in all applications between groups by time (p<0.05).
Conclusion: It was found that Er:YAG laser assisted gingivectomy technique which has
better epithelization rates and rapidity, lower pain levels and no thermal damage effects
in tissues, is more advantageous than Nd:YAG and electrocautery techniques.
Keywords: Gingival enlargement; gingivectomy; laser; electrocautery; temperature.
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