It is rather common to observe chronic inflammatory Gingival giantisms during and/or station orthodontic intervention. Sometimes the giantisms may even potentially complicate and/or interrupt orthodontic intervention. With the debut of soft tissue optical masers these jobs can now be addressed more easy. Amongst many LASERS now available in Dentistry DIODE LASERS seem to be most ideal for orthodontic soft tissue applications. As newer interventions herald into minimally invasive techniques, DIODE LASERS are going more promising both in patient satisfaction and dentist satisfaction.
Keywords: Gingival giantism, LASERS, DIODE, Compliance.
It is rather common to observe chronic inflammatory Gingival giantisms during and/or station orthodontic intervention. Sometimes the giantisms may even potentially complicate and/or interrupt orthodontic intervention. In malice of frequent patient instruction and motive of the patient sing unwritten hygiene, it ‘s rather common to see patients developing gingival over growings because of hapless conformity and complicated orthodontic contraption designs. Conventionally surgical gingival giantisms are treated by Gingivoplasty or Gingivectomy utilizing Surgical knifes & A ; Blades. After development of soft tissue LASERS ( Light Amplification by Stimulated Emission of Radiation ) patients conventional techniques are replaced by LASER Gingivoplasty & A ; Gingivectomy. The possible advantages of LASERS include: Minimized intra operative hemorrhage, Less runing clip, Faster mending, Less postoperative hurting and puffiness, Good patient credence and easiness for orthodontist to restart back to intervention fast1-4.
This article presents instance studies of successfully treated gingival giantisms with Diode LASERS.
Degree of gingival giantisms can be scored as5
Grade 0: No marks of gingival giantism.
Grade 1: Giantism confined to Interdental papilla.
Grade 2: Giantism involves papilla and fringy gingival.
Grade 3: Giantism covers three quarters or more of the Crown.
A 19 twelvemonth old female patient was referred from Department of Orthodontics to Department of Periodontology after her orthodontic intervention for rectification of Gingival symmetricalness. Clinical scrutiny revealed Grade II Gingival Overgrowths in relation to Maxillary & A ; Mandibular front tooths. Patient besides has important physiological melanin pigmentation of affiliated Gingiva, Marginal Gingiva and Inderdental papilla ( Figure:1 ) . After appropriate patient instruction she was enrolled for Phase I periodontal therapy. After four hebdomads of callback there were no important alterations in the Gingival symmetricalness. Then patient was treated with Diode LASERS and Gingivoplasty and melanin depigmentation of Maxillary anterior Gingiva was performed. Post operatively patient was rather satisfied with both gingival symmetricalness and gingival coloring material ( Figure:2 ) .
A 16 twelvemonth old Female was referred from Orthodontics section to Department of Periodontology during her active intervention stage for appraisal of Gingival status. Clinical scrutiny revealed generalised gingival expansions along with generalised hemorrhage on examining. Orthodontist was advised to take the arch wires and molar sets. After patient was explained about her gingival status and the intervention, she was enrolled for Phase I therapy. After for hebdomads the Phase I therapy consequences were evaluated and farther determination was made to rectify the residuary Grade II gingival giantisms by Diode LASERS ( Figure: 3 ) . After Diode LASER Gingivoplasty gingival architecture was reverted to normal ( Figure: 4 ) . Orthodontic therapy was resumed after 2 hebdomads of equal healing.
A 18 twelvemonth old female patient was referred to Periodontology section amid her Orthodontic intervention. Intra unwritten scrutiny revealed Grade II type Gingival Overgrowth in relation to Maxillary front tooths and 2nd bicuspids. Orthodontist was advised to take off the arch wire and patient was enrolled for Phase I periodontal therapy. After rating of stage I consequences the determination was made to rectify gingival giantisms by Diode LASERS. Gingival giantism rectification and melanin depigmentation of maxillary anterior gingival was done using Diode LASERS. Orthodontic therapy was resumed after 2 hebdomads of equal healing.
Improper unwritten hygiene leads to plaque accretions and subsequent periodontal jobs and caries6. With fixed orthodontic contraptions and patients ‘ improper unwritten hygiene patterns can compromise the orthodontic intervention outcomes7. In longterm orthodontias interventions merely a 50 % conformity rate has been noted8. Factors which can act upon conformity include: patient features, intervention continuance and complexness, Dentist and patient relationship and educational and behavioural intercessions used9-13.
Orthodontists are often challenged by soft tissue jobs associated with intervention.
Most frequent challenges include gingival giantisms and gingival dissymmetry that can turn even good treated instance into 1 that falls short aesthetically. Conventional surgical gingivolplasties and gingivectomies have built-in patient related jobs like: Surgical injury, station operatve hurting and puffiness, hapless patient credence etc. With the debut of soft tissue optical masers these jobs can now be addressed more easy. Amongst many LASERS now available in Dentistry DIODE LASERS seem to be most ideal for orthodontic soft tissue applications14 ( Table: 1 ) .
DIODE LASERS are most ideal because of built-in advantages like16:
Sole intent is soft tissue remotion
No hazard of harm to next tooth Structure
Light contact of the fiber tip with tissue
Incorporation of DIODE LASERS in orthodontists ‘ office besides helps to undertake with other soft tissue jobs like17-20:
Aesthetic gingival recontouring,
Soft tissue Crown prolongation,
Exposure of soft-tissue impacted dentitions
Removal of inflamed and hypertrophic tissue and
Tissue remotion at the site for miniscrew
With the coming of low strength Soft tissue specific LASERS like DIODE, managing the soft tissue related ailments has become more ease and honoring. As newer interventions herald into minimally invasive techniques, DIODE LASERS are going more promising both in patient satisfaction and dentist satisfaction.