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Kazakova R, Vlahova A, Tomov G, Dimitrova M, Kazakov S, Zlatev S, Forte M, Barile G, Corsalini M, Capodiferro S. A Comparative Analysis of Post-Retraction Changes in Gingival Height after Conventional and Surgical Gingival Displacement: Rotary Curettage, Diode and Er:YAG Laser Troughing. Healthcare (Basel) 2023; 11:2262. [PMID: 37628460 PMCID: PMC10454077 DOI: 10.3390/healthcare11162262] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 08/08/2023] [Accepted: 08/09/2023] [Indexed: 08/27/2023] Open
Abstract
The aim of the current article is to analyze and compare post-retraction gingival height changes resulting from six different types of gingival-displacement methods, encompassing both conventional and surgical approaches. The study involved a comparative analysis of 263 teeth (consisting of 128 front teeth, 69 premolars, and 66 molars) from 23 patients. For the investigation, three classic retraction methods were utilized, namely the single-cord technique, retraction paste Expasyl, and retraction paste Astringent. Additionally, three surgical techniques were employed, which included ceramic bur rotary curettage, Er:YAG laser troughing, and diode laser troughing. A randomized split-mouth design was implemented, and a significance level of 0.05 was used for the study. The recovery of the free gingival margin height was assessed on gypsum models that were scanned using an intraoral scanner during the first and second week after the retraction procedure. The results revealed that all retraction methods, except for ceramic bur rotary curettage, led to clinically insignificant levels of gingival recession. The article provides insights into the effectiveness and safety of various gingival-displacement techniques, highlighting that most methods tested in the study resulted in minimal or negligible gingival recession post-retraction.
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Affiliation(s)
- Rada Kazakova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (S.Z.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria
| | - Angelina Vlahova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (S.Z.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria
| | - Georgi Tomov
- Department of Periodontology and Oral Mucosa Diseases, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria;
- Laser Dental Center, Research Institute, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria
| | - Mariya Dimitrova
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (S.Z.)
| | - Stoyan Kazakov
- Oral Surgeon, Private Dental Practice–Sofia, 1000 Sofia, Bulgaria;
| | - Stefan Zlatev
- Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria; (A.V.); (S.Z.)
- CAD/CAM Center of Dental Medicine, Research Institute, Medical University–Plovdiv, 4000 Plovdiv, Bulgaria
| | - Marta Forte
- Department of Interdisciplinary Medicine, ‘Aldo Moro’, University of Bari, 70100 Bari, Italy; (M.F.); (M.C.); (S.C.)
| | - Giuseppe Barile
- Department of Interdisciplinary Medicine, ‘Aldo Moro’, University of Bari, 70100 Bari, Italy; (M.F.); (M.C.); (S.C.)
| | - Massimo Corsalini
- Department of Interdisciplinary Medicine, ‘Aldo Moro’, University of Bari, 70100 Bari, Italy; (M.F.); (M.C.); (S.C.)
| | - Saverio Capodiferro
- Department of Interdisciplinary Medicine, ‘Aldo Moro’, University of Bari, 70100 Bari, Italy; (M.F.); (M.C.); (S.C.)
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