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E-ISSN : 2148-9696
Crescent Journal of
Medical and Biological Sciences
Apr 2024, Vol 11, Issue 2
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Review
Comparison of Consequences of Operculectomy Using Conventional Surgical Knife and Laser: A Systematic Review and Meta-analysis
Negar Kourehpaz1, Farzaneh Pakdel1, Katayoun Katebi1, Parvin Sarbakhsh2, Tannaz Abdollahzadeh Baghaei3, Fatemeh Halimi Milani1, Mohsen Hashemi4
1Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
2Department of Statistics and Epidemiology, Faculty of Public Health, Tabriz University of Medical Sciences, Tabriz, Iran
3Department of Orthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
4Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran

DOI: 10.34172/cjmb.2024.3009
Viewed : 177 times
Downloaded : 341 times.

Keywords : Pericoronitis, Pain, Laser, Semiconductor, Meta-analysis
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Abstract
Objectives: The excision of an inflamed operculum can be achieved using a conventional surgical knife (scalpel) or laser. In the current systematic review and meta-analysis, the pain and healing outcomes resulting from these two distinct operculectomy techniques were compared at various follow-up intervals.

Methods: A comprehensive electronic search was conducted for studies published in English up to September 2023, focusing on the outcomes of operculectomy procedures using scalpel and laser techniques. The search encompassed PubMed/Medline, Web of Science, Google Scholar, Embase, Cochrane, and Scopus databases. The risk of bias was assessed with Cochrane risk-of-bias tool 2. Stata 17 software was used to perform a meta-analysis.

Results: Seven studies were included, involving a total of 170 patients. The analysis revealed that there were no statistically significant differences in pain levels between the two groups on the second day (P = 0.07) and seventh day (P=0.10) follow-ups. Similarly, the healing index showed no significant variance between the two groups on the seventh day (P=0.34) and 14th day (P = 0.39) follow-ups.

Conclusions: The meta-analysis indicated that there was no statistically significant difference in pain and healing outcomes resulting from operculectomy using a scalpel versus a diode laser. Nonetheless, further randomized clinical trials with larger sample sizes are required to establish definitive results.

Systematic Review Registration: PROSPERO (CRD42022327014).

 

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