Clinical and histological comparison of healing by steel scalpel, diode laser, and radiofrequency in palatal wound: An animal study

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dc.authoridEşrefoğlu, Mukaddes/0000-0003-3380-1480
dc.contributor.authorElemek, E.
dc.contributor.authorGelmez, Y.
dc.contributor.authorHekimoglu, E.
dc.contributor.authorEsrefoglu, M.
dc.date.accessioned2024-09-11T19:53:15Z
dc.date.available2024-09-11T19:53:15Z
dc.date.issued2023
dc.departmentİstanbul Gelişim Üniversitesien_US
dc.description.abstractBackground: Wound healing following periodontal soft tissue procedures can differ owing to different techniques, the feasibility of which can be determined through detailed macroscopic and microscopic observations. Aims: This study aimed to clinically and histologically evaluate palatal wound healing in rats by secondary intention after excision using a steel scalpel, diode laser, and radiofrequency. Materials and Methods: An excision was made in the edentulous anterior maxilla of 42 4-month-old male Wistar rats weighing 289-428 g. Part of the connective tissue was left in the surgical area to observe the dynamics of secondary intention wound healing. Three experimental groups were established: the steel scalpel, an 810-nm diode laser at a power output of 1.5 W in continuous mode, and a monopolar radiofrequency in a fully rectified waveform at 15 W. Clinical and histological analyses were performed on days 2, 4, and 7. Hemostasis, changes in body weight, defect size, epithelial gap, and inflammatory infiltration were evaluated. Results: The epithelial gap closed completely in all groups on day 7. Bleeding occurred significantly more in the scalpel group (P < 0.001). No significant changes were observed in body weight between the groups. Macroscopically, the mean wound area decreased over time in all groups. Wound healing was significantly slower in the laser group on day 2 and in the radiofrequency group on days 4 and 7 (P < 0.001). Microscopically, the laser created the cleanest wound area, with minimal inflammatory infiltration and no thermal injury. More damage occurred in the connective tissue of the radiofrequency group. Wound healing was observed on day 7 in all groups. Conclusions: Palatal wound healing with secondary intention yielded different outcomes in a rat model when different techniques were used. However, almost complete healing was observed in all wounds, which highlights the importance of the soft tissue left in the surgical area. Wound healing in periodontal soft tissue procedures is not compromised by different techniques, as long as the clinician has sufficient knowledge and experience.en_US
dc.identifier.doi10.4103/njcp.njcp_578_22
dc.identifier.endpage1272en_US
dc.identifier.issn1119-3077
dc.identifier.issn2229-7731
dc.identifier.issue9en_US
dc.identifier.pmid37794538en_US
dc.identifier.scopus2-s2.0-85173158489en_US
dc.identifier.startpage1264en_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_578_22
dc.identifier.urihttps://hdl.handle.net/11363/8105
dc.identifier.volume26en_US
dc.identifier.wosWOS:001098863800007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofNigerian Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240903_Gen_US
dc.subjectDiode laseren_US
dc.subjectradiofrequencyen_US
dc.subjectsecondary intentionen_US
dc.subjectwound healingen_US
dc.titleClinical and histological comparison of healing by steel scalpel, diode laser, and radiofrequency in palatal wound: An animal studyen_US
dc.typeArticleen_US

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