Original Article

Clinical Evaluation of Tissue Healing around Gingival Former Following Dental Implant Uncovery with two Different Diode Laser Wavelength

Abstract

Purpose: It has been demonstrated that diode lasers can be an effective alternative in oral soft tissue surgeries. This study aimed to clinically evaluate the tissue healing around the gingival former of dental implants following the uncovery of areas with different diode laser wavelengths.
Materials and Methods: This study was conducted on 72 implants (in the Periodontology Department of the Faculty of Dentistry, Jundishapur University of Medical Sciences in Ahvaz, Iran, in 2015-2016) with two different diode laser wavelengths (940 and 810 nm). The samples were randomly assigned to two groups of 36 implants, including experimental and control. The experimental group was based on the second stage of implant uncovery with a 940nm diode laser, and the control group included the second stage with an 810 nm diode laser. Indicators such as the need for local anesthesia and the amount of anesthesia injected during surgery, the duration of surgery, the amount of bleeding during surgery, pain, inflammation, edema, and the color of the gingiva in the surgical area, were compared in two study groups during surgery.
Results: The independent t-test showed no significant difference in the average duration of surgery in the two groups (31.3 and 37.6 seconds in the 940nm and 810nm wavelength of the diode laser, respectively, P=0.073). On day zero and day seven after surgery, pain intensity with 810nm diode laser wavelength was higher than with 940 wavelengths. The average amount of anesthesia injected during surgery of the surgical group with a wavelength of 940 nm was significantly lower than that of the 810nm diode laser. No bleeding was observed in both surgery groups.
Conclusion: The 940nm diode laser had better results than the 810nm in the second stage of implant uncover.

1- Mohammad Mohammadi, Mohammad Ali Shokrgozar, and Rasool Mofid, "Culture of human gingival fibroblasts on a biodegradable scaffold and evaluation of its effect on attached gingiva: A randomized, controlled pilot study." Journal of periodontology, Vol. 78 (No. 10), pp. 1897-903, (2007).
2- Luiz Otavio Rocha, Eduarda Rocha, Guilherme de Menezes Succi, and Rui Barbosa de Brito Junior, "Association between Periodontitis, Genetic Polymorphisms and Presence of Coronary Artery Disease in Southern Brazil." Arquivos brasileiros de cardiologia, Vol. 114pp. 268-72, (2020).
3- Bahram Jafari, Hamid Reza Katoozian, Masoud Tahani, and Nima Ashjaee, "A comparative study of bone remodeling around hydroxyapatite-coated and novel radial functionally graded dental implants using finite element simulation." Medical Engineering & Physics, Vol. 102p. 103775, (2022).
4- Jae-Won Choi et al., "Load-bearing capacity and retention of newly developed micro-locking implant prosthetic system: An in vitro pilot study." Materials, Vol. 11 (No. 4), p. 564, (2018).
5- Muhamed I Hazeem, Muthenna Sh Rajab, and Raed A Badeia, "Treatment of recurrent aphthous stomatitis with 940nm diode laser." Tikrit Journal for Dental Sciences, Vol. 3 (No. 1), (2014).
6- Jeffrey D Pope, Jeffrey A Rossmann, David G Kerns, M Miles Beach, and Daisha J Cipher, "Use of a carbon dioxide laser as an adjunct to scaling and root planing for clinical new attachment: a case series." Clinical Advances in Periodontics, Vol. 4 (No. 4), pp. 209-15, (2014).
7- Karin Kobuch et al., "Implantation of Biosynthetic Collagen III Corneal Implants in vivo in Rabbit Eyes: Surgical Technique and Clinical Performance." Investigative Ophthalmology & Visual Science, Vol. 54 (No. 15), pp. 3474-74, (2013).
8- KE El-Kholey, "Efficacy and safety of a diode laser in second-stage implant surgery: a comparative study." International journal of oral and maxillofacial surgery, Vol. 43 (No. 5), pp. 633-38, (2014).
9- Nihat Akbulut, E Sebnem Kursun, M Kemal Tumer, Kivanc Kamburoglu, and Ugur Gulsen, "Is the 810-nm diode laser the best choice in oral soft tissue therapy?" European journal of dentistry, Vol. 7 (No. 02), pp. 207-11, (2013).
10- Samo Pirnat, "Versatility of an 810 nm diode laser in dentistry: An overview." J Laser Health Acad, Vol. 4 (No. 2), pp. 1-9, (2007).
11- Josep Arnabat-Domínguez, Antonio Jesús España-Tost, Leonardo Berini-Aytés, and Cosme Gay-Escoda, "Erbium: YAG laser application in the second phase of implant surgery: a pilot study in 20 patients." International Journal of Oral & Maxillofacial Implants, Vol. 18 (No. 1), (2003).
12- Alessandro Geminiani, Jack G Caton, and Georgios E Romanos, "Temperature change during non-contact diode laser irradiation of implant surfaces." Lasers in Medical Science, Vol. 27pp. 339-42, (2012).
13- MBF Amaral, JMS De Ávila, MHG Abreu, and RA Mesquita, "Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial." International journal of oral and maxillofacial surgery, Vol. 44 (No. 11), pp. 1383-89, (2015).
14- Andrey V Belikov, Alexei V Skrypnik, and Ksenia V Shatilova, "Comparison of diode laser in soft tissue surgery using continuous wave and pulsed modes in vitro." Frontiers of Optoelectronics, Vol. 8pp. 212-19, (2015).
15- Kawe Goharkhay et al., "Effects on oral soft tissue produced by a diode laser in vitro." Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery, Vol. 25 (No. 5), pp. 401-06, (1999).
16- A Azizi, H Ebrahimi, N CHini Foroush, and S GHolami, "The comparison between efficacy of 980 and 810 nanometer Diode Laser on gingival pigmentation removal." Res Dent Sci, Vol. 13 (No. 1), pp. 1-7, (2016).
17- Sharath Karanth, Deepa Shetty, M Hemanth, Manoj Varma, and Benette Fernandes LavanyaVarma, "Case Report Treatment of pyogenic granuloma using a 940nm Diode laser."
18- Elisabetta Merigo et al., "Laser-assisted surgery with different wavelengths: a preliminary ex vivo study on thermal increase and histological evaluation." Lasers in Medical Science, Vol. 28pp. 497-504, (2013).
19- Semez Gianfranco, SE Francesco, and Rocca Jean Paul, "Erbium and diode lasers for operculisation in the second phase of implant surgery: A case series." Timisoara Med J, Vol. 60 (No. 1), pp. 117-23, (2010).
20- Ena Mathur, Mohit Sareen, Payal Dhaka, and Pallavi Baghla, "Diode laser excision of oral benign lesions." Journal of lasers in medical sciences, Vol. 6 (No. 3), p. 129, (2015).
21- Debanti Giri, Nitin Agarwal, Abhishek Sinha, Sunita Srivastava, and Anuj Mishra, "Diode laser: In treatment of recurrent verrucous leukoplakia." Contemporary Clinical Dentistry, Vol. 7 (No. 2), p. 250, (2016).
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IssueVol 12 No 2 (2025) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/fbt.v12i2.18272
Keywords
Oral Soft Tissue Surgery Dental Implants Wavelength Diode Laser

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How to Cite
1.
Abdolahzadeh M, Sadeghi S, Irani MA, Yari A, Attari K, Aryanezhad SS, Abolfazli Karizi S. Clinical Evaluation of Tissue Healing around Gingival Former Following Dental Implant Uncovery with two Different Diode Laser Wavelength. Frontiers Biomed Technol. 2025;12(2):243-250.