Postoperative discomfort in oral soft tissue surgery: a comparative perspective evaluation of Nd:YAG Laser, quantic molecular resonance scalpel and cold blade.
Minerva Stomatol
; 64(1): 9-20, 2015 Feb.
Article
in En, It
| MEDLINE
| ID: mdl-25660590
ABSTRACT
AIM:
The aim of this paper was to compare pain, health-related quality of life (HRQoL) and need for painkillers during the postoperative course of oral soft tissue surgery performed with neodymium-doped yttrium aluminum garnet (NdYAG) laser, quantic molecular resonance (QMR) scalpel and cold blade.METHODS:
One-hundred and sixty-three similar surgical interventions were subclassified as follows group 1 (G1), 77 cases performed with NdYAG laser; group 2 (G2), 45 cases performed with QMR scalpel and group 3 (G3), 41 cases performed with cold blade. Pain was evaluated using a Visual Analogue Scale (VAS), a Numeric Rating Scale (NRS) and a Verbal Rating Scale-6 (VRS-6) on the same day of surgery (day 0), and at 1, 3 and 7 days after surgery. The HRQoL was evaluated on day 7 using a 0-45 score range questionnaire. On day 7, painkillers taken were recorded.RESULTS:
No statistically significant differences could be highlighted in the VAS and NRS scores at day 1, 3 and 7. A trend toward significance at day 0 was evident, with a VAS and NRS average scores lower in G1 than G2 and G3. With regard to VRS-6, the scores resulted statistically lower in G1 than G2 and G3 at day 1 and 3. The HRQoL in G1 was statistically lower than G3.CONCLUSION:
Our study demonstrates that the use of new technologies in oral soft tissue surgery is associated to a reduction of postoperative discomfort. The better HRQoL and the lower postoperative pain observed in laser-treated patients may be associated to the possible bio-modulating effect of the laser.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pain, Postoperative
/
Oral Surgical Procedures
/
Laser Therapy
/
Lasers, Solid-State
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
/
It
Journal:
Minerva Stomatol
Year:
2015
Type:
Article