• Medientyp: E-Artikel
  • Titel: Comparison between traditional surgery, CO2 and Nd:Yag laser treatment for generalized gingival hyperplasia in Sturge–Weber syndrome: a retrospective study
  • Beteiligte: Inchingolo, Francesco; Tatullo, Marco; Abenavoli, Fabio M.; Marrelli, Massimo; Inchingolo, Alessio D.; Inchingolo, Angelo M.; Dipalma, Gianna
  • Erschienen: Wiley, 2010
  • Erschienen in: Journal of Investigative and Clinical Dentistry, 1 (2010) 2, Seite 85-89
  • Sprache: Englisch
  • DOI: 10.1111/j.2041-1626.2010.00020.x
  • ISSN: 2041-1618; 2041-1626
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  • Beschreibung: AbstractAim:  Sturge–Weber syndrome is a rare congenital disorder that belongs to the group of neuroectodermal development anomalies called “phakomatoses”. Hyperplastic lesions affect the gingiva, causing massive spontaneous bleeding.Methods:  We report a retrospective study of 11 patients affected by Sturge–Weber syndrome, with generalized gingival hyperplasia and angiomatous lesions of the oral cavity. Traditional scalpel surgery was performed in three patients; the remaining eight underwent laser gingivectomy. Specifically, four were treated with electrosurgery and a CO2 laser, and the remaining four patients were treated with a neodymium‐doped yttrium aluminium garnet laser at 1.06, with a power of 4 or 6 W. In order to measure the patients’ pain response, we used a visual analog scale. We clinically evaluated the tissue response and the possible presence of relapse in the surgically‐treated areas.Results:  The three patients treated with traditional surgery had a relapse between 17 and 24 months after surgery. The four patients treated with the CO2 laser had a relapse between 36 and 42 months after surgery in 75% of cases.Conclusions:  The most encouraging results were achieved using the neodymium‐doped yttrium aluminium garnet laser; patients treated with this procedure had a relapse 5 years and 4 months from surgery in only 25% of cases.