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Comparative Evaluation of Scalpel, Electrosurgery, and Laser in Periodontal Surgery: A Systematic Case Review Mappangara, Surijana; Hatta, Ridhayani; Atlanta, Maya Masyita
Journal of Indonesian Dental Association Vol 7 No 1 (2024)
Publisher : Indonesian Dental Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32793/jida.v7i1.1124

Abstract

In periodontal surgery, utilizing a conservative approach yields more aesthetically pleasing outcomes while reducing patient morbidity and tissue damage. The development of tools such as electrosurgery and lasers for periodontal treatment has facilitated the implementation of these conservative procedures. This study aims to evaluate the efficacy, outcomes, and postoperative complications of scalpel, electrosurgery, and laser techniques in the periodontal surgery. This article was created by making a research question using the PICO method and searching for articles from PubMed/MEDLINE, Web of Science, Scopus, ScienceDirect, and Google Scholar from 2019-2023. This study used the PRISMA standard guidelines. Almost all studies in this systematic case review compared the three therapies in treating gingival hyperpigmentation. Only one study discussed the treatment of gingival enlargement using the gingivectomy method. Laser use in periodontal surgery is best compared to electrosurgery or scalpel in effectiveness, quality, outcome, postoperative complications, and wound healing. Dry and bloodless surgical wounds, instant sterilization of the surgical area, reduced bacteremia, mechanical trauma, minimal postoperative swelling and scarring, and minimal postoperative pain point to the effectiveness of using lasers compared to surgery with electrosurgery or scalpel techniques. Laser therapy in periodontal surgery is superior to scalpel and electrosurgery, offering faster treatment, fewer postoperative complications, enhanced wound healing, and higher patient satisfaction. These findings support the adoption of laser techniques for optimal clinical and patient outcomes.
Karakterisasi Kekerasan Mikro Berdasarkan Variasi Ketebalan Resin Komposit Bulk-Fill dengan Polimerisasi Light Emitting Diode Hatta, Ridhayani; Tari, Tari; Aisyah, Medinda; Arsista, Dede; Oktayani, Runi; Muslim, Ichwanul
Sinnun Maxillofacial Journal Vol. 7 No. 02 (2025): Oktober 2025
Publisher : Fakultas Kedokteran Gigi Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/smj.v7i02.219

Abstract

Pendahuluan: Resin komposit bulk-fill menjadi salah satu material restoratif yang banyak digunakan karena kemudahan aplikasi dalam lapisan tebal dan waktu kerja yang lebih efisien. Namun demikian, perbedaan ketebalan lapisan resin dapat memengaruhi efektivitas polimerisasi, yang pada akhirnya berdampak pada kekerasan mikro sebagai salah satu indikator keberhasilan restorasi. Tujuan Penelitian: Untuk menganalisis karakteristik kekerasan mikro resin komposit bulk-fill pada berbagai ketebalan setelah dilakukan polimerisasi menggunakan light emitting diode(LED). Bahan dan Metode: Sampel resin komposit bulk-fill dibuat dalam beberapa variasi ketebalan (2,4 dan 6 mm), kemudian dilakukan penyinaran LED dengan intensitas cahaya 1000mW/cm², pada jarak 2 mm selama 20 detik. Total 9 spesimen dilakukan pengukuran kekerasan mikro menggunakan Vickers microhardness test dengan beban uji 100gram selama 15 detik. Analisis statistik menggunakan uji ANOVA one-way, dengan nilai p<0,05. Hasil: Adanya penurunan nilai kekerasan mikro seiring bertambahnya ketebalan resin (2 mm = 60,63; 4 mm = 42,6; 6 mm = 38,3), dengan perbedaan yang signifikan (p=0,032). Temuan ini menegaskan bahwa meskipun resin komposit bulk-filldirancang untuk aplikasi dalam lapisan tebal, efektivitas polimerisasi tetap dipengaruhi oleh variasi ketebalan dan intensitas penyinaran LED. Kesimpulan: Hasil penelitian ini menunjukkan bahwa ketebalan resin komposit bulk-fill berpengaruh signifikan terhadap nilai kekerasan mikro setelah dilakukan polimerisasi menggunakan LED curing. Peningkatan ketebalan resin komposit bulk-fill terbukti menyebabkan penurunan nilai kekerasan mikro secara bermakna.