Page 45 - MDJ Volume 47 Number 2 ( Jul-Dec 2024)

Sharma, et al.: Gingivectomy via electrosurgery
field, immediate haemostasis, patient comfort and it has been seen that there has been no recurrence of GE.
shorter procedure duration than in the conventional The well-planned professional maintenance protocol likely
methods. [12] contributed to this outcome. The patients were satisfied
with the aesthetic and functional results of the treatment.
Several studies have highlighted the efficacy of
electrosurgery in managing GE in orthodontic patients.
[13]
A study by Kumar et al. (2015) studied the use conclusIon
of electrosurgery versus laser therapy for gingival Electrosurgery plays a pivotal role in the management
recontouring. Electrosurgery provided effective control of orthodontic treatment-induced IGE. Its precision,
of bleeding during surgical procedures, which is crucial efficiency and favourable post-operative outcomes make
for maintaining a clear surgical field. The study noted it a preferred choice for clinicians. The technique’s ability
that electrosurgery was easier to use in cases of deep or to provide immediate and lasting results with minimal
thick gingival overgrowth, as there was less tissue sticking discomfort underscores its value in modern dental practice.
compared to lasers. The study reported significant Supported by robust clinical evidence and positive patient
improvements in gingival health and aesthetics, with experiences, electrosurgery represents a significant
patients experiencing minimal postoperative discomfort advancement in the management of gingival complications
and rapid healing. Patients treated with electrosurgery associated with orthodontic treatment. However, correct
also reported higher satisfaction due to less post-operative identification of causes, removal of irritating elements and
pain and faster recovery.
regular periodontal maintenance care during orthodontic
Electrosurgery enables easy tissue incision with a strong therapy are crucial for preventing recurrence.
haemostatic effect. It is simple to use, has bloodless
operating fields with fast haemostasis and is less time- Declaration of patient consent
consuming, patient compliance and acceptability are The authors certify that they have obtained all appropriate
more when compared with the conventional approach. patient consent forms. In the form, the patients have
However, it is not recommended for patients with cardiac given their consent for their images and other clinical
pacemakers. In addition, there seems to be a trend of information to be reported in the journal. The patients
discomfort with electrosurgery, possibly due to the extent understand that their names and initials will not be
of heat accumulation associated with this device, which published and due efforts will be made to conceal their
has also been linked to delayed healing. [13,14] However, identity, but anonymity cannot be guaranteed.
these findings were not established in the three cases
reported here. This can be found by the fact that in all
three patients, the incisions had healed uneventfully by the Acknowledgement
time the patients had come for a visit 10 days after the The authors are thankful to the Department of
electrosurgery procedures. Periodontology, School of Dental Sciences, Sharda
University, Greater Noida, Uttar Pradesh, India, for their
Electrosurgery, despite being a sophisticated treatment immense support.
method that offers clear benefits such as decreased
procedure duration and immediate hemostasis compared Financial support and sponsorship
to the traditional scalpel, does come with certain Nil.
drawbacks. These drawbacks include the risk of lateral
heat damage and the potential for extended healing time
in the affected tissues. Patients undergoing treatment in Conflicts of interest
our department did not experience these drawbacks. On There are no conflicts of interest.
the other hand, conventional scalpel therapy is known for
its ability to create precise incisions and promote faster references
healing, all at a significantly lower cost. While the scalpel 1. Newman MG, Takei H, Klokkevold PR, Carranza FA. Newman
continues to be considered the gold standard in many and Carranza’s Clinical Periodontology. 13th ed. Philadelphia, PA:
surgical procedures, electrosurgery has demonstrated Elsevier; 2019.
advantages over the scalpel specifically in the treatment of 2. Al-Abdaly MM, Asiri AM, Al-Abdaly GM, Ghabri MA, Alqaysi MA,
gingival hyperplasia seen in orthodontic patients. [12] Aljathnan AM, et al. Evaluation of the influence of fixed orthodontic
treatment duration on the severity of inflammatory gingival
enlargement (fixed orthodontic induced gingival enlargements) and
Some studies [5,15] have shown that there can be a recurrence some properties of saliva. Int J Clin Med 2022;13:132-46.
of gingival overgrowth after 6 months of surgical treatment. 3. Bashetty K, Nadig G, Kapoor S. Electrosurgery in aesthetic and
This occurs when the orthodontic brackets, wires and restorative dentistry: A literature review and case reports. J Conserv
Dent Endod 2009;12:139-44.
bands are placed close to the marginal gingiva, and there 4. Mohamed AD, Marssafy LH. Clinical evaluation for treatment of
is further accumulation of plaque and debris. However, chronic inflammatory gingival enlargement using diode laser versus
[15]
in our patients, after a 10-month follow-up on all the cases, electrocautery gingivectomy. Egypt Dent J 2020;66:225-35.

Malaysian Dental Journal ¦ Volume 47 ¦ Issue 2 ¦ July-December 2024 39