Low-Level Laser Therapy in Enhancing Wound Healing and Preserving Tissue Thickness at Free Gingival Graft Donor Sites: A Randomized, Controlled Clinical Study

Photomed Laser Surg. 2017 Apr;35(4):223-230. doi: 10.1089/pho.2016.4163. Epub 2017 Jan 12.

Abstract

Objective: The aim of this study was to determine the effects of low-level laser therapy (LLLT) on wound healing at free gingival graft (FGG) donor sites.

Materials and methods: Forty patients requiring FGG were selected for this randomized, controlled, and double-blinded prospective clinical trial. The FGG donor sites were treated with LLLT and compared with an untreated control group. The Wound-Healing Index (WHI), tissue consistency, color match, and H2O2 bubbling test for the evaluation of complete wound epithelialization were recorded on the 3rd, 7th, 14th and 21st days. The pain-burning level, number of analgesics, and bleeding were recorded for 7 days. Donor area soft tissue thickness (TT) was measured at baseline and at the first month.

Results: The prevalence of Complete Wound Epithelization was higher in the LLLT group than in the control group on the 14th day (p < 0.001). The bleeding was lower in the test group than in the control group during the first 2 days (p ≤ 0.001). Higher WHI Scores were observed in the test group relative to the control group at all visits (p ≤ 0.001). Color match scores were higher in the test group than in the control group at the first 3 visits (p < 0.05). The TT changed from 4.62 ± 0.79 to 4.71 ± 0.82 mm in the LLLT group and from 4.23 ± 0.62 to 4.01 ± 0.68 mm in the control group.

Conclusions: It can be concluded that LLLT enhances FGG donor site wound healing and preserves TT at palatinal donor sites.

Keywords: low-level laser therapy; periodontology; tissue effects; tissue repair; wound; wound healing.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Cicatrix / prevention & control
  • Female
  • Free Tissue Flaps / transplantation*
  • Gingiva / surgery
  • Gingiva / transplantation*
  • Humans
  • Low-Level Light Therapy / methods*
  • Male
  • Prospective Studies
  • Reference Values
  • Statistics, Nonparametric
  • Transplant Donor Site / radiation effects*
  • Transplantation, Autologous / methods
  • Wound Healing / physiology
  • Wound Healing / radiation effects*