Impacto da estética vermelha do sorriso na qualidade de vida de pacientes submetidos a gengivectomia/gengivoplastia associada à laserterapia de baixa intensidade.

Abstract

Objective: This study evaluated the impact of the red smile aesthetics on the quality of life of patients submitted to gingivectomy / gingivoplasty, periodontal surgery, using laser therapy to control postoperative pain. Methodology: Twenty individuals were randomly assigned to two groups with 10 members: in the test group, low intensity laser was applied to the surgical wound and prescription of analgesic; whereas in the control group only analgesic therapy was performed. The irradiation was performed in a single session for 30 seconds at each point with a Diode Laser (808 nm, 100 mW, 105 J/cm 2). Laser light was irradiated in 3 points, mesial, distal and vestibular surfaces, of the elements involved in periodontal surgery. In the postoperative period of 5 hours and at 1st, 2nd, 3rd, 4th, 5th, 6th and 7th days, the pain was evaluated by means of a Visual Analogue Scale and amount of analgesic ingested by the patient. The impact of the aesthetic changes on the smile was evaluated through the OHIP-14 in three moments: in the preoperative period and after 7 and 21 days. Results: There was no significant difference between the groups regarding pain and number of analgesic ingested in the postoperative period evaluated. There was a significant reduction in the value of total OHIP-14 (p ≤0.05) in both groups and in the psychological discomfort dimension (p = 0.006) in the test group after correction of aesthetic changes in the individuals' smile. Conclusion: Aesthetic periodontal surgery positively impacted the quality of life, especially in the dimension of psychological discomfort.