Evaluation of patient perceptions after labial frenectomy procedure: A comparison of diode laser and scalpel techniques

Abstract

Background: Frenectomy is the complete excision of the frenum along with its attachment to the underlying bone. It can be done by conventional technique, electrosurgery or soft tissue lasers. Aim: To evaluate the effects of diode laser and scalpel technique on degree of post-operative pain and discomfort experienced by patients on the 1 st , 3 rd and the 7 th post-operative days after frenectomy. Materials and Methods: Ten patients who required frenectomy were randomly assigned to undergo treatment with diode laser or scalpel. The data were analyzed with paired t-test and intragroup comparison was determined by ANOVA. Results: Intergroup comparison of the mean VAS scores for discomfort and pain for both the groups showed significant difference. The VAS scores of pain and discomfort within scalpel group between 1 st and 3 rd day did not show any significant difference, however between 7 th day versus 3 rd and 1 st day difference was highly significant. The VAS scores of pain and discomfort within laser group between all the days showed significant difference. Conclusion: Taking into consideration the clinical outcome, the diode laser is a dependable alternative as it is an efficient and satisfactory option for procedures like frenectomy.

Reduced Need of Infiltration Anesthesia Accompanied With Other Positive Outcomes in Diode Laser Application for Frenectomy in Children

“…Application of diode laser provides many clinical benefits, including control of bleeding, reduction in the requirement of infiltration anesthesia, and minimization of the postoperative pain and swelling. [7][8][9] Laser-assisted frenectomy can be performed without or with minimal use of infiltration anesthesia; this encourages the cooperation of children during surgery.…”

Management of the Maxillary Labial Frenum and Ankyloglossia Using Diode Laser at Single Visit: A Case Report

“…Laser wavelength has affinity for melanin or dark pigments, and is strongly absorbed by the blood hemoglobin [9,10], which contributes to their thermal effect. Therefore, laser works more efficiently when the energy is applied in the presence of pigments [11,12]. Thus, indicating reason behind the use of this range of wavelength for homeostasis [13] reported that the Diode Laser (980 nm) was beneficial in 22 patients when treating soft tissue tumors, gingival hyperplasia, frenectomy, removal of hemangioma, vestibuloplasty and peri-implant tissue surgery.…”

High Power Laser and Photobiomodulation in Oral Surgery: Case Report

“…A lip frenulum is a mucous membrane that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. [1][2][3] It is regarded as an anatomical formation that, under normal conditions, does not have pathological consequences. However, the presence of improperly inserted lip frenulum can cause orthodontics problems, periodontal diseases related to food impaction, retention of biofilm, difficulty in oral hygiene, and can greatly restrict lip movement.…”

“…However, the presence of improperly inserted lip frenulum can cause orthodontics problems, periodontal diseases related to food impaction, retention of biofilm, difficulty in oral hygiene, and can greatly restrict lip movement. [2][3][4] This condition of the labial frenum can be clinically detected by applying tension on it -the papilla lip could be moved or the ischemia of the region may be observed. 1 Therefore, the frenum is considered pathogenic when it is unusually wide or when there is no area of the attached gingiva along the midline or the interdental papilla is displaced due to an extension of the frenum.…”

“…Frenectomy is a surgical procedure that aims to remove the lip frenum, including its ligaments to the underlying bone. 1,3,4 It can be performed with a scalpel, an electrical scalpel or a surgical laser. [4][5][6] Laser treatment is often applied as an alternative or adjunct to traditional techniques, due to its effects and properties such as tissue vaporization, hemostasis, and sterilization.…”