Evaluation of Upper Labial Frenectomy: A Randomized, Controlled Comparative Study of Conventional Scalpel Technique and Er:YAG Laser Technique

Overview

Journal Clin Exp Dent Res

Publisher Wiley

Specialty Dentistry

Date 2020 Dec 28

PMID 33369213

Citations 6

Authors

Roxana Sarmadi

Pia Gabre

Andreas Thor

Affiliations

Soon will be listed here.

Abstract

Objectives: Abnormalities in the maxillary frenum may lead to esthetic or functional limitations and need to be corrected with a surgical intervention called frenectomy. The aim of the study was to compare frenectomies performed using Er:YAG laser technology with those using a conventional scalpel technique. Comparisons were of patients' experiences, treatment times, bleeding during treatment and wound healing.

Material And Methods: The trial was performed as a prospective, randomized and controlled, single-blind investigation. A total of 40 patients requiring frenectomy were randomly assigned to groups which underwent either conventional or Er:YAG laser treatment. Patients' experiences, treatment time, bleeding and wound healing were evaluated immediately after surgery and 5 days, 12 days and 3 months after surgery.

Results: Significant increase in time spent in surgery and bleeding was seen with conventional scalpel surgery. Directly after surgery the wound area was significantly larger in the laser group but at the 5-day evaluation no difference could be observed between the groups. Finally, patients were satisfied with both methods, giving them the same assessments.

Conclusion: In the frenectomy procedure, laser surgery is faster and causes less bleeding and may be advantageous in frenectomies.

Citing Articles

Clinical evaluation of pain perception and surgical wound healing after lower labial frenectomy with diode laser technique: pilot study.

Fonseca R, de Oliveira M, Tanaka E, da Graca R, Laurentino R, Machado L Lasers Med Sci. 2025; 40(1):104.

PMID: 39969597 DOI: 10.1007/s10103-025-04370-6.

Assessment and Management of Maxillary Labial Frenum-A Scoping Review.

Kinney R, Burris R, Moffat R, Almpani K Diagnostics (Basel). 2024; 14(16).

PMID: 39202198 PMC: 11352991. DOI: 10.3390/diagnostics14161710.

The features of the reparative regeneration of an oral mucosa wound created under the exposure of a laser at a wavelength of 445 nm (a pilot study).

Romanenko N, Tarasenko S, Davtyan A, Serezhnikova N, Djidjavadze S, Derevyankin A Lasers Med Sci. 2024; 39(1):152.

PMID: 38849656 DOI: 10.1007/s10103-024-04105-z.

Labial Frenectomy using Laser: A Scoping Review.

Dioguardi M, Ballini A, Quarta C, Caroprese M, Maci M, Spirito F Int J Dent. 2023; 2023:7321735.

PMID: 37168276 PMC: 10164919. DOI: 10.1155/2023/7321735.

Comparative frenectomy with conventional scalpel and dual-waved laser in labial frenulum.

Xie L, Wang P, Ding Y, Zhang L World J Pediatr Surg. 2022; 5(1):e000363.

PMID: 36474628 PMC: 9716829. DOI: 10.1136/wjps-2021-000363.

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