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The upper anterior labial frenum is extended to the palatal inter-incisal area causing dental discrepancies.

The upper anterior labial frenum is extended to the palatal inter-incisal area causing dental discrepancies.

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Labial frenectomy is a common surgical procedure in the field of oral surgery. Labial frenectomy is a procedure usually done for orthodontic reasons. The role of laser surgery in the oral cavity is well established. The use of diode laser frenectomy without infiltrated anaesthesia is currently under investigation. Needle-less oral surgery, without...

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... 9-year-old Caucasian boy of Greek nationality was referred by his orthodontist for assessment of the upper anterior labial frenum (Figure 1). The medical history was free. ...

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Citations

... Awooda et al. [11] Ora Laser jet 20 (Germany At the end of 3 months, healing was same for both techniques. Diode lasers provide better patient perception in terms of reduced operative time, pain, and bleeding than encountered by the scalpel Singh et al. [13] 980 nm diode laser Local infiltration anesthesia 38 years Mucosal type of frenal attachment was seen Kafas et al. [15] 1400 mW at 808 nm with continuous output, optical fiber of 300 mm diameter Topical lidocaine stray 9-year-old Caucasian boy ...
... Topical anesthesia, few drops of lignocaine was injected in the frenum 15 year/M Satisfactory healing and increased tongue mobility after 1 month ...
... Though the healing of laser wounds after the 7th day and 1 month was found to be delayed as compared to scalpel wound, after 3 months, no significant difference was found in healing between scalpel and laser group. [15] In this study, near-complete healing was seen in 2 weeks and complete healing with no scar was seen after 1-month follow-up. The review of various studies conducted on diode laser frenectomy is summarized in Table 1. ...
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Abnormal/aberrant frenum is very common and causes various problems in function and aesthetics. It is managed by procedures such as frenotomy and frenectomy. Lasers are currently becoming popular in various fields of dentistry and provide alternative to conventional scalpel procedures. In recent years, lasers such as CO 2 , Neodymium-doped yttrium aluminum garnet, Erbium-doped yttrium aluminium garnet, and diode have been used for frenectomy. In this paper, we present a case of diode laser frenectomy and review various studies and reports conducted on diode laser frenectomy.
... [9,16] Although literature demonstrates many articles regarding the use of diode lasers of various wavelengths for various oral soft-tissues procedures such as lingual frenectomy, [1,4,5,7,8,17,18] there are only few published articles in the existing literature regarding the diode laser of 808 nm wavelength for frenectomy procedure. [19][20][21][22] The present article describes the clinical case report of successful and effective treatment of ankyloglossia using the soft-tissue diode laser in 10-year-old male patient. In addition, the anxiety/fear was assessed using the Facial image scale (FIS). ...
... [17,18,29] Diode lasers are available in various wavelengths near infra-red spectral zone for oral soft-tissue surgeries such as 635, 670, 808, 810, 830, 940, and 980 nm. [18][19][20][21][22]29] The clinical use of diode laser of wavelength 808 nm in various oral soft-tissue surgeries has been reported in literature. [20,21,[30][31][32] The chromophore of diode lasers is colored (pigmented) t i s s u e s , m a i n l y m e l a n i n , h e m o g l o b i n , a n d oxy-hemoglobin. ...
... Similarly, previous studies have reported the successful use of the diode laser of particular wavelength 808 nm for frenectomy procedure. [19][20][21][22] In the current clinical case, the diode laser application was found successful and satisfactory in various favorable intraoperative and postoperative clinical aspects of frenectomy. Similar clinical advantages of using diode laser for frenectomy have been reported in other studies. ...
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Ankyloglossia is an abnormal congenital condition of the tongue characterized by abnormal attachment of lingual frenum or shorter lingual frenulum. Although various conventional surgical modalities and lasers for frenectomy has been described in literature, only few articles have been reported in the existing literature regarding the diode laser of 808 nm wavelength for frenectomy procedure in pediatric patient. Hence, the current article describes the clinical case report of successful and effective treatment of ankyloglossia using soft-tissue diode laser of 808 nm wavelength with minimally invasive dentistry approach in a 10-year-old male pediatric patient. In addition, the tongue-tie was clinically evaluated using the Hazelbaker Assessment Tool for Lingual Frenulum Function. Diode lasers can be used as a safe alternative surgical tool for managing tongue-tie with minimally invasive dentistry approach and also for alleviating the dental anxiety in pediatric patients.
... According to Panagiotis et al., the disadvantage of diode laser is the time required for excision in comparison to blade. [24] The cutting efficiency of scalpel was quicker than laser but some additional time was required for suturing. In a study by Jose et al., the results were contradictory as it was found the total treatment time with laser to be less in comparison to scalpel which was attributed to increased intraoperative bleeding and also suturing at the end. ...
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Background: As dental lasers are becoming more popular in the branch of oral medicine for its various advantages and applications, this study was carried out to evaluate better mode of obtaining oral biopsies which is a common and inevitable procedure for providing final diagnosis in majority of conditions. Methodology: In this study, a total of 60 patients who required biopsy for final diagnosis of oral mucosal lesions as part of diagnosis in department of Oral Medicine were selected, out of which 30 were subjected to scalpel biopsies and 30 patients were subjected to diode laser biopsies. A 980 nm Zolar plus diode laser was used for the study. Out of 30 patients who were subjected to laser biopsies, 3W continuous mode settings were used for 15 patients and 3W pulsed mode was used for 15 patients. The specimens were sent to Department of Oral Pathology for histopathological evaluation to provide the final diagnosis. The time taken for each patient, volume of local anesthesia, during operative, postoperative pain scale, and co-relation of provisional and final diagnosis was noted for comparison purpose and the pathologist comments, peripheral tissue damage and artifact's for each slide were noted. Results: The study results showed the postoperative pain was comparatively less in diodlaser than scalpel, the lasers were patient friendly as the heammorage was negligible when compared to scalpel and suturing was not required. The pulsed mode in diode laser was advantageous over continuous mode when amount of thermal damage and postoperative pain score was compared. Conclusion: The results showed that oral biopsies can be made better using diode lasers, by having thorough knowledge on the device.
... [8] There is a paucity of published literature regarding the diode laser of 808 nm wavelength in correcting abnormal labial frenulum in a pediatric patient. [4,6,9,10] The present article describes the successful treatment of aberrant maxillary labial frenulum using the diode laser of wavelength 808 nm and 600 µm fiber tip without infiltrated anesthesia in a 10-year-old patient. The patient's anxiety was assessed with the help of the facial image scale (FIS) (Buchanan and Niven, 2002). ...
... Similarly, Kafas et al. reported the successful management of aberrant maxillary labial frenulum without infiltration anesthesia using the diode laser with wavelength 808 nm in a pediatric patient with optimum healing outcomes. [10] The diode laser has been used successfully and effectively in frenectomy procedures as reported in previously published articles. [4,6,10,12] ...
... [10] The diode laser has been used successfully and effectively in frenectomy procedures as reported in previously published articles. [4,6,10,12] ...
... It is usually operated in contact mode by means of a flexible fibre optic delivery system that emits in continuous-wave or gated-pulsed modes. 5 The aim of this study was to parallel the effects of the DIODE laser and the conventional scalpel technique on the degree of postoperative pain, discomfort and rate of healing experienced by patients after frenectomy operation. ...
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One of the essential surgical procedure is the frenectomy. The labial frenum is an anatomical landmark that joins the lips and cheeks to the alveolar processes of maxillary and mandibular bones. This fold contains vascular structures with thin peripheral nervous ramifications that is covered by stratified layered epithelium and their high attachment may involve orthodontic, prosthodontics and prosthodontics discrepancies as well as speech inability. An abnormal frenum is termed as a hypertrophic, fibrotic, ample, fan-shaped or bifid-ending structure. Diode laser has verified to be successful with soft-tissue incision and also led to a considerable decline in operating time
... The electrocautery probe is used due to the effectiveness of treatment, for the safety of the procedure, for the mild bleeding and for the absence of post operative complications, though the electrocautery has been associated with some complications such as the risk of an explosion when combustible gases are used, like burns, involvement with pacemakers and surgical smoke. The new improvements introduced in electrosurgical techniques have eliminated the complications reported like the Argon Beam Coagulation (ABC) 5 . ...
... On the other hand, a meta-analysis including seven studies highlights less pain and discomfort during speech and chewing on the first and the seventh days after the surgery as well as lower average surgery time in the laser surgery in comparison to the scalpel. 2 Performing frenectomy with no infiltrated anesthesia in a 9-year-old patient has also been reported. 36 Pié-Sánchez et al. compared the CO 2 laser with the Er, Cr: YSGG laser in frenectomy for 50 pediatric patients, two of whom required a single dose of analgesic. Despite not utilizing the diode laser, they have pointed out that it is suitable for soft tissue surgery regardless of its significant thermal effect on the tissue. ...
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Offering the whole orthodontic and surgical treatment to the patient as a single package in a one office can save them considerable time and the trouble. Diode laser enables orthodontists to do so while enjoying its benefits over the scalpel. image
... The management of such an aberrant frenum is accomplished by performing a frenectomy procedure. This can be accomplished either [1,3,4] [ [5][6][7][8] by the routine conventional scalpel technique laser or by using [9] electrosurgery . The present article is a compilation of clinical cases of an aberrant frenum, treated by frenectomy procedures (performed with scalpel, laser and electrosurgery), with an added note on comparison on the degree of postoperative pain, discomfort and functional complications (chewing and speech) experienced by patients after the procedure. ...
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Objective: The present study was designed to compare frenectomy procedure performed using scalpel, laser and electrosurgery and to evaluate the degree of postoperative pain, discomfort and functional complications (chewing and speech), experienced by patients on 1st and 7th post-operative days after three frenectomy procedures. Materials And Methods: Fifty four subjects requiring frenectomy were selected and divided randomly into Group A (conventional), Group B (laser) and Group C (electrosurgery). Mean VAS scores of postoperative pain, discomfort and functional complications were recorded on postoperative Day 1 and Day 7. Results: On intragroup comparison, there was reduction in pain, discomfort and functional complications (chewing and speech) from postoperative Day 1 to Day 7. On intergroup comparison, at day 1, Group B subjects experienced less pain, postoperative discomfort, less chewing discomfort. On day 7, Group C subjects showed less chewing discomfort. Conclusion: Laser showed promising results.
... Usually it is operated in contact mode through a flexible fiber optic delivery system that emits in continuous-wave or gated-pulsed modes. 7 Case Report 1 A 17 year old male patient presented with the chief complaint of spacing between the upper anterior teeth and the patient was referred from the department of orthodontics for frenectomy. Patient's medical history was not significant. ...
... [20,21,33] Furthermore, the minimally invasive laser procedure could have contributed to minimal pain perception. [32,34] VAS was used as a tool to evaluate pain. It is easy to understand and easily represents pain perception. ...