Labial Frenum Revoval in Adult Patient with GaAIAs Laser Diode (808 nm): A Case Report
High attachment of labial frenum can lead to the mal-alignment of tooth such as midline diastema between anterior incisors. The thick broad fibrous attachment of frenum which increases the tooth separation has to be corrected by surgical removal and rearrangement of tooth alignment with orthodontic treatment. In case of thin and small fibrous band, the treatment plan could be diastema closure by filling materials with frenectomy. Recently, various kinds of dental laser have been used for frenectomy with advantage for sterilized, bloodless and stitchless wound with rapid healing. This case report focuses on frenectomy of lower labial frenum by using diode laser (GaAlAs laser diode). Furthermore, it also includes the clinical appearance, diagnosis, surgical technique, patient’s care and follow ups.
1. Gkantidis N, Kolokitha OE, Topouzelis N. Management of maxillary midline diastema with emphasis on etiology. J Clin Pediatr Dent 2008; 32(4): 265-272.
2. Devishree, Gujjari SK, Shubhashini PV. Frenectomy : A review with report of surgical techniques. J Clin Diagn Res 2012; 6(9): 1587-1592.
3. Koora K, Muthu MS, Rathna PV. Spontaneous closure of midline diastema following frenectomy. J Indian Soc Pedod Prev Dent 2007; 25(1): 23-26.
4. Mello-Moura AC, Cadioli IC, Corrêa MS, Rodrigues CR, De Nardi Fonoff R. Early diagnosis and surgical treatment of the lower labial frenum in infancy: a case report. J Clin Pediatr Dent 2008; 32(3): 181-183.
5. Gargari M, Autili N, Petrone A, Prete V. Using the diode laser in the lower labial frenum removal. Oral Implantol (Rome) 2012; 5(2-3): 54-57.
6. Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. J Dent Child (Chic) 2005; 72(1): 10-15.
7. Bagga S, Bhat KM, Bhat GS, Thomas BS. Esthetic management of the upper labial frenum: a novel frenectomy technique. Quintessence Int 2006; 37(10): 819-823.
8. White JM, Chaudhry SI, Kudler JJ, Sekandari N, Schoelch ML, Silverman S Jr. Nd:YAG and CO2 laser therapy of oral mucosal lesions. J Clin Laser Med Surg 1998; 16(6): 299-304.
9. Gáspár L, Kásler M, Szabó G, Bánhidy F. Separate and combined use of Nd:YAG and carbon dioxide lasers in oral surgery. J Clin Laser Med Surg 1991; 9(5): 381-383.
10. Luomanen M, Rauhamaa-Mäkinen R, Meurman JH, Kosloff T, Tiitta O. Healing of rat mouth mucosa after irradiation with CO2, Nd:YAG, and CO2-Nd:YAG combination lasers. Scand J Dent Res 1994; 102(4): 223-228.
11. Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. J Periodontol 2006; 77(11): 1815-1819.
12. Olivi G, Chaumanet G, Genovese MD, Beneduce C, Andreana S. Er,Cr:YSGG laser labial frenectomy: a clinical retrospective evaluation of 156 consecutive cases. Gen Dent 2010; 58(3): e126- 133.
13. Pié-Sánchez J, España-Tost AJ, Arnabat-Domínguez J, Gay-Escoda C. Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser. Med Oral Patol Oral Cir Bucal 2012; 17(2): e228-232.
14. Kafas P, Stavrianos C, Jerjes W, Upile T, Vourvachis M, Theodoridis M, Stavrianou I. Upper-lip laser frenectomy without infiltrated anaesthesia in a paediatric patient: a case report. Cases J 2009 May 20;2:7138.
15. Aras MH, Göregen M, Güngörmüş M, Akgül HM. Comparison of diode laser and Er:YAG lasers in the treatment of ankyloglossia. Photomed Laser Surg 2010; 28(2): 173-177.
16. Olivi G, Signore A, Olivi M, Genovese MD. Lingual frenectomy: functional evaluation and new therapeutical approach. Eur J Paediatr Dent 2012; 13(2): 101-106.
17. Kara C. Evaluation of patient perceptions of frenectomy: a comparison of Nd:YAG laser and conventional techniques. Photomed Laser Surg 2008; 26(2): 147-152.
18. Chu FC, Siu AS, Newsome PR, Wei SH. Management of median diastema. Gen Dent 2001; 49(3): 282-287; quiz 288-289.
19. Kaimenyi JT. Occurrence of midline diastema and frenum attachments amongst school children in Nairobi, Kenya. Indian J Dent Res 1998; 9(2): 67-71.
20. Cavalcanti TM, Almeida-Barros RQ, Catão MH, Feitosa AP, Lins RD. Knowledge of the physical properties and interaction of laser with biological tissue in dentistry. An Bras Dermatol 2011; 86(5): 955-960.
21. Matsui S, Tsujimoto Y, Matsushima K. Stimulatory effects of hydroxyl radical generation by Ga-Al-As laser irradiation on mineralization ability of human dental pulp cells. Biol Pharm Bull 2007; 30(1):27-31.