Perioperative outcomes of frenectomy using laserversusconventional surgery: a systematic review

Abstract

Introduction: Frenectomy is an oral surgical procedure usually performed with a scalpel. Several authors recently reported the interest of laser, as a minimally invasive and efficient alternative tool to perform frenectomy. This study aimed to compare the perioperative management of patients requiring a frenectomy using scalpel versus laser. Materials and methods: A systematic review of the literature has been carried out from Pubmed and Scopus databases following PRISMA guidelines. PICO method was used to select the relevant articles. Clinical studies comparing the perioperative outcomes of patients requiring frenectomies using scalpel versus laser were included. Results: Ten articles involving 375 patients were included. Pre-operative parameter (anxiety before surgery) and per-operative data such as anesthesia, surgery duration, bleeding, suture and difficulty were assessed. The post-operative outcomes investigated were pain, analgesics use, functional discomfort, edema, healing and satisfaction of patients. Laser achieved satisfactory peri-operative outcomes such as shorter operative time, without suturing requirement, as well as less post-operative pain and functional discomfort. Discussion: The low number of eligible studies, the different type of lasers used and heterogeneity across the methodology of the selected studies were the limits of the study. Conclusion: Laser-assisted surgery became an attractive tool to perform oral soft tissue surgery.

Management of inappropriate frenal attachment with conventional scalpel approach: A case report

“…Lasers are becoming increasingly popular in the field of dentistry providing alternative to conventional scalpel procedures and can be employed for frenectomy procedures but selection of it according to the type of attachment is important for the achievement of proper functional and aesthetic result. 10 In the present case reports, the papillary frenum was present which was surgically excised using classical conventional technique. This was simple to perform, and desirable results were obtained with complete patient satisfaction.…”

Evaluation of Children’s Perceptions after Frenectomy: Diode Laser vs. Conventional Scalpel Technique

“…Studies using various types of lasers to manage soft tissue procedures have demonstrated successful clinical results (10)(11)(12). Although advantages such as shorter operation time, hemostasis, and reduced postoperative pain have been reported with the use of laser techniques in frenectomy operations, there is no consensus on the benefits of this application (13). In particular, the results obtained from various studies regarding the usage of Diode laser in Frenectomy are variable (14).…”