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

Viet, Do Hoang; Ngọc, Võ Trương Như; Anh, Le Quynh; Sơn, Lê Hoàng; Chu, Dinh‐Toi; Ha, Phung Thi Thu; Chu-Dinh, Thien

doi:10.15171/jlms.2019.15

Cited by 12 publications

(16 citation statements)

References 10 publications

(10 reference statements)

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“…Similar outcomes have been highlighted in other recent studies [ 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 ], making laser-assisted frenectomy a more valuable option compared to the conventional surgical method used in the last years. In particular, Nammour et al [ 50 ] focused on the reduced need for sutures, while Brignardello-Petersen [ 48 ] and Viet et al [ 53 ] highlighted different positive outcomes in diode laser frenectomy when compared to the traditional surgical method, such as reduced discomfort of the patients, reduction in the operation time, and reduced need of infiltration anesthesia.…”

Section: Discussionsupporting

confidence: 85%

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

et al. 2022

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(1) Background: Ankyloglossia, or tongue-tie is a condition, in which the tip of tongue cannot protrude beyond the lower incisor teeth because of short frenulum linguae, often containing scar tissue. Limitations of movement are the most important clinical symptoms of this condition, together with feeding, speech, and mechanical problems. (2) Methods: the present study included two groups of patients (group A and group B) including, respectively, 29 and 32 patients (61 patients total), aged from 8 to 12 and presenting ankyloglossia classified according to the Kotlow’s classification. The patients in group A underwent a common surgical procedure. For the patients of group B, a diode laser device (K2 mobile laser, Dentium, Korea) with a micro-pulsed wavelength of 980 ± 10 nm and power of 1.2 watts was used. The post-surgical discomfort of the patients (recording the pain perceived immediately after the end of the anesthesia and during the following week, using the Numeric Rating Scale (NRS) system) and healing characteristics (recorded using the Early Wound Healing Score or EHS) were evaluated. (3) Results: The results shows that the pain in the patients who underwent laser-assisted frenectomy is significantly reduced (p < 0.001) when compared to those who underwent conventional surgical frenectomy, both immediately after surgery (with a reduction in the average NRS of 80.6%) and after the first week (with a reduction in the average NRS of 86.58%). Additionally, in the same patients, an augmentation in the average value of the EHS of 45% was recorded, highlighting significantly (p < 0.001) better quality in the healing of the wound within the 24 h after surgery. Moreover, other advantages observed in the use of laser assisted-frenectomy are the absence of bleeding and, consequently, a clear operative field; no need to use sutures; no need to take painkillers or antibiotics after surgery; and having a faster recovery and less time needed to perform the operation. (4) Conclusions: within the limits of the present study, it seems possible to assert that the laser frenectomy performed using the v-shape technique presents a series of advantages if compared to the conventional surgical method.

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Section: Discussionsupporting

confidence: 85%

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

et al. 2022

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“…Distintos autores recomiendan el uso de la láser terapia en los tratamientos de frenectomía al considerar los beneficios de ésta, frente a la terapia convencional (Gargari et al, 2012;Viet et al, 2019). Incluso un metaanálisis compara la técnica convencional con la técnica con láser en las frenectomías labiales y concluyó que los mejores resultados en relación al dolor, malestar al hablar y masticar fueron los de los pacientes tratados con láser.…”

Section: Discussionunclassified

Use of diode laser in soft tissue. Report of 3 cases

Basualdo

Yang²,

PLacencia³

et al. 2020

IJMSS

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There are various anatomical conditions or mucogingival alterations that can affect the normal functioning and the gingival aesthetics of teeth and dental implants. Although the treatments of these conditions have been traditionally performed with a scalpel, technological development has allowed that they can be now performed with lasers. There are different types of lasers, being the diode one of the most used due to its smaller size, portability, easy configuration, and lower cost. The laser has become more popular in soft tissue surgeries due to its multiple benefits: shorter operating time, control of bleeding and hemostasis, reduction in the amount of anesthesia, possibility of not requiring sutures, and minimization of post-surgical pain and inflammation. The purpose of this work is to present the resolution of three clinical cases which underwent labial frenectomy procedures, removal of gingival melanosis and resection of irritative fibroma using diode laser. To develop all the procedures, a 940 nm diode laser equipment (Biolase®, USA) was used with a power that varied between 2 and 2.5 W in continuous mode, using a 300 µm tip (E 3-4), which was activated before starting. After surgery, biostimulation was carried out to reduce postoperative pain and edema using the pain tip at 4 W for 30 seconds at a distance of 1 cm directly in the operated area in all cases. In all cases, the diode laser allowed a successful result. The procedure was safe, the technique was simple, and the clinical time was short. The postoperative period occurred with the absence of pain or discomfort, generating greater patient satisfaction. It should be noted that the technique depends on the skill of the professional who performs it.

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“…Application of diode laser provides many clinical benefits, including administration of a reduced dose of infiltration anesthesia, bleeding control, and minimization of the post-operative swelling and pain. A laser-assisted frenectomy can be performed without or with minimal use of infiltration anesthesia, this encourages the patient co-operation during surgery (13).…”

Section: Discussionmentioning

confidence: 99%

Management of traumatically intruded permanent tooth with 30-month follow-up: A case report

Darmiani

2020

jsurgery

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Intrusive luxation often results in severe damage to the tooth, periodontium, and pulp tissue. Furthermore, treatment outcome is often unpredictable due to the presence of numerous injury-related variables affecting the treatment option and prognosis. The current report presents the case of a 14-year-old boy with a 9.0 mm intruded permanent right maxillary central incisor with a closed apex which was treated by orthodontic repositioning and root canal treatment with a favorable prognosis. At the last follow-up visit (30 months after the first treatment session), the tooth was asymptomatic, and radiographic examination showed normal periapical and periodontal appearance.

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

Cited by 12 publications

References 10 publications

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

Clinical Comparison of Diode Laser Assisted “v-Shape Frenectomy” and Conventional Surgical Method as Treatment of Ankyloglossia

Use of diode laser in soft tissue. Report of 3 cases

Management of traumatically intruded permanent tooth with 30-month follow-up: A case report

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