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Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study
Rui Medeiros Júnior1, Luiz Alcino Gueiros, Igor Henrique Silva
1Centro de Ensino e Pesquisa de Laser em Odontologia (CEPLO), Serviço de Estomatologia, Departamento de Clínica e Odontologia Preventiva, Universidade Federal de Pernambuco (UFPE), Av. Prof. Moraes Rego, 1235, Recife, PE, 50670-901, Brazil.
Lasers in Medical Science
|October 23, 2013
Summary
Neodymium-doped yttrium aluminum garnet (Nd:YAG) laser frenectomies offer advantages over conventional surgery. This laser technique reduces bleeding and surgical time, eliminating the need for sutures in labial frenulum procedures.
Area of Science:
- Oral Surgery
- Dental Technology
- Laser Applications in Medicine
Background:
- Labial frenulums, fibrous oral mucosa folds, can cause functional and esthetic issues when abnormally sized or located.
- Surgical intervention, known as frenectomy, is often required to address these limitations.
Purpose of the Study:
- To compare clinical outcomes of conventional surgery versus Nd:YAG laser for labial frenectomies.
- To evaluate parameters including bleeding, surgical time, suturing, patient fear, and postoperative discomfort.
Main Methods:
- A comparative study involving 40 patients undergoing labial frenectomy.
- Patients were divided into two groups: conventional surgery (n=22) and Nd:YAG laser surgery (n=18).
- Clinical parameters were assessed using a visual numeric scale for fear, pain, and functional limitations.
Main Results:
- Nd:YAG laser group (G2) showed no intraoperative bleeding and required no sutures (p<0.001).
- Surgical time was significantly reduced in the Nd:YAG laser group compared to conventional surgery (p<0.001).
- Preoperative fear and postoperative pain/functionality showed no significant differences between groups.
Conclusions:
- Nd:YAG laser frenectomy is effective in reducing transoperative bleeding and surgical time, while eliminating the need for sutures.
- Further research is needed for technique standardization and a comprehensive understanding of clinical results.
