Abstract
Background: Frenum that encroaches on the margin of the gingiva may interfere with plaque removal and can lead to gingival recession and midline diastema. Thus in order to facilitate maintenance of proper oral hygiene and prevention of gingival recession, frenectomy is done.
 Aim: The aim of this study was to compare the effects of the diode laser and the scalpel technique on the degree of postoperative pain experienced by patients after frenectomy.
 Materials and Methods: Twenty patients requiring frenectomy were randomly assigned to two treatment groups, one with a diode laser and the other with a scalpel. The postoperative pain of each patient was assessed using a Visual Analog Scale and the number of analgesic used was recorded on postoperative days one and seven.
 Results: Patients treated with the diode laser had significantly less postoperative pain at day one and used less number of analgesic (2.30 ±0.94) as compared to scalpel surgery (4.40 ±1.07).
 Conclusion: This comparative study indicates that diode laser treatment for frenectomy provides better patient perception in terms of pain compared to scalpel technique.
Highlights
A frenum is a fold of mucous membrane enclosing the muscle fiber that attaches the lips and cheeks to the alveolar mucosa and/or gingiva and underlying periosteum.[1]
This comparative study indicates that diode laser treatment for frenectomy provides better patient perception in terms of pain compared to scalpel technique
Patients treated with the diode laser had significantly less (p
Summary
A frenum is a fold of mucous membrane enclosing the muscle fiber that attaches the lips and cheeks to the alveolar mucosa and/or gingiva and underlying periosteum.[1] Its primary function is to provide stability of the upper and lower lip and the tongue. The frenal attachments have been classified by Placek et al[2] as: 1. Mucosal – when the frenal fibres are attached up to the mucogingival junction. 2. Gingival – when the fibres are inserted within the attached gingiva. 4. Papilla penetrating – when the fibres cross the alveolar process and extend up to the palatine papilla. Frenum that encroaches on the margin of the gingiva may interfere with plaque removal and can lead to gingival recession and midline diastema. In order to facilitate maintenance of proper oral hygiene and prevention of gingival recession, frenectomy is done
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