Abstract
Background: The labial frenula are triangular plicas departing from the alveolar mucosa and attaching themselves at different heights of the gingiva. Sometimes a high attachment can determine a gingival recession. The most suitable surgical resolution is the use of laser devices. The aim of this study was to compare the labial frenulectomy through the use of Diode and CO2 laser techniques in pediatric patients with a high labial frenulum attachment, clarifying at the same time the preventive role of the surgical treatment to avoid further recession. Methods: A pilot randomized, double-blinded clinical trial was conducted to compare both the surgical advantages and the preventive treatment of laser technology using two different wavelengths within a population of pediatric patients with a high labial frenulum attachment. Different parameters intra and post-surgery were taken into account (Bleeding, Wound Healing, Gingival Recession, Periodontal pocket and Numerical Scale Value for pain) to compare Diode versus CO2 laser therapy. Results: Although both the laser devices provide a good performance in the post-operative period, the Diode laser shows better results (p < 0.001) in three of the five parameters evaluated. Conclusions: From the results it was found that the Diode Laser device is more suitable compared to the CO2 device.
Highlights
The labial frenula are anatomical structures found in the upper and lower vestibule of the oral cavity: they are triangular mucous plicas extending, in a sagittal direction, from the soft tissues and layering of the alveolar processes to the submucosa of the cheeks and lips
The results suggest how the diode laser technique provides for a better post-operative patient’s perception of pain without significant differences in the distance between the frenula attachment point and mucogingival junction (FMGJ) [31]
Despite the fact that this study provides for a great improvement in the knowledge about lasers with different wavelengths in the treatment of high labial frenula attachment, some limitations need to be underlined
Summary
The labial frenula are anatomical structures found in the upper and lower vestibule of the oral cavity: they are triangular mucous plicas extending, in a sagittal direction, from the soft tissues and layering of the alveolar processes to the submucosa of the cheeks and lips. Possible alterations of the frenula can cause diastema, bone loss for muscle traction, limitations in lip mobility and gingival recession [3] Regarding this latter alteration, it is important to understand how a high attachment of the lower labial frenula can cause the recession of the gingival margin accompanied by a detachment of the free gingiva from the dental surface during the distraction of the lower lip [4].
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
