Abstract
Objective: To compare intra- and post-operative consequences associated with Z-frenuloplasty and laser therapy for both upper labial and lingual frenulectomies. Material and Methods: Clinical data of 120 consecutive patients with a mean age of 11 years and 2 months (age range from 9 years and 1 month to 14 years and 3 months) with hypertrophic labial and lingual frenula were assembled. Of the 70 labial frenula, 35 were removed through Z-frenuloplasty (Group 1) and 35 with laser (Group 2); of 50 lingual frenula, instead, 25 were extracted through Z-frenuloplasty (Group 1A) and 25 with laser (Group 2A). The cutting device was Laser Diode Handy 10 in continuous mode. Finally, the time of the surgery, pain and swelling were measured 24-48 hours after the removal. VAS scale was used . Results: The time of the surgery, VAS score after the removal and the swelling were lesser in Group 2 and 2A . Conclusion: Both Z-frenuloplasty and Laser therapy are valid instruments to remove frenula. Moreover, laser offers more advantages like less use of anesthesia, no bleeding in the operating phase, no need for suturing, a faster tissue healing and minor limitations in speech and nutrition.
Highlights
Frenulectomy may be required for abnormal hypertrophic frenula
After a surgery, sutures are no needed, there is a rapid tissue healing and there is no bleeding in the operating phase
The sample group was composed of 120 consecutive patients with a mean age of 11 years and 2 months with hypertrophic labial and lingual frenula
Summary
Frenulectomy may be required for abnormal hypertrophic frenula. Several surgical techniques have been proposed [1,2,3], like simple clipping with blades in newborns ( known as frenotomy), Z-frenuloplasty, cryosurgery, electrocauterisation and lasers (Light Amplification by Stimulated Emission of Radiation).as regards lasers, according to some authors [4,5], throughout a penetrating beam of light, these appliances deliver a quantity of energy at InfraRed and UltraViolet electromagnetic spectra ranges that can be used in most oral surgeries as an alternative to conventional scalpel-based techniques. Several surgical techniques have been proposed [1,2,3], like simple clipping with blades in newborns ( known as frenotomy), Z-frenuloplasty, cryosurgery, electrocauterisation and lasers (Light Amplification by Stimulated Emission of Radiation). After a surgery, sutures are no needed, there is a rapid tissue healing and there is no bleeding in the operating phase. Instead, the traditional surgical methods, Z-frenuloplasty is based on the incisions that are made to turn up flaps, which are later repositioned in a ‘Z-plasty’ flap closure [6]. In the case of maxillary diastema, for example, the premaxilla scar tissue is excised, and the site is left to granulate and heal; usually, sutures are removed a week later. After surgery, since there is bleeding during the operating phase, sutures are needed
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