Conventional Scalpel Technique Research Articles

Management of Ankyloglossia Using Conventional Surgical Technique: A Case Series

Periodontal plastic surgery is a more conservative and precise technique practised to create more functional and aesthetic results for the treatment of mucogingival problems. The presence of an aberrant frenum is one of the aetiological factors associated with the persistence of a midline diastema. Inadequate dental plaque removal, poor oral hygiene, bifid tongue, impaired speech, and mucogingival problems like recession and black triangles need more attention. Ankyloglossia, or tongue-tie, is a congenital anomaly with an abnormally short lingual frenulum. The aberrant frenum can be treated with surgical removal of the frenum using either frenectomy or frenotomy procedures. In the present case series, frenectomy was performed using a conventional scalpel technique for the treatment of tongue tie.

Management of Ankyloglossia in a Non-Syndromic Patient Using a Super Pulsed Laser: A Life-Changing Treatment- A Case Report

Objective: Ankyloglossia affects a person’s overall well-being and life, from malnutrition due to poor feeding and mechanical problems to psychological stress and low self-esteem, thus affecting social life. This case reports the use of non-scalpel techniques, such as a super pulsed laser, to manage ankyloglossia in a non-syndromic patient suffering from speech incompetence and restricted tongue mobility and highlights its advantages over other conventional techniques. Case Report: A 17-year-old male patient presented with a complaint of restricted tongue mobility, due to which he could not pronounce certain words clearly. As the patient was apprehensive about the use of a scalpel, it was decided to manage ankyloglossia using a diode laser against the conventional scalpel technique. Thus, the laser-assisted lingual frenectomy using GaAs super pulsed laser was used to excise the lingual frenulum. Conclusion: This case report suggests that ankyloglossia can be successfully treated by using laser-assisted surgery and gives superior results specifically in terms of lesser pain and bleeding

Management of inappropriate frenal attachment with conventional scalpel approach: A case report

The term "frenum" refers to a small fold or band of tissue that connects two structures within the body. These frenum can vary in size, shape and attachment points among individuals. In some cases, an oral frenum may cause issues such as restricted movement, speech difficulties, diastema (gap between teeth) or interference with orthodontic treatment. The frenum may jeopardize the gingival health when they are attached too closely to the gingival margin, either due to an interference in the plaque control or due to a muscle pull. The aim of this case report is to manage the inappropriate frenal attachment in single visit by conventional scalpel technique.

Evaluating the Clinical Efficacy of Maxillary Labial Frenectomy Procedure Using Diode Laser (980 nm) and Conventional Scalpel: An Observational Study.

This is an era of minimally invasive and least traumatic surgical interventions being focused on. The traditional scalpel frenectomy technique offers an increase in post-operative sequelae. To unravel this scenario a comparative evaluation is carried out to find out the clinical outcomes and quality of life after maxillary labial frenectomy using a conventional scalpel and diode laser frenectomy of 980 nm. Thirty-six subjects age ranging between 18 and 45 years reported to the Department of Oral and Maxillofacial Surgery, MES Dental College, Perinthalmanna with an aberrant frenal attachment of maxillary labial frenum were randomly assigned into two groups. Group A underwent the conventional scalpel technique and group B for the diode laser-assisted (980 nm) frenectomy technique. The post-operative parameters of ooze from the surgical site, pain, wound healing, and discomfort or acceptance of the procedure were assessed on day 1, day 7, and day 14, respectively. The diode laser group exhibited statistically significant clinical and healing outcomes. Less pain, minimal or absent ooze, increased healing, and better acceptance of the procedure with diode laser at 1, 7, and 14 days recall visit. Surgical interventions involving needle puncture and the associated post-operative sequelae are the most dreaded experiences that make patients indifferent toward surgical treatments. Thus in terms of better clinical outcomes and improved quality of life diode laser frenectomy is an excellent alternative wherein a needleless anesthetic success followed by minimal surgical intervention and less post-operative sequelae with fast recovery is possible.

Evaluation of Children’s Perceptions after Frenectomy: Diode Laser vs. Conventional Scalpel Technique

Objective: The presence of abnormal frenum may cause aesthetic or functional problems, which can be prevented by frenectomy operation. Therefore, the aim of this study is to compare children's perceptions of pain, speech and chewing difficulties after conventional scalpel technique and diode laser-assisted frenectomy operations. Material and Methods: Twenty-one patients, aged 10 to 16 years, who were indicated for Frenectomy were assigned to be treated with conventional scalpel technique or diode laser. In the comparison between both techniques, the Wong-Baker FACES Pain Rating Scale was used to evaluate pain immediately after surgery and pain, speech and chewing difficulties at days 1, 3, 7, and 10 following the procedure. Factors such as duration of surgery, use of anaesthetic, and need for analgesics were also recorded. Moreover, Corah's Dental Anxiety Scale was used to evaluate the dental anxiety levels of parents about their children. Results: When compared to the conventional scalpel technique, it was found that the surgery took shorter, and no postoperative analgesic was needed in the group that underwent Diode laser surgery. In addition, as the age of the children increased, the anxiety levels of the parents decreased. When the postoperative perceptions of pain and functional discomforts were evaluated, there was no significant difference between the groups. Conclusion: According to the results of this study, Diode laser provided benefits such as significantly shortening the operation time and not requiring surgical sutures and analgesics in children. It may also allow the use of less infiltrative anaesthetic during the operation.

Expression of tyrosinase gene in gingiva: A pilot study.

Melanin is the predominant pigment responsible for the color of skin, hair, iris of eyes, and oral mucosa. Tyrosinase (TYR) is the key enzyme involved in melanin synthesis. Studies in dermatology have shown a positive correlation between TYR enzyme levels and melanin pigmentation of the skin. However, no study has been conducted to assess TYR levels in the gingiva. Hence the present study was conducted to assess TYR levels in gingival melanin hyperpigmentation. To assess the TYR gene expression in gingiva in individuals with moderate to severe gingival melanin hyperpigmentation. Subjects with a chief complaint of blackish appearance of gums with an unesthetic smile were included in the study. Informed consent was obtained. Scaling and root planning were done and subjects were recalled after 2 weeks. The gingival depigmentation procedure was performed using the conventional scalpel technique under adequate local anesthesia. The selected sites underwent conventional gingival depigmentation technique using Bard-Parker handle no: 3 and blade no: 11. The excised layer of epithelium along with a thin layer of underlying connective was sent to the laboratory to assess the TYR gene expression by real-time polymerase chain reaction technique. The levels of the TYR enzyme activity in the gingival tissues from the selected sites were assessed. Table 1 and Graph 1 show the levels of TYR enzyme gene expression in the gingival tissue. TYR gene expression and the degree of gingival melanin hyperpigmentation are positively correlated. Hence the assessment of TYR enzyme activity in gingiva could be of great value in today's cosmetologically conscious individuals.

A split mouth comparative study to evaluate the efficacy of gingival depigmentation using conventional scalpel and electro surgery: A case series

Melanin pigmentation of the gingiva causes gums to appear darker, which can cause a huge esthethic difference, and lead to patient’s consciousness. This is the reason for the demand of cosmetic therapy. Hence, the study aims to do a comparative study by split mouth technique and to evaluate the differences in the efficacy of gingival depigmentation using conventional scalpel and electro surgical technique.Two patients who were not esthetically pleased with the color of gingiva were selected. A randomized, split-mouth, depigmentation procedure was performed using surgical scalpel and electrosurgery method.No bleeding was reported on the side of the patients treated with electrosurgery. Mild pain was reported on the side of the patients treated with surgical scalpel, whereas none was reported in electrosurgery half. No significant difference was observed for both treatment techniques in terms of wound healing, reappearance of gingival pigmentation, and intensity of the same at the end of 3 and 6 months post-surgically.Similar outcomes were observed for both the techniques. Patients resulted in no recurrence up until 6 months. Hence, further studies should be done to know the underlying mechanisms.

Evaluation of upper labial frenectomy: A randomized, controlled comparative study of conventional scalpel technique and Er:YAG laser technique.

ObjectivesAbnormalities in the maxillary frenum may lead to esthetic or functional limitations and need to be corrected with a surgical intervention called frenectomy. The aim of the study was to compare frenectomies performed using Er:YAG laser technology with those using a conventional scalpel technique. Comparisons were of patients' experiences, treatment times, bleeding during treatment and wound healing.Material and methodsThe trial was performed as a prospective, randomized and controlled, single‐blind investigation. A total of 40 patients requiring frenectomy were randomly assigned to groups which underwent either conventional or Er:YAG laser treatment. Patients' experiences, treatment time, bleeding and wound healing were evaluated immediately after surgery and 5 days, 12 days and 3 months after surgery.ResultsSignificant increase in time spent in surgery and bleeding was seen with conventional scalpel surgery. Directly after surgery the wound area was significantly larger in the laser group but at the 5‐day evaluation no difference could be observed between the groups. Finally, patients were satisfied with both methods, giving them the same assessments.ConclusionIn the frenectomy procedure, laser surgery is faster and causes less bleeding and may be advantageous in frenectomies.

ROLE OF LASERS IN RECREATING SPEECH –A SPECIAL CASE OF ANKYLOGLOSSIA

Ankyloglossia or tongue-tie is an inborn anomaly that causes restriction of tongue movements. It is characterized by the position of lingual frenum inbetween the tongue and the floor of the mouth. A 17-year-old female patient with the complaint of difficulty in speech was diagnosed with ankyloglossia. To restore her normal speech, laser frenectomy using a diode laser (940nm) was the technique considered over the conventional method to remove the high frenal attachment and to avoid complications caused by the scalpel technique. Post-operative evaluation showed complete healing at the end of 2 to 6 weeks with an increase in tongue mobility of ≥15 mm after laser surgery. After treatment, the patient showed faster healing, early restoration of function and less post-operative pain; thus, proving to be more efficient than the conventional scalpel technique. KEYWORDS: Ankyloglossia, LASER, Frenectomy

Laser-assisted uncovering of dental implants

Introduction: Laser assisted uncovering of dental implants is one of the most interesting aspects of lasers utilization. Compared to conventional scalpel technique, this method provides less bleeding and pain and shorter healing period, leading to a better patient compliance. The objective of this study is to contribute a comprehensive review on laser assisted second-stage of implant surgery. Materials and Methods: We searched Pubmed and Google Scholar databases using combined keyword search or medical subject headings. Eight articles from 2009 to 2019 were identified and assessed. Results: Selected studies were categorized according to variables including amount of pain, need for anesthesia, soft tissue healing, temperature rise and quality of impressions. All the reviewed articles, measuring the amount of required anesthesia, agreed that laser-aided uncovering of implants needs significantly less anesthesia compared to conventional scalpel technique. Laser-assisted uncovering of their implants led to less pain. Ex-vivo studies measuring temperature rise, suggested that application of a non-contact 445nm diode laser reduces the temperature rise significantly. However, Er:YAG lasers proved to generate lower temperature rise. Diode lasers showed no significant amelioration of soft tissue healing whilst Er:YAG and Er,Cr:YSGG lasers revealed superior esthetic results and shorter healing period. Impressions can be taken 4-7 days after the laser-assisted surgery with a satisfactory quality. Conclusion: Laser-assisted uncovering of implants can be selected as an alternative over the conventional scalpel technique. But, further studies are advisable

High-power diode laser for second-stage implant surgery: a randomized pilot clinical trial

The present study aimed to compare the conventional scalpel technique and the use of a high-power diode laser for second-stage implant surgery. For that, fifteen patients were randomly assigned to receive either the conventional scalpel technique (Control Group, n = 7) or a diode laser-assisted technique (Laser Group, n = 8) for second-stage surgery of submerged dental implants placed at bone level. The local anesthetic amount required, and the total surgical time was determined just after surgery. Local pain, peri-implant mucosa status, and bleeding were assessed at the end of the surgery and after 7 and 15 days. Information on the need for postoperative pain medication on the first day and during the next two weeks was also gathered. The surgical time was significantly shorter in the Laser Group (P = 0.001) and only the Control Group presented bleeding at the end of surgery and on the seventh day (P = <0.001, P = 0.026). The other evaluations did not show differences between the groups. Within the limitations of the present pilot study and in comparison to clinical outcomes of the conventional scalpel technique, the use of a high-power diode laser seems to be slightly advantageous for the second-stage implant surgery.

Preservation of keratinized gingiva around dental implants using a diode laser when uncovering implants for second stage surgery.

The aim of the present study was to assess if a 940-nm diode laser or a traditional scalpel approach is more effective in minimizing patient comfort and postoperative sequelae, preserving peri-implant keratinized mucosa, and in enhancing impression quality after uncovering dental implants. We designed a prospective, split mouth, single blinded, randomi¬zed controlled trial with patients who needed uncovering of dental implants. Our analysis included 388 implants in 73 patients. Split mouth technique was used to compare two approaches for uncovering implants: laser study group vs. scalpel control group. Patients were evaluated for intra- and post-operative pain and bleeding. At 1, 2, and 3 weeks post procedure patients in both groups were rechecked for postoperative sequelae, keratinized mucosal thickness quality and quantity, and accuracy of the implant emergence profile. The laser study group showed that there was a reduction in postoperative pain and bleeding that was statistically significant in comparison to the control group. There were also statistically significant differences in gingival color and presence or absence of soft tissue edema and in the gingival was emergency profile between the laser and scalpel sides at 1, 2, and 3 weeks' post-procedure. Statistically significant differences (p< 0.001) were observed between the two groups in the criteria of ideal or satisfactory soft tissue projection in the gingival emergency profile, which indicates that impressions can be taken immediately or within 1 week after laser surgery. Uncovering dental implants using a diode laser operating at the wavelength of 940 ±10 nm, and a power output of 0.4-10 W is recommended for preparing an accurate implant emergence profile. Laser treatment can also effectively preserve keratinized mucosa around implants in comparison to the conventional scalpel technique.

Comparison Between Diode Laser And Conventional Surgical Technique To Perform Labial Frenum Surgeries In Children: A Randomized Clinical Trial

Background: Abnormal labial frenum may interfere with plaque removal and cause tension, and also may provoke diastema. Frenectomy is the complete removal of the frenum that can be made by scalpels or with soft tissue lasers. The aim of this study was to compare the degree of postoperative pain, as well as intraoperative bleeding experienced by patients after two Frenectomy techniques one by soft tissue laser and one by conventional surgery. Methods: Thirty patients with abnormal labial frenum were randomly assigned to have treatment either with a conventional technique or with a diode laser. The postoperative pain ratings of each patient were recorded using a facial pain scale revised (FPS-R) on days 1 and 7, and intra operative bleeding with WHO score criteria. Results: The results indicated patients treated with the diode laser had less postoperative pain and required fewer analgesics as well as less intraoperative bleeding compared to patients treated with the conventional scalpel technique. Conclusion: Diode laser procedure would always be more accepted for frenectomy procedure with minimal postoperative pain and less intraoperative bleeding by the children patients than the conventional one.

Comparative evaluation of efficacy and soft tissue wound healing using diode laser (810 nm) versus conventional scalpel technique for second-stage implant surgery.

Background:This study was aimed to compare the efficacy and soft tissue wound healing using diode lasers (810 nm) versus conventional scalpel approach as uncovering technique during the second-stage surgery in implants. This was a prospective, randomized study which was conducted on 20 subjects in which the implants were already placed using a two-stage technique. Implant sites were examined and the patients were randomly divided into two groups.Materials and Methods:Patients were randomly divided into two groups, i.e., Group A and Group B. In Group A, implants were uncovered as a part of Stage II surgery with conventional scalpel technique, and in Group B, implants were uncovered using 810 nm diode laser. Clinical parameters such as need and amount of local anesthesia, duration of surgery, intraoperative bleeding, pain index, wound healing index (HI), and time for impression taking were recorded at various intervals.Results:Statistical differences for clinical parameters were seen between Group A and Group B showing uncovery of implant with laser more effective, and for time of impression taking, difference was statistically significant showing that impressions were taken early in case of Group A because of better healing which was recorded with help of HI, but the difference in time of healing between Group A and Group B was not statistically significant.Conclusion:The use of a diode laser (810 nm) in the second-stage implant surgery can minimize surgical trauma, reduce the amount of anesthesia, improve visibility during surgery due to the absence of bleeding, and eliminate postoperative discomfort.

Laser Surgery of Soft Tissue in Orthodontics: Review of the Clinical Trials.

Introduction: Recently, a wide variety of procedures have been done by laser application in orthodontics. Apart from the mentioned range of various treatments, laser has become a tool for many soft tissue surgeries as an alternative to conventional scalpel-based technique during orthodontic treatments in the management of soft tissue. Due to scarce information in the latter subject, this study was designed in order to include clinical trials that included soft tissue ablation by laser in orthodontics. Methods: Literature was searched based on PubMed and Google Scholar databases in 5 years (2010-2015) with English language restriction and clinical trial design. Studies that performed soft tissue application of laser during orthodontic treatment were extracted by the authors. Results: Only eight studies met the inclusion criteria. No significant difference was found between laser ablation and conventional scalpel technique in the matter of treatment outcome. However, few issues remained to clarify the differences in the mentioned procedures. Conclusion: Laser performance can be recommended in case of preceding less bleeding and discomfort during surgical procedure. There are still quandaries among clinical application of scalpel-based surgery in aesthetic region with bracket-bonded teeth. Precaution and knowledge regarding the characteristics of laser beam such as wavelength, frequency, power and timing is extremely needed.

A Split Mouth Randomized Clinical Comparative Study to Evaluate the Efficacy of Gingival Depigmentation Procedure Using Conventional Scalpel Technique or Diode Laser.

Introduction: Dark or black coloured gingiva is an esthetic concern especially in subjects with high lip line or gummy smile. Gingival depigmentation procedure is a type of perioplastic surgery where the gingival epithelium is excised with various techniques to lighten the colour of the gingiva. The aim of this study was to compare the clinical efficacy of gingival depigmentation procedure with conventional scalpel technique and diode laser application. Methods: This split mouth randomized study was conducted on 12 subjects (18-40 years of age), exhibiting melanin hyperpigmentation of gingiva. The anterior labial sextant of maxilla and mandible were divided into two halves involving three anterior teeth i.e. central incisor, lateral incisor and canine on each side. The divided areas were randomly allotted for depigmentation procedure either with scalpel technique or diode laser operating at 980 nm wavelength. Various parameters such as bleeding, pain, difficulty of procedure and wound healing were assessed and compared between the two techniques. The level of melanin pigment was assessed with Dummette Gupta index and photographic analysis with the help of adobe software. The subjects were followed up to one year to see for recurrence of melanin pigmentation. Results: Bleeding during surgery, pain score and difficulty of procedure assessed by the operator were statistically higher for scalpel technique as compared to laser technique. Wound healing did not show any statistical significant difference between both techniques. Gingival depigmentation procedures with scalpel as well as laser technique were effective when compared preoperatively and at consecutive postoperative visits, and this was statistically significant. Comparison of melanin depigmentation procedure between scalpel and laser technique did not show any significant differences at all postoperative intervals. Conclusion: The findings of the present study suggest that gingival depigmentation was effective with both scalpel and laser techniques. However, the laser treated sites showed reduced pain experienced by the patient and better operator comfort. Slight melanin repigmentation was observed in three subjects treated with scalpel depigmentation procedure at the end of one year.

Surgical techniques for the treatment of tongue tie in children: a comparative study

&lt;p class="abstract"&gt;&lt;strong&gt;Background:&lt;/strong&gt; Ankyloglossia is another name for tongue tie which in mild form is characterized by mucous membrane bands to complete ankyloglossia whereby the tongue is tethered to the floor of the mouth. It can affect feeding, speech, and oral hygiene as well as have mechanical/social effects. Ankyloglossia can also prevent the tongue from contacting the anterior palate.&lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Methods:&lt;/strong&gt; The study aimed to find out best possible surgical modality of frenectomy by comparing scalpel, electro-cautery and CO&lt;sub&gt;2&lt;/sub&gt; laser in the treatment of tongue tie. This is a prospective randomized clinical trial conducted in the department of ENT, Dr. Shankarrao Chavan Government Medical College, Nanded, Maharashtra. All patients were categorized in to three groups randomly as group A, group B and group C. Each group contains 18 patients and among group A, B and C, frenectomy was done by conventional scalpel technique, by bipolar cautery and CO&lt;sub&gt;2&lt;/sub&gt; laser respectively. Then patients were assessed on post op day 1 for symptomatology and inflammatory signs, on post op day 7 for wound healing and any complications and also after 1 month post-op for scar and contracture of wound. &lt;/p&gt;&lt;p class="abstract"&gt;&lt;strong&gt;Results:&lt;/strong&gt; In our study, about 61% of population is of male child and female child were remaining 39% (ratio 1.6:1) which is matching with the previous studies. Amongst all patients most common age group is between 1-4 years of age group. Most of the patients were in Kotlow’s class III having severe ankyloglossia (3‑7 mm) followed by class I having Mild ankyloglossia (12‑16 mm).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions:&lt;/strong&gt; Laser and electro-cautery treatment used for frenectomy operations provides better patient perception in terms of postoperative pain and function than that obtained by the scalpel technique.&lt;/p&gt;

Surgical Techniques for the Treatment of Tongue Tie in Children: A Comparative Study

Background: Ankyloglossia is another name for tongue tie which in mild form is characterized by mucous membrane bands to complete ankyloglossia whereby the tongue is tethered to the floor of the mouth. It can affect feeding, speech, and oral hygiene as well as have mechanical/social effects. Ankyloglossia can also prevent the tongue from contacting the anterior palate. Methods: The study aimed to find out best possible surgical modality of frenectomy by comparing scalpel, electro-cautery and CO 2 laser in the treatment of tongue tie. This is a prospective randomized clinical trial conducted in the department of ENT, Dr. Shankarrao Chavan Government Medical College, Nanded, Maharashtra. All patients were categorized in to three groups randomly as group A, group B and group C. Each group contains 18 patients and among group A, B and C, frenectomy was done by conventional scalpel technique, by bipolar cautery and CO 2 laser respectively. Then patients were assessed on post op day 1 for symptomatology and inflammatory signs, on post op day 7 for wound healing and any complications and also after 1 month post-op for scar and contracture of wound. Results: In our study, about 61% of population is of male child and female child were remaining 39% (ratio 1.6:1) which is matching with the previous studies. Amongst all patients most common age group is between 1-4 years of age group. Most of the patients were in Kotlow’s class III having severe ankyloglossia (3‑7 mm) followed by class I having Mild ankyloglossia (12‑16 mm). Conclusions: Laser and electro-cautery treatment used for frenectomy operations provides better patient perception in terms of postoperative pain and function than that obtained by the scalpel technique.

Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy.

Background:High frenum attachment is a very common problem in the population. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance. This study aims to evaluate patient's response to two different frenectomy technique, and oral hygiene maintenance before and after frenectomy.Materials and Methods:Twenty patients with high labial frenum were randomly selected from the outpatient department. Patients were divided into two groups according to the technique used. Each group contained ten patients. One group was treated by “conventional scalpel technique” and other group by “new paralleling technique”. To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month. In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy.Results:Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy.Conclusion:High maxillary frenum causes hindrance in oral hygiene maintenance. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique.

Comparison of labial frenectomy procedure with conventional surgical technique and diode laser

Background: An Aberrant frenum encroaches the gingival health when it is attached too closely to the gingival margin, either due to interference in the plaque control or due to a muscle pull. Such condition has to be treated by frenectomy which can be performed by scalpel, electrocautery, or with soft tissue lasers. Hence, the aim of the study is to compare the degree of postoperative pain and healing experienced by patients during frenectomy procedure with surgical scalpel and diode laser technique. Materials and Methods: A total of 20 subjects ranging from 16 to 40 years of age group with papillary or papillary penetrating frenal attachment in the maxillary anterior region were selected. Enrolled subjects were randomly divided into two groups as follows Group A (n = 10): Comprised of 10 subjects selected for conventional scalpel technique. Group B (n = 10): Comprised of 10 subjects selected for diode laser technique. Various parameters such as pain, inflammation, swelling, difficulty of procedure, and wound healing were evaluated at intervals of 1 week, 1 month, and 3rd month. Results: The results indicated patients treated with the diode laser had less postoperative pain (P < 0.0001) and required fewer analgesics (P < 0.001) as compared to patients treated with the conventional scalpel technique. Wound healing at 7th day and after 1 month for both the groups showed statistical significant difference with better outcome in Group A. However, wound healing at the end of 3 months did not show any significant difference between the groups. Conclusion: Based on current findings and clinical outcome, diode lasers provide better patient perception and an efficient and satisfactory option for procedures such as frenectomy.