INTRODUCTION: Aesthetic concerns have led to an increasing importance in seeking dental treatment, with the purpose of achieving perfect smile. The continuing presence of a diastema between the maxillary central incisors in adults has often been considered as an aesthetic problem. The presence of an aberrant frenum being one of the etiological factors for the persistence of a midline diastema, the focus on the frenum has become essential.1 The frena may also jeopardize the gingival health by causing a gingival recession when they are attached too closely to the gingival margin, either because of an interference with the improper placement of a toothbrush or through the opening of the gingival crevice because of a muscle pull.2 Frenum consists of mucosal folds in the labial, buccal, and occasionally the lingual surface of the alveolar ridge, they act as flexible barrier limiting the movement of the lips, cheeks and sometimes the tongue.3 The proceedings of the World Workshop in Clinical Periodontics have outlined the rationale for the use of frenectomy.4 It should be considered in areas where there are restrictive problems associated with lip and tongue movement, closure of midline diastema due to orthodontic treatment5, purely aesthetic problems, and attachments in edentulous ridges compromising prosthesis, pulling gingiva lead to inflammation and pocket formation and tongue tie leading to speech problem.1 Until recently the classical or conventional frenectomy (surgically by scalpel and suturing) was the only way to remove the aberrant frenum. Modern technology now offers an alternative mode of treatment, like laser surgery.6 The word laser is an acronym for Light Amplification by Stimulated Emission of Radiation. The hypothetical origins and conceptual basis of a laser were initiated by Einstein in 19177. When laser light incident on a tissue surface, it can be reflected, scattered, absorbed or transmitted8. There are different types of lasers according to their different wavelengths and their interaction with tissues. They can be used for hard and soft tissues in oral cavity. In soft tissue procedures (gingivectomy, frenectomy, lesion removal) CO2, Nd: YAG, Argon, Er: YAG and Diode laser were used.9, 10 Diode laser is a semi-conductor (Gallium Aluminum Arsenide (GA Al As) used in surgery. It emits coherent monochromatic light of wavelength between (810-900) nanometer i.e. near infrared. This radiation is absorbed in dark media, as in hemoglobin and therefore has a remarkable surgical cutting efficiency in well vascularized tissues.11,12 This paper showcase a case presentation for maxillary frenectomy and removal of soft tissue overlying impacted canine using AMD laser Diode.
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