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

Document Type : Original Article

Authors

1 Demonstrator , Pedodontics and Oral Health Department, Faculty of Dental Medicine al-Azhar university

2 Lecturer , Pedodontics and Oral Health Department,al-Azhar University

3 Lecturer, Oral Medicine and Periodontology Department al-Azhar University

4 Professor and head of department of Pedodontics and Oral Health al-Azhar University

Abstract

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.