EVALUATION OF HEALING FOLLOWING LABIAL FRENECTOMY: A COMPARISON OF SCALPEL, ELECTROSURGERY AND DIODE LASER TECHNIQUES.

Dr. Madhuri Kotha, Dr. Rekha BM, Dr. Vinaya Kumar R

Abstract


Background: An aberrant frenum can initiate periodontal infection and therefore this mucogingival discrepancy has to be corrected by
frenectomy/frenotomy to maintain health. The aim of our study was to assess the healing outcome following frenectomy done using the scalpel,
electrosurgery and diode laser.
Materials and Methods: Fifteen patients with aberrant frenal attachment were recruited. They were randomly assigned to undergo frenectomy by
one of the three procedures (n=5x3). Group I was treated with scalpel, Group II by electrocautery and Group III with laser. The healing was assessed
by the Landry, Turnbull and Howley Index.
Results: The results indicated a statistically significant improvement in healing in all the groups with highly significant improvement noted in the
laser group (P˂0.001).
Conclusion: Based on our findings, the diode laser seems to be ideal for frenectomy. Although the scalpel and electrosurgery techniques exhibited
similar results, the laser’s added clinical benefits ensure better patient experience.


Keywords


Frenectomy, Scalpel, Electrosurgery, Laser, Healing.

Full Text:

PDF

References


Random House Unabridged Dictionary. Random House, Inc. 2018 [internet]. Available from: https://www.dictionary.com/

Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. Volume II. 11th Edition, Elsevier, New Delhi. 2012. Pg 926.

Cohen ES. Atlas of Cosmetic and Reconstructive Periodontal Surgery. 3rd Edition, People’s Medical Publishing House, Shelton, Connecticut. 2009. Pg 83.

Patel RM, Varma S, Suragimath G,Abbayya K, Zope SA, Kale V. Comparison of labial frenectomy procedure with conventional surgical technique and diode laser. J Dent Lasers 2015;9(2):94-9.

Lindhe J. Clinical Periodontology and Implant Dentistry. Volume 2. 5thEdition. Blackwell Publishing Ltd, Oxford. 2008. 1274-5.

Bashetty K, Nadig G, Kapoor S. Electrosurgery in aesthetic and restorative dentistry: A literature review and case reports. J Conserv Dent 2009;12(4):139-44.

Loh SA, Carlson GA, Chang EI, Huang E, Palanker D, Gurtner GC. Comparative Healing of Surgical Incisions Created by the PEAK PlasmaBlade, Conventional Electrosurgery, and a Scalpel. Plast Reconstr Surg 2009;124(6):1849-59.

Shalawe WS, Ibrahim ZA, Sulaiman AD. Clinical Comparison between Diode Laser and Scalpel Incisions in Oral Soft Tissue Biopsy. Al–Rafidain Dent J. 2012;12(2):337-43.

Funde S, Baburaj MD, Pimpale SK. Comparison between Laser, Electrocautery and Scalpel in the Treatment of Drug-Induced Gingival Overgrowth: A Case Report. IJSS Case Reports and Reviews 2015;1(10):27-30.

Landry RG, Turnbull RS, Howley T. Effectiveness of benzydamine HCl in the treatment of periodontal post-surgical patients. Res Clinic Forums 1988;10:105-18.

Butchibabu K, Koppolu P, Mishra A, Pandey R,Swapna LA, Uppada UK. Evaluation of patient perceptions after labialfrenectomy procedure: A comparison of diode laser and scalpel techniques.Eur J Gen Dent 2014;3(2):129-33.

Awooda EM, Osman B, Yahia NA. Use of Diode Laser (810) nm in Frenectomy. Sudan JMS 2007;2(1):45-7.

Gandhi D, Gandhi P. Comparison of Healing Period after Frenectomy Using Scaplel, Electrocautery and Diode Laser. BJMMR 2017;21(12):1-9.

Kaur P, Dev YP, Kaushal S, Bhatia A, Vaid R, Sharma R. Management of the upper labial frenum: a comparison of conventionalsurgical and lasers on the basis of visual analogue scale on patients perception. J Periodontal Med Clin Pract 2014;1(1):38-46.

Kafas P, Stavrianos C, Jerjes W, Upile T, Vourvachis M, Theodoridis M, Stavrianou I. Upper-lip laser frenectomy without infiltrated anaesthesia in a paediatric patient: a case report. Cases J 2009;2:7138. doi: 10.1186/1757-1626-2-7138.


Refbacks

  • There are currently no refbacks.