Dr. Maydina Achom, Dr. Rahul Chopra, Dr. Nikhil Sharma


INTRODUCTION: The presence of an aberrant frenum near the gingival margin, negatively impact the gingival health by interfering with
effective plaque removal. Any tension on this frenum tends to pull the gingiva eventually leading to gingival recession and midline diastema. This
can lead to fundamental problems in periodontal, orthodontic and prosthetic treatments, hence surgical removal of this aberrant frenum is
advocated. Recently, diode laser has been successfully used for the removal of aberrant frenum. Thus, the aim of this study was to compare and
evaluate three different techniques of frenectomy.
MATERIALS AND METHODS: 30 patients with aberrant frenum attachment; were allotted to three groups of 10 patients each i.e., GROUP A
(Conventional Technique); GROUP B (Diode Laser assisted Technique); GROUP C (combination of Diode Laser assisted using Conventional
Technique). The clinical parameters recorded were: Wound healing, Degree of pain and patient's satisfaction levels and number of analgesic taken
RESULTS: No post- operative complications were seen in all the groups. Intergroup comparison shows significant difference between the groups
however, in Group C patients better wound healing was observed and also experience lesser pain.
Conclusion: Diode lasers can be desirable adjunctive and alternative to scalpel in terms of early wound healing, reduced operative time and pain
perception for correction of frenal anomalies.


Frenectomy, Conventional Scapel Technique, Laser Therapy.

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Gottsegen R. Frenum position and vestibule depth in relation to gingival health. Oral Surg 1954; 7:1069-72.

Placek M, Skach M, Mrklas L. Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol. 1974; 45:891-4.

Edwards JG. The diastema, the frenum, the frenectomy: A clinical study. Am J Ortho 1977; 71:489- 508.

Archer WH. Oral surgery - a step by step atlas of operative techniques, 3rd ed. Philedelphia: W B Saunders Co; 1961. p. 192.

Devishree, Gujjari SK, Shubhashini PV. Frenectomy: A review with the reports of surgical techniques. J Clin Diagn Res 2012; 6:1587‑92.

Carruth JAS. The principles of laser surgery. Scott Bader HI. Use of lasers in periodontics. Dent Clin North Am 2000; 44:779‑91.

Pick RM, Colvard MD. Current status of lasers in soft tissue dental surgery. J Periodontol 1993; 64:589‑602.

Pippi, R. Post-Surgical Clinical Monitoring of Soft Tissue Wound Healing in Periodontal and Implant Surgery. Intern J Med Sci 2017 14(8):721-8.

Marini, L., Rojas, M. A., Sahrmann, P., Aghazada, R., & Pilloni, A.Early Wound Healing Score: a system to evaluate the early healing of periodontal soft tissue wounds. J Periodontal Implant Sci. 2018; 48(5):274.

Khalid W, Sheeja VS, Sankari M, Jayakumar. The lightsaber is mightier than the sword!-a case of frenectomy using diode laser. Unique Journal of Medical and Dental Sciences. 2015; 03(01):22-24.

Olivi G, Chaumanet G, Genovese MD, Beneduce C, Andreana S.Er,Cr:YSGG laser labial frenectomy: a clinical retrospective evaluation of 156 consecutive cases. Gen Dent 2010; 58(3):126–133.

Aldelaimi TN, Mahmood AS. Laser-Assisted Frenectomy Using 980nm Diode Laser. J Dent Oral Disord Ther 2014; 2(4): 1-6.

Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: A comparison of carbon dioxide laser and scalpel techniques. J Periodontol 2006; 77:1815‑9.

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

Awooda EM, Osman B, Yahia NA. Use of diode laser (810) nm in frenectomy. Sudan J Med Studies 2007; 2:45-7.

Medeiros Junior R, Gueiros LA, Silva IH, de Albuquerque Carvalho A, Leao JC. Labial frenectomy with nd: YAG laser and conventional surgery: A comparative study. Lasers Med Sci 2015; 30:851-6.

Patel RM, Varma S, Suragimath G, Zope SA, Kale V. Comparison of labial frenectomy procedure with conventional surgical technique and diode laser. 2015; 9:94-9.


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