Diode laser-assisted frenectomy - A case report

Abstract

Introduction: Frenectomy, the removal of buccal frenum, is a common procedure in oral surgery as high attachment of frenum may cause prosthodontic issues, periodontal disorders and orthodontic disorders. The use of surgical diode lasers associated to laser biostimulation can increase patients’ compliance to this procedure. Case Description: A 48-years old male patient presented with a low attachment buccal frenum and prosthetic issues. A decision was made for laser-assisted surgery with diode laser 810nm (Elexxion Nano, Elexxion). The excision procedure used continuous mode, power 2.5W, optic fibre with diameter 400μm. The surgical procedure was ended with low-level laser procedure using biostimulation module of the diode laser. VAS indices decreased from 3,8 immediate post-operatively to 2,6 (1 day post-operatively), and 0,4 (3 days post-treatment). The wound healing was completed at 12 days post-treatment. Discussion: Diode laser-assisted frenectomy had many postoperative advantages as follows: absence of bleeding and oedema, low pain intensity at 1 day and 3 days, the absence of postoperative pain at 7 days, reduced wound healing time. Conclusion/Clinical Significance: The clinical application of the diode laser in frenectomy was easy-to-use, efficient, safe, and can be considered a valid alternative surgical procedure in relation to the classic surgical procedure.