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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2013 Aug 01
language: English, Italian
Lingual frenectomy: a comparison between the conventional surgical and laser procedure
De Santis D. 1, Gerosa R. 2, Graziani P. F. 3, Zanotti G. 3, Rossini N. 3, Castellani R. 3, Bissolotti G. 4, Chiarini L. 5, Nocini P. F. 1, Bertossi D. 1 ✉
1 Oral and Maxillofacial Surgery Dental School, University of Verona, Verona, Italy;
2 Azienda Ospedaliera Universitaria Integrata, Policlinico G. B. Rossi, Verona, Italy;
3 Private Practitioner, Verona, Italy;
4 Azienda Ospedaliero‑Universitaria Ospedale di Udine, Udine, Italy;
5 Department of Surgery Main Section of Oral and Maxillofacial Surgery University of Modena and Reggio Emilia Modena, Italy
Aim: Ankyloglossia, commonly known as tongue-tie, is a congenital oral anomaly characterized by a short lingual frenulum that may contribute to feeding, speech and mechanical problems. The purpose of this study is to compare the advantages of laser vis-à-vis conventional frenectomy in both intra- and post-surgical phases.
Methods: This study took into consideration two patients, who were respectively 9 and 10-year-old. The first one underwent a common surgical procedure. A Nd:Yap laser device with a micropulsed wavelength of 1340 nm and power of 8 watts was used for the second. The postsurgical discomfort and healing characteristics were evaluated.
Results: The results indicated that the Nd:Yap laser has the following advantages when compared to the conventional frenectomy: 1) soft tissue cutting was efficient, with no bleeding, giving a clear operative field; 2) there was no need to use sutures; 3) the surgery was less time-consuming; 4) there was no postsurgical infection and no need for analgesics or antibiotics; 5) wound contraction and scarring were decreased or eliminated; 6) despite the initial slowness of the healing process, the complete and final recovery was faster.
Conclusion: Considering the above elements, it is possible to assert that the laser frenectomy has a series of unquestionable advantages if compared to the conventional surgical technique.