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  RESEARCH EVOLUTION IN DENTISTRY 

Minerva Stomatologica 2013 August;62(8 Suppl 1):45-53

Copyright © 2013 EDIZIONI MINERVA MEDICA

language: English, Italian

Lingual frenectomy: a comparison between the conventional surgical and laser procedure

D. DE SANTIS 1 , R. GEROSA 2, P. F. GRAZIANI 3, G. ZANOTTI 3, N. ROSSINI 3, R. CASTELLANI 3, G. BISSOLOTTI 4, L. CHIARINI 5, P. F. NOCINI 1, D. BERTOSSI 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


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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.
CONCLUSIONS: 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.


KEY WORDS: Ankyloglossia - Laser therapy - Lingual frenectomy

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