Comparative evaluation of the effect of parallel incision and diode laser assisted frenectomy on oral hygiene and patients prospective: A randomized clinical trial

Abdul Mannan; Rajni Aggarwal; Piyush Pareek; Puneet Kalra; Shubh Kirti Kapoor; Deepika Choudhary

doi:10.53730/ijhs.v6nS3.7804

Authors

Abdul Mannan Post Graduate Student, Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sriganganagar (Rajasthan)
Rajni Aggarwal
rajniperio@gmail.com
MDS Prof. & Head, Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sriganganagar (Rajasthan)
Piyush Pareek Senior Lecturer, Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sriganganagar (Rajasthan)
Puneet Kalra Senior Lecturer, Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sriganganagar (Rajasthan)
Shubh Kirti Kapoor Reader, Department of Periodontology and Oral Implantology, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana
Deepika Choudhary Post Graduate Student, Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sriganganagar (Rajasthan)

Keywords:

comparative evaluation, parallel incision, laser assisted Frenectomy, hygiene

Abstract

Introduction: Aberrant frenum causes various problems in function and aesthetics. The management of abnormal frenal attachment is accomplished by performing the frenectomy procedure. Different techniques for frenectomy were proposed in past literatures. Laser and paralleling technique accounted as conservative method and patients’ compliance among the other methods, but the literature regarding the effect of both techniques is scarce. Aim and Objectives: To evaluate either parallel incision or diode laser assisted frenectomy technique in the maxillary central incisors is efficient for oral hygiene maintenance and patients prospective. Methodology: 30 patients were divided into two equal groups i.e., group 1 (treated with parallel incision frenectomy) and group 2 (treated with laser assisted frenectomy). Plaque index, gingival index, pain and speech difficulty experienced by patients on VAS score, no. of analgesics consumed were evaluated post-operatively at different intervals. Data values were obtained and subjected to statistical analysis. Result and conclusion: The laser assisted frenectomy was good option as in terms of oral hygiene maintenance and patients prospective in comparison to parallel incision frenectomy.

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References

Huang WJ, Creath CJ. The midline diastema: a review on its Etiology and treatment. Pediatric Dentistry 1995;17:171-9.

Placek M, Skach M, Mrklas L. Significances of the labial frenum attachment in periodontal disease in man. Part I Classification and epidemiology of the labial freum attachment. J Periodontal. 1974;45:891-7.

Taylor JE. Clinical observation relating to the normal and abnormal frenum labii superioris. Am J Orthod Oral Surg 1939;25:646 50.

Hupp JR, Ellis E, Tucker MR. Contemporary oral and maxillofacial surgery, 5th ed. Amsterdam: Elsevier; 2009.

McDonald RE, Avery DR, Dean JA. Mc Donald dentistry for the child and adolescent, 8th ed. Amsterdam: Elsevier; 2004.

Sarver DM, Yanosky M: Principles of cosmetic dentistry in orthodontics: part 2. Soft tissue laser technology and cosmetic gingival contouring. Am J Orthod Dentofacial Orthop 2005;127:85-90.

Kahnberg KE. Frenum surgery. A comparison of three surgical methods. J Oral Surg. 1977;6:328-33.

Takei HH, Azzi RA. Periodontal plastic and esthetic surgery. In: Newman MG, Carranza FA, editors. Carranza’s Clinical Periodontology. London: W.B. Saunders; 2002. p. 870 1.

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

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.

Abullais SS, Dani N, Ningappa P, Golvankar K, Chavan A, Malgaonkar N, et al. Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. J Indian Soc of Periodontol. 2006; 20(1):28-31.

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

Kaimenyi JT. Occurance of midline diastema and frenum attachments amongst school children in Nairobi, Kenya. Ind J Dent Res. 1998;9(2):67-71.

Popovich F, Thompson GW, Main PA. Maxillary interincisal diastema and its relationship to the superior labial frenum and intermaxillary suture. Angle Orthod. 1977;47:265-71.

Pick RM, Pecaro BC. Use of the CO2 laser in soft tissue dental surgery. Lasers Surg Med 1987;7:207 13.

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 Journal 2009,2:7138.