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High Power Laser and Photobiomodulation in Oral Surgery: Case Report

Júlia Gomes Lúcio de Araújo, Erika Michele dos Santos Araújo, Fernanda Cristina Nogueira Rodrigues, Marco Aurélio Benini Paschoal, Andrea Dias Neves Lago
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Abstract

Introduction: The labial frenum is a fold of mucous membrane that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. In some cases, its presence can cause a midline diastema, periodontal diseases related to food impaction, or retention of biofilm, among others. In such cases, lip frenectomy is indicated as treatment, which can be performed with a scalpel (conventional method), an electric scalpel, or a surgical laser.
Objective: To show a clinical case performed at Laser Extension Project in Dentistry, Federal University of Maranhão grounded in a literature review.
Case Presentation: A laser frenectomy was performed on a female patient, aged 20, who had a diastema between the upper central incisors and an indication for frenum removal. The high-power diode laser is excellent for procedures in soft tissue because its wavelength is well absorbed by hemoglobin and other pigments; its use also allows a reduction in the amount of anesthetic and medicines used. The parameters used were 2 W, in a continuous mode, 808 nm infrared emission; with delivery of the beam through optical fiber 300 μM; energy of 120 J; 20 pps.
Conclusion: the high power diode laser allowed a satisfactory result, the procedure was safe, the technique was a simple one and of reduced clinical time, as mentioned in the literature. It is worth noting that the technique is dependent on the skill of the professional performing it.

Keywords

diode lasers; labial frenum; periodontics

References

Devishree, Gujjari SK, Shubhashini PV. Frenectomy: a review with the reports of surgical techniques. J Clin Diagn Res. 2012;6(9):1587-1592. doi:10.7860/ jcdr/2012/4089.2572

Pie-Sanchez J, Espana-Tost AJ, Arnabat-Dominguez J, Gay-Escoda C. Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser. Med Oral Patol Oral Cir Bucal. 2012;17(2):e228-232.

Butchibabu K, Koppolu P, Mishra A, Pandey R, Swapna L, Uppada U. Evaluation of patient perceptions after labial frenectomy procedure: A comparison of diode laser and scalpel techniques. European J Gen Dent. 2014;3(2):129- 133. doi:10.4103/2278-9626.134839

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(2):851-856. doi:10.1007/s10103-013-1461-8

Akpinar A, Toker H, Lektemur Alpan A, Calisir M. Postoperative discomfort after Nd:YAG laser and conventional frenectomy: comparison of both genders. Aust Dent J. 2016;61(1):71-75. doi:10.1111/adj.12333

Kara C. Evaluation of patient perceptions of frenectomy: a comparison of Nd:YAG laser and conventional techniques. Photomed Laser Surg. 2008;26(2):147-152. doi:10.1089/ pho.2007.2153

Andrade Fdo S, Clark RM, Ferreira ML. Effects of low-level laser therapy on wound healing. Rev Col Bras Cir. 2014;41(2):129-133. doi:10.1590/S0100- 69912014000200010

Rodrigues dos Santos ES, Imparato JCP, Adde CA, Moreira LA, Pedron IG. Frenectomia a laser (Nd:YAP) em Odontopediatria. Rev Odonto. 2007;15(29):107-113. doi:10.15603/2176-1000/odonto.v15n29p107-113

Christensen GJ. Soft-tissue cutting with laser versus electrosurgery. J Am Dent Assoc. 2008;139(7):981-984.

Parker S. Verifiable CPD paper: laser-tissue interaction. Br Dent J. 2007;202(2):73-81. doi:10.1038/bdj.2007.24

Peavy GM. Lasers and laser-tissue interaction. Vet Clin North Am Small Anim Pract. 2002;32(3):517-534, v-vi.

Cavalcanti TM, Almeida-Barros RQ, Catao MH, Feitosa AP, Lins RD. Knowledge of the physical properties and interaction of laser with biological tissue in dentistry. An Bras Dermatol. 2011;86(5):955-960. doi:10.1590/S0365- 05962011000500014

Aras MH, Goregen M, Gungormus M, Akgul HM. Comparison of diode laser and Er:YAG lasers in the treatment of ankyloglossia. Photomed Laser Surg. 2010;28(2):173-177. doi:10.1089/pho.2009.2498

Puthussery FJ, Shekar K, Gulati A, Downie IP. Use of carbon dioxide laser in lingual frenectomy. Br J Oral Maxillofac Surg. 2011;49(7):580-581. doi:10.1016/j.bjoms.2010.07.010

Mathew B, Prasanth S. Lasers in dentistry. J Oral Maxillofac Pathol. 2011;2(2):148-50.

Azma E, Safavi N. Diode laser application in soft tissue oral surgery. J Lasers Med Sci. 2013;4(4):206-211.

Amaral MB, de Avila JM, Abreu MH, Mesquita RA. Diode laser surgery versus scalpel surgery in the treatment of fibrous hyperplasia: a randomized clinical trial. Int J Oral Maxillofac Surg. 2015;44(11):1383-1389. doi:10.1016/j. ijom.2015.05.015

Mazarei Sotoode S, Azimi S, Taheri SA, et al. Diode Laser in Minor Oral Surgery: A Case Series of Laser Removal of Different Benign Exophytic Lesions. J Lasers Med Sci. 2015;6(3):133-138. doi:10.15171/jlms.2015.08

Desiate A, Cantore S, Tullo D, Profeta G, Grassi FR, Ballini A. 980 nm diode lasers in oral and facial practice: current state of the science and art. Int J Med Sci. 2009;6(6):358- 364.

Parker S. Lasers and soft tissue: ‘loose’ soft tissue surgery. Br Dent J. 2007;202(4):185-191. doi:10.1038/bdj.2007.128

Carroll JD, Milward MR, Cooper PR, Hadis M, Palin WM. Developments in low level light therapy (LLLT) for dentistry. Dent Mater. 2014;30(5):465-475. doi:10.1016/j. dental.2014.02.006

Rola P, Doroszko A, Derkacz A. The Use of Low-Level Energy Laser Radiation in Basic and Clinical Research. Adv Clin Exp Med. 2014;23(5):835-842.

Bernardi S, Mummolo S, Zeka K, Pajewski L, Continenza MA, Marzo G. Use and Evaluation of a Cooling Aid in Laser-Assisted Dental Surgery: An Innovative Study. Photomed Laser Surg. 2016;34(6):258-262. doi:10.1089/ pho.2015.4008




DOI: https://doi.org/10.22037/jlms.v10i1.18225