Diode versus CO 2 Laser Therapy in the Treatment of High Labial Frenulum Attachment: A Pilot Randomized, Double-Blinded Clinical Trial

Gian Luca Sfasciotti, Francesca Zara, Iole Vozza, Veronica Carocci, Gaetano Ierardo and Antonella Polimeni
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Gian Luca Sfasciotti: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Francesca Zara: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Iole Vozza: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Veronica Carocci: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Gaetano Ierardo: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
Antonella Polimeni: Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy

IJERPH, 2020, vol. 17, issue 21, 1-12

Abstract: Background: The labial frenula are triangular plicas departing from the alveolar mucosa and attaching themselves at different heights of the gingiva. Sometimes a high attachment can determine a gingival recession. The most suitable surgical resolution is the use of laser devices. The aim of this study was to compare the labial frenulectomy through the use of Diode and CO 2 laser techniques in pediatric patients with a high labial frenulum attachment, clarifying at the same time the preventive role of the surgical treatment to avoid further recession. Methods: A pilot randomized, double-blinded clinical trial was conducted to compare both the surgical advantages and the preventive treatment of laser technology using two different wavelengths within a population of pediatric patients with a high labial frenulum attachment. Different parameters intra and post-surgery were taken into account (Bleeding, Wound Healing, Gingival Recession, Periodontal pocket and Numerical Scale Value for pain) to compare Diode versus CO 2 laser therapy. Results: Although both the laser devices provide a good performance in the post-operative period, the Diode laser shows better results ( p < 0.001) in three of the five parameters evaluated. Conclusions: From the results it was found that the Diode Laser device is more suitable compared to the CO 2 device.

Keywords: labial frenulum; frenulectomy; laser therapy; Diode laser; CO 2 laser; pediatric dentistry (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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