||Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2012, vol. 18, book 4
Subject Collection: Oral and Dental Medicine
Published online: 07 November 2012
J of IMAB 2012; 18(4):263-265
CORRECTING LABIAL THICK AND HIGH ATTACHED FRENUM (CLINICAL OBSERVATION).
Silvia Krusteva1, Mariana Dimitrova2, Hristo Daskalov3, Stiliana Krusteva4
1) Department of Orthodontics, 2) Department of Pediatric Dentistry, 3) Department of Oral Surgery, 4) Student, Faculty of Dental Medicine, Medical University Plovdiv, Bulgaria.
Labial thick and high attached maxillary frenum is commonly regarded as contributing etiology for maintaining midline diastema and upper jaw delayed development. The surgical modalities used to solve this problem are known to be quite stressful for children. Dental lasers have recently been increasingly used to treat wide variety of problems in medicine.
AIM: Using a high energy diode laser to remove a short, high attached frenum of the upper lip and present the results of the procedure.
MATERIAL AND METHODS: We performed frenectomy in 10 randomly selected patients of both sexes aged 7-9 years with short, thick frena of the upper lip. A Picasso soft tissue diode laser, class IV, power output 7 W, λ-810 nm was used for the procedure.
RESULTS AND DISCUSSION: The healing process was uneventful, painless and without edemas developing in the soft tissues. No inflammation was found in the treated tissues. The children undergoing the procedure showed no fear. This was the reason why we preferred to use lasers as a modern therapeutic modality for soft tissue correction in the mouth.
CONCLUSION: Using lasers to remove short, high attached maxillary labial frenum has the benefit of inducing less stress in children than that they experience if anaesthesia and surgery are administered. Anaesthesia with topical anaesthetics is used in the procedure. The postoperative period is free of pain and far from severe. This makes this technique particularly useful for children.
Key words: maxillary frenum, frenectomy, diastema, laser.
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Please cite this article as: Krusteva S, Dimitrova M, Daskalov Hr, Krusteva St. Correcting labial thick and high attached frenum (clinical observation). J of IMAB. 2012; 18(4):263-265. doi: 10.5272/ jimab.2012184.263.
1. Arnautska Hr, Krumova V, Georgieva T. Correction of short frena using ER, CR: YSGG laser (Waterlase MD). Clinical trial. Orthodontic Review. 2011; 13,2:10-11. [in Bulgarian]
2. Dekova L, Mutafchiev V, Krumova V. Atlas of orthodontic prophylaxis. Medicine and sports, Sofia. 1993;144-149. [in Bulgarian]
3. Lalabonova Hr, Firkova E. Lasers in dentistry. Physical medicine, rehabilitation, health. 2006; 4:4-9. [in Bulgarian]
4. Mutafchiev V, Krumova V, Yordanov V. Orthodontics for general dental practitioner. Nemizida, Sofia. 2003; 211-222. [in Bulgarian]
5. Borstein E. Proper use of Er YAG lasers and contact sapphire tips when cutting teeth and bone: scientific principles and clinical application. Dent Today. 2004 Aug;23(8):84, 86-89. [PubMed]
6. Lalabonova Hr, Peycheva St, Petrov P. Application of Nd – YAG laser treatment for oral leukoplakia. J of IMAB. 2012; 18(4):240-242. [CrossRef]
7. Lalabonova Hr. Low intensity lasers in the surgical protocol if the dental implantology. J of IMAB. 2011; 17(2):104-106. [CrossRef].
8. 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 Jan;127(1):85-90. [PubMed] [CrossRef]
9. Sarver DM, Yanosky M. Principles of cosmetic dentistry in orthodontics: Part 3, Laser treatments for tooth eruption and soft tissue problems. Am J Orthod Dentofacial Orthop. 2005 Feb;127(2):262-264. [PubMed] [CrossRef]
10. Wigdor HA, Walsh JT Jr, Featherstone JD, Visuri SR, Fried D, Waldvogel JL. Lasers in dentistry. Lasers Surg Med. 1995; 16(2):103-133. [PubMed]
11. Yordanova S, Yordanova M, Tomov G, Lalabonova Hr. Er:YAG laser application in orthodontic practice. A case report. J of IMAB. 2011, 17(2):129-131. [CrossRef] .
Accepted for publication: 18 September 2012
Issue published online: 07 November 2012
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