Evaluation of Children’s Perceptions after Frenectomy: Diode Laser vs. Conventional Scalpel Technique
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Abstract
Objective: The presence of abnormal frenum may cause aesthetic or functional problems, which can be prevented by frenectomy operation. Therefore, the aim of this study is to compare children's perceptions of pain, speech and chewing difficulties after conventional scalpel technique and diode laser-assisted frenectomy operations.
Material and Methods: Twenty-one patients, aged 10 to 16 years, who were indicated for Frenectomy were assigned to be treated with conventional scalpel technique or diode laser. In the comparison between both techniques, the Wong-Baker FACES Pain Rating Scale was used to evaluate pain immediately after surgery and pain, speech and chewing difficulties at days 1, 3, 7, and 10 following the procedure. Factors such as duration of surgery, use of anaesthetic, and need for analgesics were also recorded. Moreover, Corah's Dental Anxiety Scale was used to evaluate the dental anxiety levels of parents about their children.
Results: When compared to the conventional scalpel technique, it was found that the surgery took shorter, and no postoperative analgesic was needed in the group that underwent Diode laser surgery. In addition, as the age of the children increased, the anxiety levels of the parents decreased. When the postoperative perceptions of pain and functional discomforts were evaluated, there was no significant difference between the groups.
Conclusion: According to the results of this study, Diode laser provided benefits such as significantly shortening the operation time and not requiring surgical sutures and analgesics in children. It may also allow the use of less infiltrative anaesthetic during the operation.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accepted 2023-04-15
Published 2023-04-18
References
Henry SW, Levin MP, Tsaknis PJ. Histologic features of the superior labial frenum. J Periodontol. 1976;47(1):25-8.
Komori S, Matsumoto K, Mtsuo K, Suzuki H, Komori T. Clinical study of laser treatment for Frenectomy of pediatric patients. Int J Clin Pediatr Dent. 2017;10(3):272-7.
Medeiros Júnior R, Gueiros LA, Silva IH, de Albuquerque Carvalho A, Leão JC. Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study. Lasers Med Sci. 2015;30(2):851-6.
Edwards JG. The diastema, the frenum, the frenectomy: a clinical study. Am J Orthod. 1977;71(5):489-508.
Ortega-Concepción D, Cano-Durán JA, Pena-Cardelles JF, Parede Rodríguez VM, González-Serrano J, López-Quiles J. The application of diode laser in the treatment of oral soft tissues lesions. A literature review. J Clin Exp Dent. 2017;9(7):e925-8.
Olivi M, Genovese MD, Olivi G. Laser labial frenectomy: a simplified and predictable technique. Retrospective clinical study. Eur J Paediatr Dent. 2018;19(1):56-60.
Uraz A, Çetiner FD, Cula S, Guler B, Oztoprak S. Patient perceptions and clinical efficacy of labial frenectomies using diode laser versus conventional techniques. J Stomatol Oral Maxillofac Surg. 2018;119(3):182-6.
Aoki A, Sasaki KM, Watanabe H, Ishikawa I. Lasers in nonsurgical periodontal therapy. Periodontol 2000. 2004;36:59‑97.
Azma E, Safavi N. Diode laser application in soft tissue oral surgery. J Lasers Med Sci. 2013;4(4):206-11.
Glazer H. Soft tissue diode laser. Oral Health. 2010;100(7):22.
Khosraviani F, Ehsani S, Fathi M, Saberi-Demneh A. Therapeutic effect of laser on pediatric oral soft tissue problems: a systematic literature review. Lasers Med Sci. 2019;34(9):1735-46.
Fénelon M, Catros S, Fricain JC. [Laser diode et laser CO2: quelles applications en chirurgie orale?] Inf Dent. 2016;36:2-6.
Lebret C, Garot E, Pereira MA, Fricain JC, Catros S, Fénelon M. Perioperative outcomes of frenectomy using laser versus conventional surgery: a systematic review. J Oral Med Oral Surg. 2021;27:36.
Viet DH, Ngoc VTN, Anh LQ, Son LH, Chu DT, Ha PTT, Chu-Dinh T. Reduced Need of Infiltration Anesthesia Accompanied With Other Positive Outcomes in Diode Laser Application for Frenectomy in Children. J Lasers Med Sci. 2019;10(2):92-6.
Protásio ACR, Galvão EL, Falci SGM. Laser Techniques or Scalpel Incision for Labial Frenectomy: A Meta-analysis. J Maxillofac Oral Surg. 2019;18(4):490-9.
Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs. 1988;14(1):9-17.
Corah NL, Galex EN, Illig SL. Assessment of a dental anxiety scale. J Am Dent Assoc. 1978;97(5):816-9.
Binti Zaaba NAA, Rajasekar A, Kk SS. Evaluation of healing following frenectomy. Bioinformation. 2021;17(12):1138-43.
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):955-60.
Martens LC. Laser physics and a review of laser applications in dentistry for children. Eur Arch Paediatr Dent. 2011;12(2):61-7.
Kaur P, Dev YP, Kaushal S, Bhatia A, Vaid R, Sharma R. Management of the upper labial frenum: a comparison of conventional surgical and lasers on the basis of visual analogue scale on patients perception. J Periodontal Med Clin Pract. 2014;1:38-46.
Calisir M, Ege B. Evaluation of patient perceptions after frenectomy operations: A comparison of neodymium-doped yttrium aluminum garnet laser and conventional techniques in the same patients. Niger J Clin Pract. 2018;21(8):1059-64.
Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs. 2005;14(7):798-804.
Howard RF. Current status of pain management in children. JAMA. 2003;290(18):2464-9.
Chambers CT, Hardial J, Craig KD, Court C, Montgomery C. Faces scales for the measurement of postoperative pain intensity in children following minor surgery. Clin J Pain. 2005;21(3):277-85.
Gross AL, Ballif BL. Children’s understanding of emotion from facial expression and situations: a review. Developmental Review. 1991;11:368-98.
Patel RM, Varma S, Suragimath G, Abbayya K, Zope SA, Kale V. Comparison of labial frenectomy procedure with conventional surgical technique and diode laser. J Dent Lasers. 2015;9:94-9.
Ize-Iyamu IN, Saheeb BD, Edetanlen BE. Comparing the 810 nm diode laser with conventional surgery in orthodontic soft tissue procedures. Ghana Med J. 2013;47(3):107-11.
Akpınar A, Toker H, Lektemur Alpan A, Çalışır M. Postoperative discomfort after Nd: YAG laser and conventional frenectomy: comparison of both genders. Aust Dent J. 2016;61(1):71-5.
Sarmadi R, Gabre P, Thor A. Evaluation of upper labial frenectomy: A randomized, controlled comparative study of conventional scalpel technique and Er:YAG laser technique. Clin Exp Dent Res. 2021;7(4):522-30.
Mendoza-Mendoza A, Perea MB, Yañez-Vico RM, Iglesias-Linares A. Dental fear in children: the role of previous negative dental experiences. Clin Oral Investig. 2015;19(3):745-51.
Fornaini C, Rocca JP, Bertrand MF, Merigo E, Nammour S, Vescovi P. Nd: YAG and diode laser in the surgical management of soft tissues related to orthodontic treatment. Photomed Laser Surg. 2007;25(5):381-92.
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 J. 2009;2:7138.
El-Housseiny AA, Merdad LA, Alamoudi NM, Farsi NM. Effect of child and parent characteristics on child dental fear ratings: analysis of short and full versions of children’s fear survey schedule-dental subscale. Oral Heal Dent Manag. 2015;14:9-16.
Arapostathis KN, Coolidge T, Emmanouil D, Kotsanos N. Reliability and validity of the Greek version of the children’s fear survey schedule-dental subscale. Int J Paediatr Dent. 2008;18(5):374-9.
Suprabha BS, Rao A, Choudhary S, Shenoy R. Child dental fear and behavior: The role of environmental factors in a hospital cohort. J Ind Soc Pedod Prev Dent. 2011;29(2):95-101.
Porritt J, Marshman Z, Rodd HD. Understanding children’s dental anxiety and psychological approaches to its reduction. Int J Paediatr Dent. 2012;22(6):397-405.
Raciene R. Prevalence of dental fear among Vilnius pupils aged 12 to 15 years. Determining Factors. Stomatologija. 2003;5:52-6.
Dikshit P, Limbu S, Bhattarai K. Evaluation of Dental Anxiety in Parents Accompanying their Children for Dental Treatment. Orthod J Nepal. 2013;3(1):47-52.
Uzel İ, Aydınel B, Topaloğlu Ak A. Evaluation of the Risk Factors of Dental Anxiety in Children. J Pediatr Res. 2022;9(2):99-104.