Clinical Study of Laser Treatment for Frenectomy of Pediatric Patients

Aim To suggest regarding the timing of oral surgery and laser treatment for frenulum abnormalities in the pediatric population. Materials and methods We investigated the sex, age, frenulum site, reason for consultation, treatment method, and prognosis of 35 patients aged 15 years or younger and who were examined at our hospital for the chief complaint of frenulum abnormality. Results A total of 21 (mean age, 6.0 years) of the 35 patients underwent frenectomy using a carbon dioxide (CO2) laser. Of these, 7 patients (mean age, 2.8 years) underwent the procedure with general anesthesia and 14 patients (mean age, 7.6 years) underwent the procedure with local anesthesia. The surgical site was the lingual frenulum in 15 patients and the maxillary labial frenulum in 6 patients. No adverse events were intraoperatively reported in any of the patients, and the procedure was quickly and safely performed. The mean postoperative follow-up period was 4.6 months, and readhesion was noted in one patient (4.8%). The most common reason cited for not undergoing frenectomy in the 14 patients (mean age, 3.4 years) was the young age of the child. Conclusion Retrospective study of pediatric patients with frenulum abnormalities demonstrated the usefulness of the CO2 laser in performing frenectomy and offered suggestions regarding the timing of this procedure. Clinical significance Frenectomy performed using a CO2 laser for pediatric patients is a useful, simple, and safe treatment method. How to cite this article Komori S, Matsumoto K, Matsuo K, Suzuki H, Komori T. Clinical Study of Laser Treatment for Frenectomy of Pediatric Patients. Int J Clin Pediatr Dent 2017;10(3):272-277.

[1]  F. Yanikoglu,et al.  Direct Midline Diastema Closure with Composite Layering Technique: A One-Year Follow-Up , 2016, Case reports in dentistry.

[2]  J. Hartsfield,et al.  Acquired and Developmental Disturbances of the Teeth and Associated Oral Structures , 2016 .

[3]  S. Pransky,et al.  Breastfeeding difficulties and oral cavity anomalies: The influence of posterior ankyloglossia and upper-lip ties. , 2015, International journal of pediatric otorhinolaryngology.

[4]  H. Bénateau,et al.  [Diagnosis and management of ankyloglossia in young children]. , 2015, Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale.

[5]  T. Komori,et al.  Clinical investigation of carbon dioxide laser treatment for lingual leukoplakia , 2015 .

[6]  Pavitra Rastogi,et al.  Use of carbon dioxide laser in oral soft tissue procedures , 2015, National journal of maxillofacial surgery.

[7]  R. M. Júnior,et al.  Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study , 2015, Lasers in Medical Science.

[8]  J. Kato Application of a CO2 laser for Oral Soft Tissue Surgery in Children , 2012 .

[9]  M. Güngörmüş,et al.  Comparison of diode laser and Er:YAG lasers in the treatment of ankyloglossia. , 2010, Photomedicine and laser surgery.

[10]  O. Ozcelik,et al.  Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. , 2006, Journal of periodontology.

[11]  Jennifer P James,et al.  Review of tongue‐tie release at a tertiary maternity hospital , 2005, Journal of paediatrics and child health.

[12]  A. Kupietzky,et al.  Ankyloglossia in the infant and young child: clinical suggestions for diagnosis and management. , 2005, Pediatric dentistry.

[13]  Irene Queiroz Marchesan Lingual frenulum: classification and speech interference. , 2004, The International journal of orofacial myology : official publication of the International Association of Orofacial Myology.

[14]  D. D. du Toit The tongue: structure and function relevant to disease and oral health. , 2003, SADJ : journal of the South African Dental Association = tydskrif van die Suid-Afrikaanse Tandheelkundige Vereniging.

[15]  M. L. Lalakea,et al.  The Effect of Ankyloglossia on Speech in Children , 2002, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[16]  J. Khoury,et al.  Ankyloglossia: assessment, incidence, and effect of frenuloplasty on the breastfeeding dyad. , 2002, Pediatrics.

[17]  Joel M. White,et al.  Nd:YAG and CO2 laser therapy of oral mucosal lesions. , 1998, Journal of clinical laser medicine & surgery.

[18]  G. Szabó,et al.  Manifestation of the advantages and disadvantages of using the CO2 laser in oral surgery. , 1990, Journal of clinical laser medicine & surgery.

[19]  S. Itoh [Clinical study on speech disorders and speech therapy of ankyloglossia]. , 1988, Kokubyo Gakkai zasshi. The Journal of the Stomatological Society, Japan.