Clinical Outcomes of Laser and Scalpel Frenectomy: A Case Series

Aslanlı E., Akcalı A.

FDI World Dental Congress, Praha, Çek Cumhuriyeti, 4 - 07 Eylül 2026, ss.1-2, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Praha
  • Basıldığı Ülke: Çek Cumhuriyeti
  • Sayfa Sayıları: ss.1-2
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Introduction

Frenectomy is a mucogingival procedure for removing abnormal frenulum attachments. Although the scalpel technique has long been used, diode lasers have gained popularity due to reduced bleeding, shorter operative time, and improved patient comfort. This case series presents outcomes of laser and scalpel frenectomy.

Case Description

Eight cases were included. A 445 nm diode laser was used in four cases: two edentulous mandibular frenula, one dentate mandibular labial frenulum, and one dentate maxillary labial frenulum. The scalpel technique was performed in four dentate maxillary labial frenula. In the scalpel group, wound margins were closed with 4-0 silk sutures. All patients received Chloroben spray twice daily postoperatively. Mean operative time was 15 minutes for laser procedures and 25 minutes for scalpel procedures. Minimal bleeding was observed in laser cases, whereas mild-to-moderate bleeding occurred in scalpel cases. Postoperative pain appeared greater in the scalpel group.

Discussion

Previous studies report that diode laser frenectomy is associated with reduced bleeding, shorter surgical time, and greater patient comfort. Laser wounds usually heal by secondary intention, whereas scalpel procedures involve primary closure, which may promote faster early epithelialization. In this series, partial epithelialization was observed at one week in the laser group, whereas more advanced epithelialization was noted in most scalpel cases. Recurrence was observed in one laser-treated case.

Conclusion / Clinical Significance

Frenectomy can be performed using different techniques. Laser procedures showed shorter operative time and minimal bleeding, whereas earlier epithelialization was observed in scalpel cases with primary closure. Technique selection should be based on anatomical conditions and clinical needs