UPTOWN/GALLERIA: 346-980-4770 | MIDTOWN: 281-397-3832
UPTOWN/GALLERIA: 346-980-4770
MIDTOWN: 281-397-3832

Soft Tissue Lasers: Frenectomy

Soft Tissue Lasers: Frenectomy

The frenotomy is the use of incision on the attachment of periosteal fiber and it can be sutured on frenum found on the periosteum on vestibule base. It is believed to cause less discomfort during post operation compared to frenectomy and it can suffice in most situations.

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What it is frenectomy?

The frenoctomy is the use of incision on the attachment of periosteal fiber and it can be sutured on frenum found on the periosteum on vestibule base. It is believed to cause less discomfort during post operation compared to frenectomy and it can suffice in most situations. Frenectomy works on frenum and the periosteal attachment. It is required if there is fleshy and large frena to remove.

The use of frenectomy is required in the following circumstances

  • When there is higher frenum attachment which is associated to the area of the persistent gingival inflammation which had not responded to any root panning method and the best oral hygiene.
  • When frenum is associated with the recession place which is also progressive
  • High maxillary frenum with associated midline diastma which persists after the complete eruption of permanent canines.
  • The manbibular lingual frenum can inhibit a tongue so that it does not touch central incisors. This may interfere with the ability of the child to make some sounds like L, D, T. When there is high frenum which is associated with the minal or no keratinized gingiva, the frenectomy will be recommended.


The use of frenectomy

Using of frenectomy procedure is not always recommended since it will increase the attached gingivae after the procedure. Even if alveolar is being characterized by the smooth surface or red color, and it is mobile and loose while the gingiva is stippled, firm, pink, keratinized and it has no mobility.

Gingival survey is found in the soft tissue augmentation and it is needed in these conditions:

  • If the marginal gingiva had inflamed
  • Execudate and bleeding is found at the pocket and sulcus
  • If there is obvious recession
  • If pulling of the marginal tissue takes place if there is a retracting of the lip
  • If using of direct measurement, sulcular depth with the millimeter has been substracted away of keratinized zone of the gingiva. There are at least 2mm for keratinized attached gingiva and it has to be present within final product.

It is possible to predict the results of the laser if the following steps had been followed.

  • Creating of periosteal fenestration on the base of frenectomy in order to prevent fiber reattachment.
  • Removal of the impeding fiber muscle

The laser wavelength can be used in order to perform the frenectomy in a successful manner. The technique used with the laser frenectomy is the same as the one used with blade. Topical and local anesthesia is given. A clinician performs a mental outline at frenectomy and then starts with coronal attachment and it moves laser tip in one direction by pulling at the lips to achieve tension. When correct parameters like hand speed, power and spot size have been used, just one pass, will be enough to get rid of fibers.  When there is a need to use multiple passes, then it is important to make sure that there is no excessive thermal necrosis that takes place over the tissue that had been already lased.  Lasing will continue in order to undermine muscle attachment up to the time periosteum will be reached.

To make sure that there is minimal regrowth or frenum relapse; periosteum has to be fenestrated using hand instrument. Any laser can be used for the frenectomy and the settings are used to conform to manufacturer’s guideline. It is important to be careful so that the tissue will not be charred or suffer thermal damage. Erbium laser does create wound which had some level of hemorrhage. This means that sealing a wound with the bandage approach is needed. There is no dressing or suturing required.


Dental lasers with pediatric dentistry

Even if any laser wavelength may be used to perform both mandibular and maxillary frenectomies, the patient who suffers bleeding problem will require to have hemostasis when performing soft tissues surgery or to use safest choice to do the surgery.


The laser frenectomy offers the following benefits

  • It is not invasive and there is no suture or cutting involved
  • It does not lead to too much pain or too much swelling
  • The lasers may remove the bacteria better compared to other available options
  • It leads to faster healing because of laser bio stimulation for the cells
  • It offers faster recovery compared to the conventional methods.

Having tight frenulum, it will lead to problems for adults and children. Infants will not feed well when they suffer lip or tongue lip.  In children, when the frenulum is found at the upper lip, it can remove the gap found between front teeth and it has to get remove   so that the orthodontic treatment can start. Someone who is wearing a denture, he can have problems since the denture will not be sitting in the proper manner and it may be lifted away of the gum while eating or talking. The tongue tie can hinder speech for the patient regardless of the age and lip tie can prevent the mouth to close in the proper manner. This results in the mouth breathing.


Frenectomy types

The labial frenectomy for upper lip: this is done on the upper lip. The labial frenectomy does involve frenum which is attaching at upper lip and at the upper jaw. This is normally with children while the gum and the teeth are still developing.

Lingual frenectomy: lingual frenum happens with the tight cord found under the tongue and it tetters a tongue to be in resting position. In some cases, there is enough flexibility and the tongue may move around and it can perform the function of eating and speaking.  However, when the tongue had been tied down it can hinder the growth and the speech.

Labial frenectomy for the lower lip: The frenectomy on the lower lip is done for the same reasons as it happens with upper lip. It is meant to stop the gum recession and periodontal problems. However, it can be done in old people who want to have denture fixed. If the lip is moving, frenum may make the denture loose which may lead to the improper fit.

Michelle Campbell
Michelle Campbell
19:53 20 Jun 18
Excellent service. Great first impression! Best cleaning I've had in several years, my mouth feels amazing. They even took the time to show me how to brush more effectively. My teeth are back to being pearly white. They were very knowledgeable in regards to my insurance and I've had no issues. The service there is impeccable!
Nonna Beetge
Nonna Beetge
14:21 24 Apr 18
The staff is wonderful, very friendly and informative. I love how they not only take X-rays, but also photos of all your teeth and put them on the big screen. They spent as much time as I needed to go over each area and explain specifics of each tooth. I definitely have a greater understanding of what is going on in there and what I need to do. I also love their space, it has a calming vibe with all kinds of artwork on display. You almost feel like you’re not at the dentist! Thank you all so much, I look forward to seeing you all again! (Said no one to their dentist 😉 )
Allie Hackett
Allie Hackett
18:47 19 Jun 18
I am not the biggest fan of the dentist, however this was the BEST dentist experience I have ever had! Everyone was so kind and I got everything I needed done in one visit! They provided super helpful insight about what was going on with my teeth and took care of everything I needed quickly. I will absolutely be returning! 🙂
Andrew Nguyen
Andrew Nguyen
14:17 10 May 18
Beautiful location and office. Very friendly and welcoming staff! I had a great time conversing with them about movies and music. Dr. Nguyen and his staff were very knowledgeable and stressed the importance of making sure the patient knew what their game plan was. The office is very high tech as well so it was super cool to know that I was getting the latest tech being use on me.
Andrea Andrea
Andrea Andrea
17:15 20 May 18
Love the location, the dentist AND the staff. Everyone there is awesome. It's rare that I leave a dentist office feeling just as good as when I arrive. I was sad I didn't get to see Snickers, but all in all I had a great experience my first time here. Glad to finally have a new "home" dentist since moving to Texas.
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