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Laser Surgical Approach of Upper Labial Frenulum: A Systematic Review

Author

Listed:
  • Angelo Michele Inchingolo

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work as first authors.)

  • Giuseppina Malcangi

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work as first authors.)

  • Irene Ferrara

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Fabio Viapiano

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Anna Netti

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Silvio Buongiorno

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Giulia Latini

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Daniela Azzollini

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Nicole De Leonardis

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Elisabetta de Ruvo

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Antonio Mancini

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Biagio Rapone

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Daniela Di Venere

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Assunta Patano

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Pasquale Avantario

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Gianluca Martino Tartaglia

    (UOC Maxillo-Facial Surgery and Dentistry, Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, University of Milan, 20100 Milan, Italy)

  • Felice Lorusso

    (Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy)

  • Antonio Scarano

    (Department of Innovative Technologies in Medicine and Dentistry, University of Chieti-Pescara, 66100 Chieti, Italy)

  • Salvatore Sauro

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    Dental Biomaterials and Minimally Invasive Dentistry, Department of Dentistry, Cardenal Herrera-CEU University, CEU Universities, C/Santiago Ramón y Cajal, s/n., Alfara del Patriarca, 46115 Valencia, Spain)

  • Maria Celeste Fatone

    (PTA Trani-ASL BT, Viale Padre Pio, 76125 Trani, Italy)

  • Ioana Roxana Bordea

    (Department of Oral Rehabilitation, Faculty of Dentistry, Iuliu Hațieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania)

  • Francesco Inchingolo

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy)

  • Alessio Danilo Inchingolo

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work as last authors.)

  • Gianna Dipalma

    (Department of Interdisciplinary Medicine, School of Medicine, University of Bari “Aldo Moro”, 70124 Bari, Italy
    These authors contributed equally to this work as last authors.)

Abstract

An abnormal and hypertrophied upper labial frenulum (ULF) can cause diastemas, gingival recession, eruption abnormalities, and the onset of carious and periodontal problems in the upper central incisors, as well as aesthetic and functional disorders of the upper lip. The goal of this investigation is to review the evidence on the surgical techniques that are currently available for treating ULF in order to identify the best approach. PubMed, Scopus, Cochrane Library, and Embase were searched for papers that matched our topic from 13 November 2012 up to 22 November 2022 using the following Boolean keywords: “frenulum” and “surgery*”. A total of eight articles were selected for the purpose of the review. ULF can be surgically treated using either traditional scalpel surgery or laser surgery. The latter is the better option due to its intra- and post-operative benefits for both the patients and the clinicians, in terms of faster healing, fewer side effects and discomfort, and greater patient compliance. However, a higher learning curve is required for this technique, especially to calibrate the appropriate power of the laser. To date, it is not possible to identify which type of laser achieves the best clinical results for the treatment of ULF.

Suggested Citation

  • Angelo Michele Inchingolo & Giuseppina Malcangi & Irene Ferrara & Fabio Viapiano & Anna Netti & Silvio Buongiorno & Giulia Latini & Daniela Azzollini & Nicole De Leonardis & Elisabetta de Ruvo & Anton, 2023. "Laser Surgical Approach of Upper Labial Frenulum: A Systematic Review," IJERPH, MDPI, vol. 20(2), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:2:p:1302-:d:1031758
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    References listed on IDEAS

    as
    1. Nunzio Cirulli & Alessio Danilo Inchingolo & Assunta Patano & Sabino Ceci & Grazia Marinelli & Giuseppina Malcangi & Giovanni Coloccia & Valentina Montenegro & Chiara Di Pede & Anna Maria Ciocia & Giu, 2022. "Innovative Application of Diathermy in Orthodontics: A Case Report," IJERPH, MDPI, vol. 19(12), pages 1-11, June.
    2. Gian Luca Sfasciotti & Francesca Zara & Iole Vozza & Veronica Carocci & Gaetano Ierardo & Antonella Polimeni, 2020. "Diode versus CO 2 Laser Therapy in the Treatment of High Labial Frenulum Attachment: A Pilot Randomized, Double-Blinded Clinical Trial," IJERPH, MDPI, vol. 17(21), pages 1-12, October.
    Full references (including those not matched with items on IDEAS)

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