Year: 2025
Type: article
Abstract: The upper labial frenulum (ULF) is a connective tissue band that can significantly impact oral function and aesthetics when hypertrophic or abnormally positioned. This review examines surgical techniques for managing ULF, comparing traditional scalpel-based procedures with laser-assisted methods. Conventional treatments like frenectomy and frenulotomy remain common but have drawbacks such as increased bleeding during surgery, longer healing times, and postoperative discomfort. Z-plasty, while effective at improving both function and appearance, demands advanced surgical skill. Laser-assisted surgery provides a minimally invasive alternative, offering benefits like greater precision, less intraoperative bleeding, faster recovery, and increased patient comfort. Various lasers, including diode, CO₂, and Er: YAG types, enable precise tissue removal and effective blood control, often eliminating sutures. However, their widespread adoption is limited by high equipment costs and specialized training requirements. Although laser surgery offers clear advantages, more randomized clinical trials are needed to establish standardized protocols and enhance long-term outcomes. Future research should explore combining regenerative techniques, such as platelet-rich fibrin (PRF), with advances in AI-assisted laser surgery. This review underscores the expanding role of laser technology in ULF treatment and emphasizes the necessity of ongoing innovation to improve clinical results, patient satisfaction, and accessibility in dental practice.
Source: Oral & Implantology
Authors: Andrea Palermo, Paola Bassi, Laura Ferrante, Valeria Colonna, Silvia Chieppa, Rosalba Lagioa, Massimo Corsalini, Sabina Saccomanno, Silvia Piccolo, Mara Fammilume, Ludovica Pergolesi, Robert Marcucci, Marco Farronato, Cinzia Maspero, Ana Júlia De Paula Guerra, Grazia Marinelli
Language: English
Subfield: Speech and Hearing
Field: Health Professions
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4415401767
FWCI:
Cites:
Cited by:
Related to: