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Lasers in Dentistry: Minimally Invasive Instruments for the Modern Practice
Frenectomy

Course Author(s): Steven R. Pohlhaus, DDS

Frenectomy

Frenectomies are a very common laser procedure that can be accomplished effectively with any wavelength.  Simple ones can often be achieved with topical anesthesia only.  Hemostasis is usually excellent, particularly with the more thermal CO2, Nd:YAG, and diodes.

Figure 24. Frenectomy.
This image depicts frenum contributing to recession between teeth 24 and 25.
Frenum contributing to recession between teeth 24 and 25
Figure 25. Frenectomy.
This image depicts immediate post-operative view of Er:YAG frenectomy.
Immediate post-operative view of Er:YAG frenectomy. Topical anesthesia was used. The frenum is incised and the gingival tissue is obliterated with the laser to help prevent relapse and encourage growth of attached gingiva.
Figure 26. Frenectomy - Six Months Post-op.
This image depicts six months post-operative view of an Er:YAG frenectomy.
Six months post-operative view of an Er:YAG frenectomy. Attached gingiva has grown into superior portion of the surgical site.
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