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Laser frenectomy is a minimally invasive soft-tissue surgical procedure in which a dental laser is used to excise or reposition an aberrant frenum (labial or lingual) to restore normal function and esthetics.
Indications
• High labial frenum causing midline diastema
• Gingival recession due to frenum pull
• Difficulty in oral hygiene maintenance
• Interference with speech or mastication
• Ankyloglossia (tongue-tie)
• Pre-orthodontic or post-orthodontic correction
Lasers Commonly Used
• Diode laser (most common)
• Nd:YAG laser
• CO₂ laser
• Er:YAG laser
Procedure
1. Topical or minimal local anesthesia
2. Laser excision of frenum fibers
3. Controlled tissue ablation with excellent hemostasis
4. No sutures required in most cases
5. Post-operative instructions
Advantages
• Bloodless surgical field
• Minimal pain and swelling
• No sutures or periodontal dressing
• Reduced operative time
• Faster healing
• Better patient comfort and acceptance
Healing
• Initial healing: 5–7 days
• Complete healing: 2–3 weeks
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