Viet Do Hoang, Ngoc Vo Truong Nhu, Anh Le Quynh, Son Le Hoang, Chu Dinh-Toi, Ha Phung Thi Thu, Chu-Dinh Thien
School of Odonto Stomatology, Hanoi Medical University, Hanoi, Vietnam.
VNU University of Science, Vietnam National University, Hanoi, Vietnam.
J Lasers Med Sci. 2019 Spring;10(2):92-96. doi: 10.15171/jlms.2019.15. Epub 2019 Feb 25.
The abnormal maxillary labial frenum is common in children during the primary or mixed dentition stage. A conventional surgery for this abnormality usually requires infiltration anesthesia which leads to fear in children and consequent noncooperation during the surgery. The aim of present study was to evaluate the reduction in the need of infiltration anesthesia, intraoperative bleeding control and postoperative pain and wound healing in children when using the diode laser for abnormal labial frenum in the maxilla. The present study was carried out among 30 children attending the Hanoi Medical University, Vietnam. A Diode Laser with 810 nm wavelength and power of 0.8 W was used for frenectomy. The proportion of procedures without any need of infiltration anesthesia was 70%, while 93.34% of children demonstrated positive and very positive behavior. Proportion of indolence on the first day after surgery was 83.3%. While 83.3% of children did not take any analgesics, not a single child complained of any pain 3 days after surgery. Our results indicated that the use of diode laser showed several benefits in maxillary labial frenectomy in children. These included reducing the need of infiltration anesthesia, increasing the children's cooperation as well as decreasing the postoperative pain.
异常的上颌唇系带在乳牙期或混合牙列期儿童中很常见。针对这种异常情况的传统手术通常需要浸润麻醉，这会使儿童产生恐惧，进而导致手术过程中不配合。本研究的目的是评估使用二极管激光治疗上颌异常唇系带时，儿童浸润麻醉需求的减少情况、术中出血控制情况以及术后疼痛和伤口愈合情况。本研究在越南河内医科大学的30名儿童中进行。使用波长810 nm、功率0.8 W的二极管激光进行系带切除术。无需任何浸润麻醉的手术比例为70%，而93.34%的儿童表现出积极和非常积极的行为。术后第一天无痛的比例为83.3%。83.3%的儿童未服用任何镇痛药，术后3天没有一个儿童抱怨疼痛。我们的结果表明，使用二极管激光在上颌唇系带切除术中显示出诸多益处。这些益处包括减少浸润麻醉的需求、提高儿童的配合度以及减轻术后疼痛。
