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Laser Techniques or Scalpel Incision for Labial Frenectomy: A Meta-analysis.
J Maxillofac Oral Surg 2019; 18(4):490-499JM

Abstract

Introduction

Labial frenectomy is a common procedure in the oral surgery specialty. Nowadays, laser surgery seems to provide better post-operative results than scalpel surgery. Thus, the aim of this study was to analyze whether trans-surgical and postoperative variables of labial frenectomy are better when performed with laser than with conventional scalpel.

Materials and Methods

A systematic review has been performed based on PRISMA criteria. The search included three databases, with no limitations of time or language. After screening, seven papers were included in qualitative analysis and six in meta-analysis. Bias analysis was performed according to Cochrane Handbook. Pain during the first (MD - 3.18, 95% CI - 4.03 to - 2.32) and seventh post-surgical days (MD - 1.04, 95% CI - 1.45 to - 0.64); discomfort during speech on the first (MD - 2.15, 95% CI - 3.94 to - 0.37) and the seventh post-surgical days (MD - 1.60, 95% CI - 1.96 to - 1.24); discomfort during chewing on the first (MD - 2.90, 95% CI - 3.35 to - 2.45) and the seventh days (MD - 1.56, 95% CI - 2.21 to - 0.91); and average surgery time (MD - 1.84, 95% CI - 3.22 to - 0.46) were lower in the laser group than in the scalpel group.

Conclusion

The results of this systematic review have shown better results to laser group in the following variables: pain, discomfort during speech and chewing. However, the evidence is limited due the high risk of bias.

Authors+Show Affiliations

1Department of Dentistry, Clinic of Surgery/Federal University of Jequitinhonha and Mucuri Valleys- UFVJM, Rua da Glória, 187, Diamantina, MG 39100-000 Brazil.2Research Center René Rachou, Fundação Oswaldo Cruz, Av. Augusto de Lima, 1715 - Barro Preto, Belo Horizonte, MG 30190-002 Brazil.1Department of Dentistry, Clinic of Surgery/Federal University of Jequitinhonha and Mucuri Valleys- UFVJM, Rua da Glória, 187, Diamantina, MG 39100-000 Brazil.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31624426

Citation

Protásio, Ana Cláudia Rocha, et al. "Laser Techniques or Scalpel Incision for Labial Frenectomy: a Meta-analysis." Journal of Maxillofacial and Oral Surgery, vol. 18, no. 4, 2019, pp. 490-499.
Protásio ACR, Galvão EL, Falci SGM. Laser Techniques or Scalpel Incision for Labial Frenectomy: A Meta-analysis. J Maxillofac Oral Surg. 2019;18(4):490-499.
Protásio, A. C. R., Galvão, E. L., & Falci, S. G. M. (2019). Laser Techniques or Scalpel Incision for Labial Frenectomy: A Meta-analysis. Journal of Maxillofacial and Oral Surgery, 18(4), pp. 490-499. doi:10.1007/s12663-019-01196-y.
Protásio ACR, Galvão EL, Falci SGM. Laser Techniques or Scalpel Incision for Labial Frenectomy: a Meta-analysis. J Maxillofac Oral Surg. 2019;18(4):490-499. PubMed PMID: 31624426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laser Techniques or Scalpel Incision for Labial Frenectomy: A Meta-analysis. AU - Protásio,Ana Cláudia Rocha, AU - Galvão,Endi Lanza, AU - Falci,Saulo Gabriel Moreira, Y1 - 2019/02/20/ PY - 2017/07/02/received PY - 2019/02/02/accepted PY - 2020/12/01/pmc-release PY - 2019/10/19/entrez PY - 2019/10/19/pubmed PY - 2019/10/19/medline KW - Labial frenectomy KW - Labial frenulum KW - Laser KW - Laser surgery KW - Oral surgery SP - 490 EP - 499 JF - Journal of maxillofacial and oral surgery JO - J Maxillofac Oral Surg VL - 18 IS - 4 N2 - Introduction: Labial frenectomy is a common procedure in the oral surgery specialty. Nowadays, laser surgery seems to provide better post-operative results than scalpel surgery. Thus, the aim of this study was to analyze whether trans-surgical and postoperative variables of labial frenectomy are better when performed with laser than with conventional scalpel. Materials and Methods: A systematic review has been performed based on PRISMA criteria. The search included three databases, with no limitations of time or language. After screening, seven papers were included in qualitative analysis and six in meta-analysis. Bias analysis was performed according to Cochrane Handbook. Pain during the first (MD - 3.18, 95% CI - 4.03 to - 2.32) and seventh post-surgical days (MD - 1.04, 95% CI - 1.45 to - 0.64); discomfort during speech on the first (MD - 2.15, 95% CI - 3.94 to - 0.37) and the seventh post-surgical days (MD - 1.60, 95% CI - 1.96 to - 1.24); discomfort during chewing on the first (MD - 2.90, 95% CI - 3.35 to - 2.45) and the seventh days (MD - 1.56, 95% CI - 2.21 to - 0.91); and average surgery time (MD - 1.84, 95% CI - 3.22 to - 0.46) were lower in the laser group than in the scalpel group. Conclusion: The results of this systematic review have shown better results to laser group in the following variables: pain, discomfort during speech and chewing. However, the evidence is limited due the high risk of bias. SN - 0972-8279 UR - https://www.unboundmedicine.com/medline/citation/31624426/Laser_Techniques_or_Scalpel_Incision_for_Labial_Frenectomy:_A_Meta-analysis DB - PRIME DP - Unbound Medicine ER -
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