Comparison of the Effects of High-Power Diode Laser and Electrocautery for Lingual Frenectomy in Infants: A Blinded Randomized Controlled Clinical Trial.
ankyloglossia; breastfeeding; electrocautery; frenectomy; laser; Medicine (all)
Abstract :
[en] The aim of the study was to evaluate the release of the lingual frenulum through frenectomy in newborns zero to 90 days of age who breastfed and had diagnosis of ankyloglossia with an indication for surgery, comparing two methods: electrocautery and a high-power diode laser. Fifty-seven patients were randomly allocated to two groups (23 submitted to electrocautery and 34 submitted to a high power diode laser). Tongue movements were evaluated based on a clinical assessment and using the Bristol Tongue Assessment Tool (BTAT) before and 15 days after the surgical procedures. The visual analog scale was administered to the mothers on the same occasions for the measurement of pain during breastfeeding. Both groups had an increased BTAT score (favorable outcome) at the post-surgical evaluation, but the anterior third of the tongue was not always free to enable the movements necessary for lingual functions. It is fundamental for surgeons to have skill and in-depth knowledge of the equipment used to avoid accidents and complications in the region of important structures. Both techniques employed in this study were safe and effective, causing little bleeding and few postoperative complications. The group submitted to a high-power diode laser exhibited less post-surgical bleeding compared to the group submitted to electrocautery and no inflammation at the edges of the surgical cut.
Disciplines :
Dentistry & oral medicine
Author, co-author :
Mazzoni, Adriana ✱; Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil
Navarro, Ricardo Scarparo ✱; Postgraduate Program in Bioengineering, Scientific and Technological Institute, Brazil University (UB), São Paulo 08230-030, Brazil
Júnior, Aldo Brugnera ✱; National Institute of Science and Technology, INCT "Basic Optics Applied to Life Sciences", UFSCar, USP, São Carlos 13565-905, Brazil
Namour, Samir ✱; Université de Liège - ULiège > Département des sciences dentaires
Bussadori, Sandra Kalil ✱; Postgraduate Program in Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil ; Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo 01525-000, Brazil
✱ These authors have contributed equally to this work.
Language :
English
Title :
Comparison of the Effects of High-Power Diode Laser and Electrocautery for Lingual Frenectomy in Infants: A Blinded Randomized Controlled Clinical Trial.
Original title :
[en] Comparison of the Effects of High-Power Diode Laser and Electrocautery for Lingual Frenectomy in Infants: A Blinded Randomized Controlled Clinical Trial.
CAPES - Coordenação de Aperfeicoamento de Pessoal de Nível Superior [BR]
Funding number :
This research was funded by CAPES (Protocol number 88887.494956/2020-00) (Coordination for the Advancement of Higher Education Personnel)/faleconosco@capes.gov.br/Setor Bancário Norte (SBN), Quadra 2, Bloco L, Lote 06, Edifício CAPES–70.040-031—Brasília, DF-Brazil.
Funding text :
This research was funded by CAPES (Protocol number 88887.494956/2020-00) (Coordination for the Advancement of Higher Education Personnel)/faleconosco@capes.gov.br/Setor Bancário Norte (SBN), Quadra 2, Bloco L, Lote 06, Edifício CAPES–70.040-031—Brasília, DF-Brazil.This research was funded by CAPES (Protocol number 88887.494956/2020-00) (Coordination for the Advancement of Higher Education Personnel)/faleconosco@capes.gov.br/Setor Bancário Norte (SBN), Quadra 2, Bloco L, Lote 06, Edifício CAPES–70.040-031—Brasília, DF-Brazil.Acknowledgments: The authors are grateful to Nove de Julho University (UNINOVE) for the availability of laboratories and volunteers.The present study was conducted at a dental clinic. Due to the COVID-19 pandemic, the clinics of Nove de Julho University (UNINOVE) were closed to the public. The dental clinic at which the participants were examined followed all safety standards and protocols recommended by the Brazilian Health Ministry and government agencies for controlling the dissemination of the coronavirus. This study received approval from the local Ethics Committee (certificate number: 4.387.769) and received funding from the Coordination for the Advancement of Higher Education Personnel (CAPES) (number: 88887.494956/2020-00). The Informed Consent Term was explained to the parents or guardians of the newborn participants and signed in two copies—one belonging to the volunteer and the other to the researchers. This study was registered with Clinical Trials: NCT04487418
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