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Purpose <p>The aim of this study is to evaluate and compare the clinical outcomes of frenuloplasty in patients with ankyloglossia using 810&#xa0;nm and 980&#xa0;nm diode lasers.</p> Methods <p>A group of 38 patients (comprising 29 males and 9 females), aged between 6 and 24 years old, were selected for the study. Inclusion criteria included a short lingual frenum that interfered with speech and swallowing, a frenum inserted near or at the tip of the tongue, an inability to extend the tongue tip past the lower lip, and the presence of a notch or heart shape in the tongue upon protrusion. The patients were divided into two groups, each consisting of 19 patients. One group was treated using an 810&#xa0;nm diode laser (group A), while the other group was treated using a 980&#xa0;nm diode laser (group B). The treatment involved frenuloplasty using dual-wavelength diode laser (<i>Quicklase Dual 810/980 nm</i>,<i> Quicklase Ltd.</i>,<i> United Kingdom</i>). The laser parameters employed included an average power setting of 1.5&#xa0;W in pulsed emission mode, with a frequency of 10&#xa0;Hz and a pulse duration of 100 ms. A 400&#xa0;μm diameter-initiated tip was used, placed in direct contact with the tissues. These settings resulted in an energy density of approximately 1197&#xa0;J/cm².</p> Results <p>The results indicate no significant differences in VAS scores between Group A and Group B after 1&#xa0;day (<i>p</i> = 0.407) and 3 days (<i>p</i> = 0.534). Regarding healing, the data show no significant differences in the healing process between the two groups at both the one-month and two-month follow-up intervals. Concerning tongue movement and function, all patients demonstrated normal tongue function one-month post-treatment without any restrictions. Finally, no recurrence of the lingual frenulum was observed in any of the patients after a follow-up period of 2 months.</p> Conclusions <p>According to the results of this study, both 810&#xa0;nm and 980&#xa0;nm diode laser wavelengths were effective in the management of ankyloglossia, with no significant differences observed in terms of postoperative pain and soft tissue healing. Both wavelengths provided predictable healing outcomes and were associated with minimal postoperative discomfort. Additionally, all patients demonstrated normal tongue function one-month post-treatment, with no reported difficulties in speech, pronunciation, or tongue mobility. There was also no evidence of recurrence of the lingual frenulum during the two-month follow-up period. Based on these findings, both laser settings may be considered viable and clinically effective options for soft tissue management in lingual frenuloplasty procedures.</p>

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A comparison of frenuloplasty outcomes using 810 nm and 980 nm diode lasers in the management of ankyloglossia

  • 期刊论文

  • 发表日期：

    2025年5月7日

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  • Hani M. Al-Kufi,
  • Maytham A. Sadiq,
  • Anes A. Alshamaa,
  • Amjed M. Saheb,
  • Husein A. Eiffar

摘要

Purpose

The aim of this study is to evaluate and compare the clinical outcomes of frenuloplasty in patients with ankyloglossia using 810 nm and 980 nm diode lasers.

Methods

A group of 38 patients (comprising 29 males and 9 females), aged between 6 and 24 years old, were selected for the study. Inclusion criteria included a short lingual frenum that interfered with speech and swallowing, a frenum inserted near or at the tip of the tongue, an inability to extend the tongue tip past the lower lip, and the presence of a notch or heart shape in the tongue upon protrusion. The patients were divided into two groups, each consisting of 19 patients. One group was treated using an 810 nm diode laser (group A), while the other group was treated using a 980 nm diode laser (group B). The treatment involved frenuloplasty using dual-wavelength diode laser (Quicklase Dual 810/980 nm, Quicklase Ltd., United Kingdom). The laser parameters employed included an average power setting of 1.5 W in pulsed emission mode, with a frequency of 10 Hz and a pulse duration of 100 ms. A 400 μm diameter-initiated tip was used, placed in direct contact with the tissues. These settings resulted in an energy density of approximately 1197 J/cm².

Results

The results indicate no significant differences in VAS scores between Group A and Group B after 1 day (p = 0.407) and 3 days (p = 0.534). Regarding healing, the data show no significant differences in the healing process between the two groups at both the one-month and two-month follow-up intervals. Concerning tongue movement and function, all patients demonstrated normal tongue function one-month post-treatment without any restrictions. Finally, no recurrence of the lingual frenulum was observed in any of the patients after a follow-up period of 2 months.

Conclusions

According to the results of this study, both 810 nm and 980 nm diode laser wavelengths were effective in the management of ankyloglossia, with no significant differences observed in terms of postoperative pain and soft tissue healing. Both wavelengths provided predictable healing outcomes and were associated with minimal postoperative discomfort. Additionally, all patients demonstrated normal tongue function one-month post-treatment, with no reported difficulties in speech, pronunciation, or tongue mobility. There was also no evidence of recurrence of the lingual frenulum during the two-month follow-up period. Based on these findings, both laser settings may be considered viable and clinically effective options for soft tissue management in lingual frenuloplasty procedures.