Diode Laser Frenectomy (Clinical documentation): Case Report.


  • Darya Alhaidary Oral and Maxillofacial Surgery Department, College of Dentistry, Hawler Medical University.
  • Noor Othman Undergraduate Student at the College of Dentistry, Hawler Medical University.
  • Rayan Hadi Undergraduate Student at the College of Dentistry, Hawler Medical University.
  • Elaf Ayad Undergraduate Student at the College of Dentistry, Hawler Medical University.




diode laser, oral soft tissue surgery, frenectomy, vestibuloplasty, ankyloglossia


Introduction: As an alternative to conventional dental procedures, laser surgery has grown in favor recently. Among other laser types, diode lasers have attracted significant interest in the field of oral soft tissue surgery.

Case Reports: The oral surgery department received referrals for three patients. Following a thorough review of each patient's medical history and oral examination, the following oral diagnosis and treatment plans were developed: (1) A 75-year-old female with a poor denture fit needing vestibuloplasty and frenectomy; (2) A 43-year-old female with anterior midline diastema; (3) A female in her twenties with ankyloglossia. Diode laser surgery at a wavelength of 940 nm, in continuous mode, was the recommended course of treatment for all patients.

Conclusion: In light of the versatility of the 940 nm diode laser in oral soft tissue procedures and the benefits of laser surgery, this study recommends using the 940 nm diode laser in this context.


Melo NSF de O, Lima AAS de, Fernandes Â, Silva RPGVC da. Anquiloglossia: relato de caso. RSBO (Impr) [Internet]. 2011 [cited 2023 Aug 27];102–7. 10.1016/j.jped.2018.12.013

Principles and Practice of Laser Dentistry [Internet]. ScienceDirect. [cited 2023 Aug 27]. Available from: https://www.sciencedirect.com/book/9780323062060/principles-and-practice-of-laser-dentistry#book-info.

Devishree D. Frenectomy: A Review with the Reports of Surgical Techniques. JOURNAL of CLINICAL AND DIAGNOSTIC RESEARCH [Internet]. 2012 [cited 2020 Jan 20]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3527809/

Aras MH, Göregen M, Güngörmüş M, Akgül HM. Comparison of Diode Laser and Er:YAG Lasers in the Treatment of Ankyloglossia. PALS. 2010 Apr;28(2):173–7.

Husein A. Applications of Lasers in Dentistry: A Review [Internet]. Semantic Scholar. 2006 [cited 2023 Aug 27]. Available from: https://www.semanticscholar.org/paper/Applications-of-Lasers-in-Dentistry%3A-A-Review-Husein/52abfcf86422ae0316bbce3e64041117703a7512

Pompéia LE, Ilinsky RS, Ortolani CLF, Faltin Júnior K. a influencia da anquiloglossia no crescimento e desenvolviment do Sistema. RPDP. 2017 Jun;35(2):216–21.

Gontijo I, Navarro RS, Haypek P, Ciamponi AL, Haddad AE. The applications of diode and Er:YAG lasers in labial frenectomy in infant patients. JDC (Chicago, Ill) [Internet]. 2005 [cited 2023 Aug 27];72(1):10–5. Available from: https://pubmed.ncbi.nlm.nih.gov/16119069/

Rosa PMM, Rosa PSM, Levi YL de AS, Nogueira MC, Vieira FF dos SL, Silveira EMV, et al. Diagnóstico e tratamento cirúrgico do freio labial com inserção marginal: relato de caso. Periodontia [Internet]. 2018;56–60. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-882823.

Garg AK. Lasers in dental implantology: innovation improves patient care.DIU [Internet]. 2007 Aug 1 [cited 2023 Aug 27];18(8):57–61. Available from: https://pubmed.ncbi.nlm.nih.gov/17715878/

White JM, Goodis HE, Rose CL. Use of the pulsed Nd:YAG laser for intraoral soft tissue surgery. ASLMS. 1991;11(5):455–61.

Franzen R. Principles of Medical and Dental Lasers: An Introduction to Laser Medicine & Laser Dentistry [Internet]. Google Books. Lulu.com; 2011 [cited 2023 Aug 27]. Available from: https://books.google.iq/books/about/Principles_of_Medical_and_Dental_Lasers.html?id=R5dpAwAAQBAJ&redir_esc=y.

Using the Assessment Tool for Lingual Frenulum FunctionTM© [Internet]. Hazelbaker Lactation Institute. Available from: https://hazelbakerinstitute.com/course/using-the-assessment-tool-for-lingual-frenulum-function/.

Ingram J, Johnson D, Copeland M, Churchill C, Taylor H, Emond A. The development of a tongue assessment tool to assist with tongue-tie identification. Archives of Disease in Childhood - Fetal and Neonatal Edition [Internet]. 2015 Apr 15;100(4):F344–9. Available from: https://fn.bmj.com/content/100/4/F344.

Reddy N, Marudhappan Y, Devi R, Narang S. Clipping the (tongue) tie. JISP [Internet]. 2014;18(3):395. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4095637/

Yadav RK, Verma UP, Sajjanhar I, Tiwari R. Frenectomy with conventional scalpel and Nd:YAG laser technique: A comparative evaluation. JISP [Internet]. 2019 Jan 1;23(1):48–52. Available from: https://pubmed.ncbi.nlm.nih.gov/30692743/.

Sarmadi R, Gabre P, Thor A. Evaluation of upper labial frenectomy: A randomized, controlled comparative study of conventional scalpel technique and Er: YAG laser technique. Clinical and Experimental Dental Research. 2020 Dec 25;7(4):522–30.

Nammour S. Laser-Assisted Tongue-Tie Frenectomy for Orthodontic Purpose: To Suture or Not to Suture? Photobiomodulation, Photomedicine, and Laser Surgery. 2019 Jul;37(7):381–2.

Brignardello-Petersen R. Use of lasers seems to result in a small decrease in postoperative complications after labial frenectomy compared with scalpels. JADA (1939) [Internet]. 2020 May 1 [cited 2023 Aug 27];151(5):e42. Available from: https://pubmed.ncbi.nlm.nih.gov/32197710/

Mazzoni A, Navarro RS, Fernandes KPS, Mesquita-Ferrari RA, Horliana ACRT, Silva T, et al. Comparison of the Effects of High-Power Diode Laser and Electrocautery for Lingual Frenectomy in Infants: A Blinded Randomized Controlled Clinical Trial. JCM [Internet]. 2022 Jun 30;11(13):3783. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9267408/

Pie-Sanchez J, Espana-Tost AJ, Arnabat-Dominguez J, Gay-Escoda C. Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr:YSGG laser. MOPTCB. 2012;e228–32.

White JM, Goodis HE, Rose CL. Use of the pulsed Nd:YAG laser for intraoral soft tissue surgery. Lasers in Surgery and Medicine. 1991;11(5):455–61.

Tuncer I, Özçakır-Tomruk C, Şencift K, Çöloğlu S. Comparison of Conventional Surgery and CO2 Laser on Intraoral Soft Tissue Pathologies and Evaluation of the Collateral Thermal Damage. PLS. 2010 Feb;28(1):75–9.

Kotlow L. Diagnosis and treatment of ankyloglossia and tied maxillary fraenum in infants using Er:YaG and 1064 diode lasers. EAPD. 2011 Apr;12(2):106–12.




How to Cite

Alhaidary D, Othman N, Hadi R, Ayad E. Diode Laser Frenectomy (Clinical documentation): Case Report. EDJ [Internet]. 2024 Mar. 28 [cited 2024 Jun. 13];6(3):297-301. Available from: https://edj.hmu.edu.krd/index.php/journal/article/view/258



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