Use of high-intensity diode laser for pre-prothetic frenectomy and bridectomy for increased retention in complete denture in a diabetic patient – case report

Vol. 11 – Number 41 – 2019 CLINICAL DENTISTRY NOTEBOOK Case report Page 96-99 Use of high-intensity diode laser for pre-prothetic frenectomy and bridectomy for increased retention in complete denture in a diabetic patient – case report Abstract Before the manufacture of total dentures, the dentist must observe if the patient has features in his alveolar ridge and soft tissues that would cause a reduction in retention of the denture and, after, evaluate the need and possibility of performing surgery for correction. This paper presents the case report of a patient attended at the Clinic of  omplete Denture of FO-UFMG, female, elderly, black, total edentulous and with type II diabetes mellitus controlled. At the clinical examination, the presence of prominent upper labial frenum was observed. This would reduce the area of support of the prosthesis to be made, culminating in its insufficient retention. Therefore, the surgical removal of these soft tissues was required. The frenectomy and bridectomy were performed with high-intensity diode laser and the postoperative occurred without major intercurrences. After one week the healing was almost complete, the surgery was considered satisfactory and the patient did not report painful symptomatology, allowing the accomplishment of molding to begin the preparation of the prosthesis. The complete denture was installed after 42 days, without complaints of loss of retention by the patient. Descriptors: Complete denture, laser therapy, labial frenum. ¹ Graduated in Dentistry – UFMG, Master’s student in Stomatology – UFMG. ² CD, Graduated in Dentistry – UFMG. ³ Graduated in Dentistry – UFMG, Esp. in Prosthesis – UFMG, Me. in Lasers in Dentistry – Energy and Nuclear Research Institute, PhD / Post-Doctorate in Mechanical Engineering – UFMG, Prof. Deputy of the Department of Restorative Dentistry – UFMG.