PDF(Pubmed)
Abstract：
Median diastema is a physiological occurrence that is frequently seen in the maxillary jaw. Therefore, a median diastema has been associated with a wide range of etiological variables, including thumb sucking, supernumerary teeth, tongue thrusting, some dentoalveolar discrepancy, and hypodontia. Patient esthetic and function demands are both negated by the labial frenum\'s abnormal location in relation to the maxillary anterior teeth, which results in diastema and gingival recession. Lasers are now being used in several fields of dentistry as an alternative to conventional scalpel operations. Frenectomy can be done through the use of electrosurgery, laser surgery, or the classic scalpel technique. This pathological frenum can be very well excised with a diode laser. Due to its applicability, sufficient coagulation, lack of suture requirements, and reduced discomfort and inflammation, the diode laser can be utilized in pediatric dentistry. High-connected midline diastema has remained a subject of debate when it comes to management and the right time to intervene and treat it. Both orthodontists and pediatric dentists agree that frenectomy should not be done after the closure of the orthodontist gap or before the appearance of the permanent canine teeth. However, several conditions, including the child\'s psychological status, parents\' concerns, the closure\'s unpredictable effects on the future, and the expense of combined therapies, may lead to an early intervention for therapy during the primary or mixed dentition. In this specific scenario, a child who was eight years old underwent a diode laser frenectomy. After seven days, a follow-up examination showed normal position and attachment of the frenum and no signs of infection at the site of surgery.
摘要：
中段舒张是在上颌中常见的生理现象。因此,中位舒张与广泛的病因变量相关，包括拇指吸吮,多余的牙齿，舌头刺痛，一些牙槽骨的差异，和缺牙症。患者的审美和功能需求都被唇系带相对于上颌前牙的异常位置所否定，这导致了牙龈萎缩和牙龈萎缩。激光现在正被用于牙科的几个领域，作为传统手术刀手术的替代品。全系切除术可以通过使用电外科来完成，激光手术,或者经典的手术刀技术。用二极管激光可以很好地切除这种病理性的系带。由于其适用性，充分的凝结,缺乏缝合要求，减少不适和炎症，二极管激光可用于儿科牙科。当涉及到管理以及适当的干预和治疗时机时，高度关联的中线舒张仍然是一个争论的话题。正畸医生和儿科牙医都同意，在正畸医生间隙闭合后或恒牙犬齿出现前，不应进行全系切除术。然而,几个条件,包括孩子的心理状况，父母的担忧，封闭对未来的不可预测的影响，以及联合疗法的费用，可能导致在原发性或混合性牙列期间早期干预治疗。在这个特定场景中，一个八岁的孩子接受了二极管激光切除术。七天后,随访检查显示系带的位置和附着正常，手术部位没有感染迹象。
