Multidisciplinary Management of Diastema Closure with Diode Laser Frenectomy, Photobiomodulation, and Composite Resin: A Clinical Case Report

Autores

  • Rodrigo Isaias Lopes Pereira DDS, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0009-0004-4234-0692
  • Gabriela Carrara Simionato DDS, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0001-6220-8024
  • Estêvão Lopes Pereira DDS, Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, Araçatuba 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0002-9766-7519
  • Cristiano Gama da Silva DDS, Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0009-0001-9565-209X
  • Edilson Ervolino PhD, Department of Basic Science, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0003-4859-0583
  • Guilherme Miguel Moreira de Oliveira MSc, Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0009-0000-0129-6171
  • Anderson Catelan PhD, Department of Preventive and Restorative Dentistry, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0002-5916-8655
  • Leticia Helena Theodoro PhD, Department of Diagnosis and Surgery, São Paulo State University (UNESP), School of Dentistry, 16015-050 Araçatuba - SP, Brazil https://orcid.org/0000-0003-3026-8369

DOI:

https://doi.org/10.21270/archi.v14i12.6712

Palavras-chave:

Diastema, Lasers, Labial Frenum, Oral Frenectomy, Case Reports

Resumo

Hypertrophic labial frenulum is characterized by the permanence of gingival fibers connected to the incisive papilla or maintained in a low attachment, which may lead to the development of na interincisive diastema. In most cases, this condition representes an aesthetic and/or functional concern for the patient. This manuscript aims to present a case report of diastema closure using direct restorative techniques after upper labial frenectomy with a high-power laser, followed by photobiomodulation. A 42-year-old female patient complained of the space between her upper central incisors and reported having undergone orthodontic treatment twice. After a thorough medical history and clinical examination, it was decided to perform a labial frenectomy with a high-power diode laser (808 nm, 1.5 W, 20 Hz) to correct the hypertrophic labial frenulum. followed by low-power laser (660 nm, 6 J, 100 mW, 60 seconds) for photobiomodulation, with the aim of reducing trans and postoperative pain. Weeks after the procedure, with the surgical area completely healed, the diastema was closed using composite resins. It can be concluded that an excellent functional and aesthetic result was achieved, exceeding the patient's expectations, with an improvement in her self-esteem and social interaction.

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Publicado

2025-12-18

Como Citar

Pereira, R. I. L., Simionato, G. C., Pereira, E. L., Silva, C. G. da, Ervolino, E., Oliveira, G. M. M. de, … Theodoro, L. H. (2025). Multidisciplinary Management of Diastema Closure with Diode Laser Frenectomy, Photobiomodulation, and Composite Resin: A Clinical Case Report. ARCHIVES OF HEALTH INVESTIGATION, 14(12), 2701–2710. https://doi.org/10.21270/archi.v14i12.6712

Edição

v. 14 n. 12 (2025)

Seção

Original Articles