Laser lingual frenectomy: basal eutonia achievement by natural homeostatis

V. Favero, G. Zago, G. Zanotti, M. Zarantonello, F. Cocilovo, A. Poscolere, N. Modena, C. Bacci, D. De Santis, L. Favero

Article ID: 5557
Vol 34, Issue 6S2, 2020
DOI: https://doi.org/10.54517/jbrha5557
Received: 8 January 2021; Accepted: 8 January 2021; Available online: 8 January 2021; Issue release: 8 January 2021

Abstract

The aim of present study is a macro evaluation of adjustment to allow homeostasis before and after frenectomy. Macro analysis was done on 7 pediatric patients tested firstly simple surface elettromyography (EMG) to evaluate masticatory muscles, secondly the Rombergs test to assess the posture and thirdly cephalometric analysis according to Giannì and Rocabado to assess orthodontic variations. The frenectomy was performed with diode laser (wavelength 890 nm). Pre-frenectomy EMG outcomes indicate a clear masticatory muscular imbalance with a different electrical activity compared to physiological standard values and functional basal balance. Results after frenectomy EMG show a normalization of basal values with an improvement of mandibular posture. Depending on cephalometric analysis, outcomes reveal a tendency to normalize the cervical lordosis, previously altered. Ultimately, pre-frenectomy Rombergs test shows initial instability in the static posture, which decreases after frenectomy. In conclusion, the short lingual fraenum not only has static correlations with the oral cavity but also dynamic connections with the cervical posture and muscular basal organization. So, homeostasis includes macro alterations involving muscular tone and bone position. Frenectomy could favor the restoration of the basal eutonia achieved by a natural homeostasis.


Keywords

laser;lingual frenum;eutonia


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