
Minimally Invasive Surgery Ankyloglossia & Frenectomy
Optimized for minimally invasive for general, oral and periodontal soft tissue surgery, the C02 (10,600nm) wavelength represents the gold standard in laser surgery including procedures such as incision/excision, gingivectomy, gingivoplasty, biopsy (fibroma), operculectomy, ablaltion (hemangioma), aphthous ulcers, herpetic lesions, mucocele, lichen planus and leukoplakia to name a few.
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Frenectomies including lingual and labial, adult and especially infant require the highest levels of control, precision and performance to minimize treatment time and protect the non-target areas.
Ankyloglossia or "tongue tie" is a condition that restricts the tongues range of motion. An unusually short thick or tight band of tissue (lingual frenum) tethers the bottom of the tip of the tongue to the floor of the mouth.
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A fundamental concern with severe ankyloglossia in newborns is inadequate milk intake while breast feeding. A tongue tie release of lingual frenectomy has been proven effective in relieving difficulties with breast feeding due to severe ankyloglossia. 1,,2

1 Messner AH, Lalakea ML, Aby J, et al Ankyloglossia: incidence and associated feeding difficulties. Arch Otolaryngol Head Neck Surg 2000; 126:36–9.

The challenges and limitations of traditional surgical procedures include bleeding which inhibits visibility, scarring post operatively, increased risk of post operative edema, erythema and discomfort.
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"Hot tip" devices which which rely on the conductive transfer of thermal energy, may present additional risk to sensitive non-target areas on the floor of the mouth.
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Using a laser with optimal absorption characteristics in the target tissue and corresponding control over depth of penetration, and efficiency of vaporization are paramount to accuracy, procedure time, patient sensation, eliminating the risk of scarring and enhancing the healing process.
The 10,600nn Super-pulsed C02
Laser Wavelength Advantage
Based on the unique absorption characteristics of the wavelength (10,600nm) and precise spot size, and superior beam profile facilitated by the articulated arm delivery the interaction is precise & efficient, facilitates an optimal zone of coagulation for blood vessels (less bleeding), lymphatics (less inflammation) and lose nerve endings (less post-op discomfort). Only this combination of wavelength and delivery parameters is capable of simultaneously facilitating all of these enhancements predictably and simultaneously.
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There is also less risk of scarring when using the 10,600nm wavelength (which is actually the laser of choice for treating atrophic and hypertrophic scarring). The majority of general surgeries heal by secondary intention hence no requirement for sutures or dressings which means less risk of post operative discomfort and potential infection. Given the unparalleled control and unique pulse profile of the NANO super-pulsed C02, the laser can be also used for incisions which require secondary intention healing.
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Precise Incision Width
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Optimized Depth of Penetration
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Durable Shallow Coagulation Depth
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Primary & Secondary Intention Healing
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Excellent Visibilitiy
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Fastest Vaporization Rates
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Shortest Treatment Time​
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Less Post-op Edema
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Less Post-op Discomfort
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Less Scarring
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Enhanced Healing
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Easier Myofunctional Therapy
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No Dressings
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No Sutures