Removing an abnormal maxillary labial frenum (a small band of tissue that connects the upper lip to the gums) using a scalpel and laser

ISRCTN ISRCTN10827581
DOI https://doi.org/10.1186/ISRCTN10827581
Secondary identifying numbers 21/S.M
Submission date
09/11/2023
Registration date
13/11/2023
Last edited
13/11/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
The frenum is a fold in the mucous membrane that connects the lip and the cheek to the tissues around the upper teeth. When these folds, called frena, are too closely attached to the gum line, it can potentially impact gum health. This can happen due to issues like difficulty in cleaning plaque or tension from muscle pull.
The aim of this study is to evaluate the pain and reinsertion of the frenum following conditional and laser assisted treatment in patients with abnormal upper labial frenum.

Who can participate?
Patients aged 15 years and over with abnormal upper labial frenum

What does the study involve?
Frenectomy with classical surgery and laser surgery and follow up for 3 months

What are the possible benefits and risks of participating?
Decrease the pain and promote the healing of the wounds and make the patients more comfort
The methods are safe and there are no expected risks.

Where is the study run from?
Damascus University (Syria)

When is the study starting and how long is it expected to run for?
January 2021 to November 2023

Who is funding the study?
Damascus University (Syria)

Who is the main contact?
Dr Aisha Sayed Taha
Aysha.sayed.taha@gmail.com

Contact information

Dr Aisha Sayed Taha
Public, Scientific, Principal Investigator

Mazzeh
Damascus
-
Syria

ORCiD logoORCID ID 0009-0009-8580-2320
Phone +963 (0)994778168
Email aisha94.taha@damascusuniversity.edu.sy

Study information

Study designInterventional randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)University/medical school/dental school
Study typeTreatment
Participant information sheet No participant information sheet available
Scientific titleA comparative clinical study between conventional surgical technique and different types of laser for frenectomy procedure
Study objectivesThere is no difference between laser assisted technique and conventional technique for Frenectomy
Ethics approval(s)

Approved 04/01/2021, Scientific Research and Postgraduate Studies Council (Baramkeh, Damascus, -, Syria; +963 (0)1133923192; ap.srd@damascusuniversity.edu.sy), ref: None provided

Health condition(s) or problem(s) studiedFrenectomy in patients with abnormal labial frenum
InterventionIn this study, individuals with abnormal maxillary labial frenum were randomly treated with a conventional technique and different types of laser. Clinical measurements will be taken every month during the 3-month follow-up period.

1st group: conventional surgical technique
2nd group: conventional surgical technique followed by application diode laser 808nm for photobiomodulation
3rd group: laser Er:YAG for surgery
4th group: laser Diode 810nm for surgery

Follow up after one week, one month, 3months

Randomization by website:
www.random.org
Intervention typeProcedure/Surgery
Primary outcome measurePain is measured using a numerical scale (NS) at baseline, 24, 48, and 72 h.
Secondary outcome measures1. Reepithelialization assessment by H2O2 after one week, two weeks, three weeks, 1 month, 3 months.
2. Reinsertion of the frenum by UNC15 probe after 1 month, 3 months.
Overall study start date05/01/2021
Completion date05/11/2023

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit15 Years
Upper age limit55 Years
SexBoth
Target number of participants4 groups, 10 patient in each group
Total final enrolment40
Key inclusion criteria1. Systemically healthy
2. Non smoker
3. Between 15 and 55 years old
4. Not received any periodontal treatment within the last 3 months
5. Presence of at least central incisors, lateral incisors, and canines at the maxilla
6. Consent to participate in the study
Key exclusion criteria1. Any systematic disease that might interfere with wound healing process (i.e., diabetes mellitus and HIV infection)
2. Smoking
3. Antibiotics, anti-inflammatory drugs, or any other medication taken within the last 6 months that might affect the outcome of the study
4. Any hypersensitivity reactions against to paracetamol
5. Any physical limitations or restrictions that might preclude normal oral hygiene procedures
Date of first enrolment01/10/2021
Date of final enrolment05/08/2023

Locations

Countries of recruitment

  • Syria

Study participating centres

Damascus University
Department of Periodontology
Faculty of Dentistry
Mezzah
Damascus
-
Syria
Damascus University
High institute for Laser researches and applications
Faculty of mechanical and electrical engineering
Airport road
Damascus
-
Syria

Sponsor information

Damascus University
University/education

Albaramkeh
Damascus
-
Syria

Phone +963 (0)1133923192
Email info@damascusuniversity.edu.sy
Website http://damasuniv.edu.sy/
ROR logo "ROR" https://ror.org/03m098d13

Funders

Funder type

University/education

Damascus University
Government organisation / Universities (academic only)
Alternative name(s)
University of Damascus, جَامِعَةُ دِمَشْقَ, DU
Location
Syria

Results and Publications

Intention to publish date30/12/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Prof. Dr Wael Almahdi (w.almahdi76@gmail.com). All of data of the patients will be available on request.
Consent from participants was obtained.

Editorial Notes

13/11/2023: Trial's existence confirmed by Damascus University.