Impact of Antimicrobial Mouthwash on Outcomes of Er: YAG Laser Versus Scalpel Frenectomy: A Retrospective Longitudinal Cohort Study

Objective: This study compared the clinical and patient-reported outcomes of Er: YAG laser-assisted versus conventional scalpel frenectomy, while evaluating the adjunctive impact of postoperative antimicrobial mouthwashes on wound healing and periodontal parameters. Methods: A total of 102 patients who underwent labial frenectomy were included in this retrospective longitudinal cohort study. Participants were allocated into four groups based on the surgical approach (Er: YAG laser or conventional scalpel) and the postoperative mouthwash protocol (Kloroben® or Klorhex Plus®). Clinical assessments were performed at baseline and at 7, 14, and 28 days postoperatively. Wound healing, evaluated using the Wound Healing Index, was defined as the primary outcome. Secondary outcomes included periodontal clinical parameters, epithelialization status, postoperative pain, bleeding, and analgesic consumption. To control potential confounders, multivariable regression analysis was performed alongside standard parametric and nonparametric tests, with p 0.05). Conclusions: Within the limitations of this study, Er: YAG laser-assisted frenectomy was observed to provide favorable wound healing outcomes compared to the conventional technique. Furthermore, our findings show that anatomical variations in frenulum type do not significantly influence the quality or speed of recovery. These findings suggest that the choice of surgical modality and postoperative chemical support are more critical determinants of early clinical success than the anatomical variations of the frenulum.