Should a frenectomy be done in a young patient with a low frenum -A frenectomy in this case should be followed with orthodontic One hemostat technique. The technique for a laser frenectomy is similar to that using a blade (Figure ). Local or topical anesthesia is administered. The clinician should first visualize. Frenectomy. 1. frenectomy Ryan Pandu Digjaya PPDGS IBM FKG UGM Kuliah bedah preprostetik; 2. TECHNIQUE 1. the simple excision.
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The present article is a compilation of a brief overview about the frenum, with a focus on the indications, contraindications, advantages and the disadvantages of various frenectomy techniques, like Miller’s technique, V-Y plasty, Z-plasty and frenectomy by using electrocautery. Median frenum of upper lip and its influence on spacing of upper central incisor teeth. When the 2 central incisors erupt widely separated, no bone is deposited inferior to the frenum.
However, if graft is thicker, excess tissue will hinder an adequate nutrition and may also necessitates gingivoplasty after healing [ 1718 ]. Preoperative view of frenum treated with bilateral pedicle flap. Oral and Maxillofacial surgery.
This article has been cited by other articles in PMC. The mandibular frenum is considered as aberrant when it is associated with a decreased vestibular depth and an inadequate width of the attached gingiva [ 12 ].
Such condition has to be treated by frenectomy which can be performed by scalpel, electrocautery, or with soft tissue lasers. After 1 week, the dressing was removed, while the remnants of the sutures were left, as resorbable sutures were used. How to cite this URL: A better approach to make primary closure in the midline and to avoid anaesthetic scar by creating zone of attached gingiva, frenectomy is associated with lateral pedicle flap.
Frenum, Frenectomy, Mucogingival techniques. Int J Orofacial Myology ; Management of the upper labial frenum: Lasers in periodontics position paper. A 30 year old male patient was referred from the Department of Orthodontics for high frenum attachment with midline diastema.
Comparison of gingival bleeding and plaque index before and after frenectomy Click here to view.
Frenectomy: A Review with the Reports of Surgical Techniques
By using fine tissue forceps, with care not techniquues damage the apices of the flaps, the submucosal tissues were dissected beyond the base of each flap, into the loose non-attached tissue planes. It may become a matter of concern in the case of a high smile line exposing anterior gingiva. Examination revealed a hypertrophied, broad, thick labial frenum of papillary type attachment and a midline frenectmoy Figure 5a. Related articles Conventional scalpel technique frenectomy high frenum oral hygiene paralleling technique.
The labial frenal attachments have been classified as mucosal, gingival, papillary and papilla penetrating, by Placek et al [ 3 ]. Papilla penetrating- when the fibres cross the alveolar process and extend up to the palatine papilla. Thus, the aim of this case report is to twchniques case series of various frenectomy techniques for management of aberrant frenum. The classical technique leaves a longitudinal surgical incision and scarring, which may lead to periodontal problems and an anaesthetic appearance, thereby necessitating other modifications.
Mean scores of bleeding during surgery and difficulty of procedure experienced by operator Click here to view. Comparison of the VAS score of postoperative pain after conventional and paralleling technique Click here to view.
The case was treated surgically by conventional frenrctomy. Comprised of 10 subjects selected for diode laser technique. Clinically, papillary and papilla penetrating frenum are considered as pathological and have been found to be associated with loss of papilla, recession, diastema and plaque accumulation [ 34 ].
November 20, ; Accepted date: A vertical parallel incision was taken on the mesial side of lateral incisor, mm apical to marginal gingiva, up to vestibular depth. This technique was proposed for the post-orthodontic diastema cases. After complete elimination of frenal attachments in the bone, the flap was repositioned and sutured to the palatal surface. The continuing presence of a diastema between the maxillary central incisors in adults, has often been considered as an aesthetic problem.
Acquired defects of the hard and soft tissues of the face. A periodontal pack was placed. Any remnant of frenum tissue in the mid line and on the under surface of lip was excised Figure 3b. There are several surgical techniques for removal of labial frenum.
A modified frenectomy technique: a new surgical approach.
The other two surgical techniques using lateral pedicle flap offer two distinct advantages. In addition to this, the maxillary frenum may present aesthetic problems or compromise the orthodontic result in the midline diastema cases, thus causing a recurrence after the treatment. Fundamentals of dental lasers: