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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A comparison of conventional surgical and lasers on the basis of visual analogue tecyniques on patients perception. Periodontal dressing was used to cover the surgical site.

Author information Article notes Copyright and License information Disclaimer. While an aberrant frenum can be removed by tecgniques of the modification techniques that have been proposed, a functional and an aesthetic outcome can be achieved by a proper technique selection, based on the type of the frenal attachment. Clinically, papillary gechniques papilla penetrating frenum are considered as pathological and have been found to be associated with loss of papilla, recession, diastema and plaque accumulation [ 34 ].

Aetiology The maxillary labial frenum develops as a post-eruptive remnant of the ectolabial bands which connect the tubercle of the upper lip to the palatine papilla. One month post-operative view is shown in Figure 1d.

The area was covered with a periodontal pack. Since the conventional procedure of frenectomy was technjques prop-osed, a number of modifications [ 10 — 12 ] of the various surgical techniques like the Miller’s technique, V-Y plasty and Z-plasty have been developed to solve the problems which are caused by an abnormal labial frenum.

In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy. Moreover, for a longer longevity of graft, it is necessary that it has proper dimensions; as a very thin graft has chances that it may undergo necrosis and causes exposure of receptor area.


Z-plasty technique, applied in case of hypertrophy of the upper labial frenum. The labial frenum, midline diastema, and palatine papilla: A periodontal dressing was placed.

The other two surgical techniques using lateral pedicle flap offer two distinct advantages. J Periodontal Med Clin Pract ; Suturing of the site Click here to view. Pharmaceutical Sciences Journals Ann Jose ankara escort. Flap was raised, mobilised mesially and sutured to obtain primary closure across the midline Figure 3d.

Fundamentals of dental lasers: On examination there was papillary frenum attachment Figure 1a. Shabana Anjum for her assistance in the clinical work. Wound healing tecnniques 7 th day and after 1 month for both the groups showed statistical significant difference with better outcome in Group A.

Comparison of gingival bleeding and plaque index before and after frenectomy Click here to view. After adequate local anaesthesia, a horizontal incision was taken to separate the frenum from the base of interdental papilla.

Maxillary frenectomy which was done by using a carbon dioxide laser in a pediatric patient: Armamentarium — Scalpel blade no. The frenum is a mucosal fold that attaches the lips or cheeks to the frenectomh mucosa, gingiva, and underlying periosteum.

American Academy of Periodontology. This may be due to the inability to achieve a primary closure twchniques the centre, consequently leading to a secondary intention healing at the wide exposed wound. However, if graft is thicker, excess tissue will hinder an adequate nutrition and may also necessitates gingivoplasty after healing [ 1718 ].

Twenty patients with high labial frenum were randomly selected from the outpatient department.

Frenectomy: A Review with the Reports of Surgical Techniques

Int J Orofacial Myology ; J Jpn Soc Laser Dent ; J Dent Lasers ;9: A case report of maxillary frenectomy using a carbon dioxide laser in a pediatric patient. Evaluation of patient perceptions after frenectomy operations: Any remnant of frenum tissue in the mid line and on the under surface of lip was excised Figure 3b. 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.


Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. The edges of the diamond shaped wound were sutured using black silk with interrupted sutures Figure 1c.

A modified frenectomy technique: a new surgical approach.

The conventional technique involves excision of the frenum by using a scalpel. How to cite this URL: Management of the upper labial frenum: Maxillary labial frenum is capable of creating a diastema and recession, affecting aesthetics.

A comparison of carbon dioxide laser and scalpel techniques. The pack and the sutures were removed 1 week post-operatively. Abstract The frenum tchniques a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum.

Narrow wound area after excision of the tissue Click here to view. Vertical incision mesial to lateral incisor and undermining of the pedicle. The techniques like simple excision and a modification of V-rhomboplasty fail to provide satisfactory aesthetic results in the case of a broad, thick hypertrophied frenum. 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.

The triangular resected portion of the frenum with the haemostat was removed.