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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However, if graft is thicker, excess tissue will hinder an adequate nutrition and may also necessitates gingivoplasty after healing [ 1718 ]. YAG lasers in labial frenectomy in infant patients. Comparison of gingival bleeding and plaque index before and after frenectomy Click here to view.

The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. At 1 month of follow-up, there was a gingiva across the midline and the interdental papilla was maintained. The edges of the diamond shaped wound were sutured using black silk with interrupted sutures Figure 1c.

How to cite this URL: Lasers in periodontics position paper. Haemostat, scalpel blade no. Partial-thickness dissection from the medial margin was carried out in an apico-coronal direction to create a triangular pedicle of attached gingiva with its free end as the apex and its base continuous with the alveolar mucosa.

Shear strength of tissue bonds as a function of bonding temperature: The frenectomy and the free mucosal graft.

After adequate local anaesthesia, a horizontal incision was taken to separate the frenum frenectomg the base of interdental papilla. Evaluation of patient perceptions after frenectomy operations: Midline diastema and frenum morphology in the primary dentition. How to cite this article: However, Henry, Levin and Tsaknis have found considerably dense collagenous tissue and elastic fibres but no muscle fibres in the frenulum [ 2 ].


The frena may jeopardize the gingival health when they are attached too closely to the gingival margin, either due to an interference in the plaque control or due to a muscle pull.

The labial frenum, midline diastema, and palatine papilla: 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. Afterward, the frenum was classically cut and sutured.

This article has been cited by other articles in PMC. A 32 year old female patient had complaint of receding gums in upper anterior teeth.

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Alveolar mucosa at the base was undermined to facilitate repositioning of the pedicle without tension. This technique teechniques proposed for the post-orthodontic diastema cases.

The frenecotmy is reliable and easy to perform and provides excellent aesthetic results. Electro Surgery [4,5] Electrosurgery is recommended in cases of patients with bleeding disorders, where the conventional scalpel technique carries a higher risk which is associated with problems in achieving a haemostasis and also in non-compliant patients. Compend Contin Educ Dent ; This case was treated surgically by unilateral pedicle graft technique.

Comprised of 10 subjects selected for conventional scalpel technique.

Flap frenrctomy raised, mobilised mesially and sutured to obtain primary closure across the midline Figure 3d. However, it carries the routine risks of surgery like bleeding and patient compliance. The continuing presence of fernectomy diastema between the maxillary central incisors in adults, has often been considered as an aesthetic problem. Mean technniques of pain perception after conventional and laser technique Click here to view. European Archives of Paediatric Dentistry. Treatment The aberrant frena can be treated by frenectomy or by frenotomy procedures.


Abstract The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. A case report of maxillary frenectomy using a carbon dioxide laser in a pediatric patient. Rev Stomatol Chir Maxillofac. Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy.

A V-shaped full-thickness incision with an external bevel was placed at the gingival base of the frenum attachment Figure 5a. This surgical approach was advocated in the midline diastema cases with an aberrant frenum to ensure the removal of the muscle fibres which were supposedly connecting the orbicularis oris with the palatine papilla. This may be due to an inability to achieve primary closure at the centre, consequently leading to secondary intention healing at the wide exposed wound.

Clinical observation relating to the normal and abnormal frenum labii superioris. How to cite this article: Through this approach, the position of the frenum was changed apically without invading the papilla.

A modified frenectomy technique: a new surgical approach.

J Jpn Soc Laser Dent ; A 38 year old female patient had complaint of spacing in upper anterior teeth which was increasing with unaesthetic appearance. Z-plasty technique, applied in case of hypertrophy of the upper labial frenum. The patient was well aware and concerned about the abnormal attachment of the frenum.

To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month.

Same results were maintained three months postoperatively. Three months postoperative view Click here to view.