FRENECTOMY TECHNIQUES PDF

This paper reports a series of clinical cases of ankyloglossia in children, which were approached by different techniques: frenotomy and frenectomy with the use of one hemostat, two hemostats, a groove director or laser. Information on the indications, contraindications, advantages and disadvantages of the techniques was also presented. Children diagnosed with ankyloglossia were subjected to different surgical procedures. The choice of the techniques was based on the age of the patient, length of the frenulum and availability of the instruments and equipment. All the techniques presented are successful for the treatment of ankyloglossia and require a skilled professional.

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Background: High frenum attachment is a very common problem in the population. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance. This study aims to evaluate patient's response to two different frenectomy technique, and oral hygiene maintenance before and after frenectomy.

Materials and Methods: Twenty patients with high labial frenum were randomly selected from the outpatient department. Patients were divided into two groups according to the technique used. Each group contained ten patients. To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month. 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.

Results: 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.

Conclusion: High maxillary frenum causes hindrance in oral hygiene maintenance. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique. Periodontal plastic and esthetic surgery. Carranza's Clinical Periodontology. London: W. Saunders Co. Taylor JE. Clinical observation relating to the normal and abnormal frenum labii superioris.

Am J Orthod Oral Surg ; Dewel BF. The labial frenum, midline diastema, and palatine papilla: A clinical analysis. Dent Clin North Am ; Midline diastema and frenum morphology in the primary dentition. J Dent Child Chic ; Early lingual frenectomy assisted by CO2 laser helps prevention and treatment of functional alterations caused by ankyloglossia. Int J Orofacial Myology ; Bullock N Jr. The use of the CO2 laser for lingual frenectomy and excisional biopsy.

Compend Contin Educ Dent ;, , Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: A comparison of carbon dioxide laser and scalpel techniques. J Periodontol ; Archer WH, editor. Philadelphia: WB Saunders Co. Kruger GO, editor. Oral Surgery. Louis: The C. Mosby Co. Edwards JG. The diastema, the frenum, the frenectomy: A clinical study.

Am J Orthod ; Tait CH. Median frenum of upper lip and its influence on spacing of upper central incisor teeth. N Z Dent J ; Coleton SH. Mucogingival surgical procedures employed in re-establishing the integrity of the gingival unit III. The frenectomy and the free mucosal graft. Quintessence Int Dent Dig ; The free gingival graft combined with the frenectomy: A clinical review. Gen Dent ; Coluzzi DJ. Fundamentals of dental lasers: Science and instruments. Dent Clin North Am ;, v. The applications of diode and Er: YAG lasers in labial frenectomy in infant patients.

Users Online: Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. J Indian Soc Periodontol ; Materials and Methods. Figure 1: Maxillary frenum held with hemostat in conventional technique Click here to view.

Figure 2: Wide wound surface area after excision of the frenum Click here to view. Figure 3: Inability to get primary closure by suturing Click here to view. Figure 4: Two paralleling incision placed on sides of frenum in paralleling technique Click here to view. Figure 5: Narrow wound area after excision of the tissue Click here to view. Figure 6: Primary closure obtained by suturing Click here to view. Figure 7: Visualization of plaque after 1-week in conventional technique Click here to view.

Figure 8: Visualization of plaque after 1-week in paralleling technique Click here to view. Table 1: Comparison of gingival bleeding and plaque index before and after frenectomy Click here to view.

Table 2: Comparison of the VAS score of postoperative pain after conventional and paralleling technique Click here to view. Table 3: Comparison of VAS score of speech after conventional and paralleling technique Click here to view. Related articles Conventional scalpel technique frenectomy high frenum oral hygiene paralleling technique. Access Statistics. Materials and Me Article Figures. Article Tables. Sitemap What's New Feedback Disclaimer.

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Frenectomy: A Review with the Reports of Surgical Techniques

Skip to search form Skip to main content You are currently offline. Some features of the site may not work correctly. Corpus ID: A modified frenectomy technique: a new surgical approach. The frenum is a mucosal fold that attaches the lips or cheeks to the alveolar mucosa, gingiva, and underlying periosteum. Consequences of an abnormal frenal attachment include gingival recession, decreased vestibular depth, decreased range of lip movement, and involvement of interdental papilla, causing a diastema.

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A modified frenectomy technique: a new surgical approach.

The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. 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. 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. The management of such an aberrant frenum is accomplished by performing a frenectomy. 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. A series of clinical cases of frenectomy which were approached by various techniques have also been reported.

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Surgical techniques for the treatment of ankyloglossia in children: a case series

The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. 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. 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. The management of such an aberrant frenum is accomplished by performing a frenectomy. 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.

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