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Relevant bibliographies by topics / Frenectomy; Maxillary midline diastema; Aberrant frenum / Journal articles

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Journal articles on the topic 'Frenectomy; Maxillary midline diastema; Aberrant frenum'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Aristo, Lay, and Kurnia Supandi Shafira. "Management of maxillary midline diastema caused by aberrant frenum attachment: A case report." World Journal of Advanced Research and Reviews 14, no. 3 (2022): 252–55. https://doi.org/10.5281/zenodo.7731488.

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<strong>Background: </strong>Midline diastema in the maxillary is very common aesthetics problem in mixed and early permanent dentition, one of which etiology is aberrant frenum attachment. High frenum attachment might interfere with aesthetics, plaque control, and create mucogingival deformities, therefore compromising orthodontic result and causing recurrence. Several treatments for maxillary midline diastema are available, one of which is labial frenectomy. <strong>Objective:</strong> To present a case report of frenectomy as a mean of eliminating maxillary midline diastema. <stro

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Aristo Lay and Shafira Kurnia Supandi. "Management of maxillary midline diastema caused by aberrant frenum attachment: A case report." World Journal of Advanced Research and Reviews 14, no. 3 (2022): 252–55. http://dx.doi.org/10.30574/wjarr.2022.14.3.0543.

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Background: Midline diastema in the maxillary is very common aesthetics problem in mixed and early permanent dentition, one of which etiology is aberrant frenum attachment. High frenum attachment might interfere with aesthetics, plaque control, and create mucogingival deformities, therefore compromising orthodontic result and causing recurrence. Several treatments for maxillary midline diastema are available, one of which is labial frenectomy. Objective: To present a case report of frenectomy as a mean of eliminating maxillary midline diastema. Case: This is a case report of a 25 years old fem

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3

S., Sushmitha, Chandni S., and Sheehan R. Dsouza. "DIODE LASER-ASSISTED MAXILLARY LABIAL FRENECTOMY: A CASE REPORT." International Journal of Advanced Research 13, no. 06 (2025): 944–48. https://doi.org/10.21474/ijar01/21151.

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A high maxillary labial frenum attachment can contribute to midline diastema, gingival recession, and impediments to oral hygiene. Conventional scalpel techniques often result in increased bleeding, postoperative discomfort, and longer healing time. This case report presents the management of an aberrant maxillary labial frenum using a diode laser in a 20 year old patient. The laser-assisted procedure resulted in minimal bleeding, no suturing, reduced postoperative discomfort, and rapid healing. Laser frenectomy is shown to be a safe, effective, and patient friendly alternative to traditional

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B. Phadnaik, Mangesh, Mayuri Rajiv Ghike, and Bhagyashree Shashikant Chavan. "FRENECTOMY - DIFFERENT TECHNIQUES." International Journal of Advanced Research 10, no. 06 (2022): 861–67. http://dx.doi.org/10.21474/ijar01/14962.

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Introduction:-The frenum is a mucous membrane fold that attaches the lip , cheek and the tongue to the alveolar mucosa, the gingiva, and the underlying periosteum .Aesthetic problems are caused by high maxillary frenum which may compromise the orthodontic treatment results in the midline diastema cases, thus causing a recurrence after the treatment. Ankyloglossia, is also called as tongue-tie, is an embryological anatomical malformation of the tongue, characterized by an abnormally short and a thick lingual frenum. Tongue-tie restricts the physiologic movements of the tongue and results in var

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5

Widyabawa, Ida Bagus Nyoman Dhedy, and Anak Agung Istri Agung Feranasari. "Frenectomy One Hemostat Technique in Patients Using Orthodontic Appliances." Interdental Jurnal Kedokteran Gigi (IJKG) 21, no. 1 (2025): 92–97. https://doi.org/10.46862/interdental.v21i1.11374.

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Introduction: Aberrant frenum in patients with orthodontic appliances installation often causes aesthetic problems and interferes with the movement of teeth during orthodontic activation, especially in cases of midline diastema which often causes relapse of the teeth. Frenectomy one hemostat technique treatment is carried out in this case. Case: A 23-years-old female patient came to the periodontology department of RSGM Saraswati and was referred from the orthodontics department for frenectomy. On examination, it was found that the patient had a high frenum and fibrous tissue in the maxillary

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Supriatna, Andi, and Ira Komara. "FRENECTOMY WITH Z PLASTY TECHNIQUE FOR HIGH ABERRANT FRENUM (FRENEKTOMI DENGAN TEKNIK Z-PLASTY PADA ABERANSIA FRENULUM YANG TINGGI." Journal of Health and Dental Sciences 1, Volume 1 No 3 (2022): 309–16. http://dx.doi.org/10.54052/jhds.v1n3.p309-316.

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An aberrant frenum can cause gingival recession and plaque accumulation due to a muscle pull. It also presents an aesthetic problem and inhibits the orthodontic result in a case with midline diastema, thus causing a recurrence after the treatment. This case report describes how periodontal surgery can accomplish such an aberrant frenum like a frenectomy procedure. This case report shows the abnormal maxillary labial frenum removal in a 21-year-old through the Z-plasty technique. The Z Plasty was made with an angulation of about 60° on the left and right sides of the vertical incision to obtain

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Bharadwaj, Pooja, and Roopali Patel. "A case report on the management of mandibular midline diastema by using laser as a treatment modality." Journal of Dental Specialities 12, no. 2 (2024): 146–50. http://dx.doi.org/10.18231/j.jds.2024.026.

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A frenum is a fold of mucous membrane that connects the labial mucosa (lips) to the gingiva or that connects the tongue to the floor of the mouth and hence providing support to the lips and the tongue. The normal frenal attachment is at the level of mucogingival junction (mucosal) and hence maintaining a balance between the interproximal contacts of the anterior teeth of either maxilla or mandible. But if this frenal attachment is high or in other words if there is a an aberrant frenum, then this type of frenal attachment either results in spacing between the anterior teeth or in some cases ca

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Awooda, Elhadi Mohieldin. "Twelve-Year Follow-Up of Laser Frenectomy during Early Mixed Dentition." Case Reports in Dentistry 2023 (December 29, 2023): 1–5. http://dx.doi.org/10.1155/2023/5525534.

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Median maxillary labial frenum (MMLF) is one of the oral freni, found on the inner side of the centre of the upper lip. Maxillary midline diastema (MMD) is commonly associated with highly attached frenum, and frenectomy during early mixed dentition is controversial. A 6-year-old boy came with a chief complaint of unpleasant spacing between the two upper front teeth. A median maxillary high attached labial frenum with midline spacing of 5 mm was diagnosed. A consensus was made with the child’s father to remove the frenum by laser. Diode laser frenectomy was done, and subsequent follow-up for 12

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DeSeta, Michaela, Janelle Nurse, Paul Ashley, Joseph Noar, and Susan Parekh. "The role of the maxillary labial frenectomy in closure of the midline diastema: A review and management recommendations." Dental Update 50, no. 11 (2023): 955–60. http://dx.doi.org/10.12968/denu.2023.50.11.955.

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A maxillary midline diastema is often seen in childhood as part of physiological development, but those persisting after the establishment of the permanent dentition may be a functional and aesthetic concern for which patients seek treatment. The association between an enlarged maxillary labial frenum and a maxillary midline diastema is commonly reported in the literature. However, the aetiologic role of an enlarged frenum is likely to represent only a proportion of diastema cases, and many diastemas exist without the presence of an abnormal frenum. This article provides an overview of the max

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Saputri, Ulfah Chaerani, Ayu Rahayu Feblina, and Surijana Mappangara. "Combination Therapy Of Frenectomy And Orthodontic Appliance For Midline Diastema Closure." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 3 (2024): 497–501. https://doi.org/10.46862/interdental.v20i3.9523.

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Introduction : Midline Diastema are a main aesthetic concern for patients, due to its location in anterior teeth and its visibility during smiling. One of the main causes for a midline diastema is an aberrant frenum position, causing the gap between the anterior teeth. In order to address the problem a frenectomy was performed, followed by the application of orthodontic appliances. Case : Patient was referred from the Orthodontic Department of Hasanuddin Dental Hospital due to relapsing Midline Diastema. Patient complained of an non-aesthetic smile due to the gap in the anterior tooth. Class I

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Ni Luh Desy Ayu Susilahati, Eka Pramudita Ramadhany, Valeo Adika Laksana, and Media Sukmalia Adibah. "Management of frenectomy anterior upper arch before orthodontic treatment." World Journal of Advanced Research and Reviews 21, no. 2 (2024): 1400–1406. http://dx.doi.org/10.30574/wjarr.2024.21.2.0554.

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Abnormal labial frenum may affect gingival health and cause periodontal disease. Abnormalities of the frenum also cause diastema of central incisors and irritation of the periodontal tissues, interfering with the teeth cleaning process, movement of orthodontic tools, and the proper fit of the denture and affecting the aesthetics. This case report shows that frenectomy is an alternative treatment due to abnormal labial frenum, in this case, caused by central diastema on maxillary incisors teeth. A-19 years old female patient came with chief complaints of midline diastema that affect her smile.

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Ni, Luh Desy Ayu Susilahati, Pramudita Ramadhany Eka, Adika Laksana Valeo, and Sukmalia Adibah Media. "Management of frenectomy anterior upper arch before orthodontic treatment." World Journal of Advanced Research and Reviews 21, no. 2 (2024): 1400–1406. https://doi.org/10.5281/zenodo.14031081.

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Abnormal labial frenum may affect gingival health and cause periodontal disease. Abnormalities of the frenum also cause diastema of central incisors and irritation of the periodontal tissues, interfering with the teeth cleaning process, movement of orthodontic tools, and the proper fit of the denture and affecting the aesthetics. This case report shows that frenectomy is an alternative treatment due to abnormal labial frenum, in this case, caused by central diastema on maxillary incisors teeth. A-19 years old female patient came with chief complaints of midline diastema that affect her smile.

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Madhupretha, S., Poornima Rajendran, and J. Srihari. "Diode Laser-Assisted Maxillary Labial Frenectomy: A Case Series With 6-months Follow-Up." Journal of Multidisciplinary Dental Research 10, no. 2 (2024): 56–59. https://doi.org/10.38138/jmdr/v10i2.19.

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A frenum is a fold of mucous membrane, maybe with enclosed muscle fibers, which attaches the lips and cheeks to the alveolar mucosa or gingiva and underlying periosteum. In case of aberrant frenum attachment, it has to be relieved for better function and aesthetics. There are various techniques to relieve aberrant frenum. In this case series, we assessed the outcome of laser frenectomy and VAS scores for pain perception. On comparing all the cases we concluded that the laser frenectomy can be used as a better alternative to the scalpel technique for frenectomy and showed superior results in pa

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R. Pal, Shubham, Tapan Kumar Giri, Debabrata Biswas, Prakhar Bhardwaj, Chitra R., and Sreeja Karmakar. "ESTHETIC REHABILITATION WITH PORCELAIN LAMINATE VENEER FOR ANTERIOR DIASTEMA WITH A HIGHLY ATTACHED MAXILLARY LABIAL FRENUM : A CASE REPORT." International Journal of Advanced Research 13, no. 03 (2025): 847–53. https://doi.org/10.21474/ijar01/20630.

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IPS e.max is a lithium disilicate glass-ceramic known for its excellent translucency, durability, and strength, making it ideal for minimally invasive restorations. It mimics natural light refraction, ensuring superior esthetics, especially for single anterior and posterior crowns. It is a unique system that fulfills all of patients demands for minimally invasive dentistry.A maxillary midline diastema, often associated with a highly attached labial frenum, presents an esthetic challenge. In this case, the high frenum attachment was treated with Z-plasty frenectomy technique, which resulted in

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Bhoir, VV, and DA Gujar. "Management of Ankyloglossia Using Conventional Surgical Technique: A Case Series." Annals of Health Research (The Journal of the Medical and Dental Consultants' Association of Nigeria, OOUTH, Sagamu, Nigeria) 10, no. 1 (2024): 77–83. http://dx.doi.org/10.30442/ahr.1001-08-227.

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Periodontal plastic surgery is a more conservative and precise technique practised to create more functional and aesthetic results for the treatment of mucogingival problems. The presence of an aberrant frenum is one of the aetiological factors associated with the persistence of a midline diastema. Inadequate dental plaque removal, poor oral hygiene, bifid tongue, impaired speech, and mucogingival problems like recession and black triangles need more attention. Ankyloglossia, or tongue-tie, is a congenital anomaly with an abnormally short lingual frenulum. The aberrant frenum can be treated wi

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KAUR, JAPNEET. "MULTIDISCIPLINARY APPROACH TO MIDLINE DIASTEMA CAUSED DUE TO HIGH FRENUM ATTACHMENT." DMIMS Journal of Dental Research 6, no. 4 (2022): 163–66. http://dx.doi.org/10.54054/jodr.2022641.

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Midline diastema can be defined as a space between the maxillary central incisors. In growing patients midline diastema can be seen as a physiological condition that is self-correct after the eruption of all permanent teeth. This phenomenon of self-correct condition was explained by Broadbent. But not all diastemas are self-correcting. For some patients, the diastema does not close at all. There are various reasons for the occurrence of upper arch midline diastema that must be considered, with the help of intraoral evaluation, including soft tissue/ mucosal diseases, tooth size discrepancies,

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Shin, Jonghyun. "Management of the Maxillary Labial Frenum." JOURNAL OF THE KOREAN ACADEMY OF PEDTATRIC DENTISTRY 51, no. 4 (2024): 336–43. http://dx.doi.org/10.5933/jkapd.2024.51.4.336.

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This study examined the maxillary labial frenum (MLF) and its clinical implications, focusing on its anatomy, developmental changes, and management strategies. The MLF functions as a connective tissue linking the upper lip to the alveolar ridge, facilitating essential processes such as speech production, food consumption, and the maintenance of proper dental alignment. Abnormal development or attachment can result in midline diastema, speech difficulties, and breastfeeding challenges. During growth, the MLF typically migrates from the alveolar crest in infancy to the mucogingival junction by a

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Raipure, Pravin, Ravindra Pawar, and Vishwas Kharsan. "Rehabilitation of the patient with ceramic laminate veneers having midline diastema and rotated maxillary central incisors associated with highly attached maxillary labial frenum- A case report." International Journal of Oral Health Dentistry 9, no. 3 (2023): 215–19. http://dx.doi.org/10.18231/j.ijohd.2023.040.

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IPS Emax is a lithium disilicate glass ceramic that has excellent translucency, longetivity, durability and strength for all restorations. It is a unique system that fulfills all of your patient demands for minimally invasive dentistry. It is a choice for single anterior/posterior crowns, as it truly mimics the light refraction and natural translucency necessary for outstanding esthetic appearance. Maxillary midline diastema with associated rotation of maxillary incisors presents a very challenging situation for dentist to meet the esthetic requirements. The presence of highly attached labial

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Mayank, Trivedi, Chaurasia Priya, and Prabhakaran Pranitha. "Treating an Orthodontic Case of Midline Diastema with High Frenal Attachment in Association with Laser Assisted Periodontics and Restorative Procedure." Journal of Health and Medical Sciences 2, no. 1 (2019): 97–102. https://doi.org/10.31014/aior.1994.02.01.25.

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Maxillary midline diastema presents with the compromised aesthetic appearance of an individual which includes spacing in between the maxillary central incisors. Such appearances may worsen with the presence of high attachment of the frenum and small or peg-shaped lateral incisors. In order to address such conditions, multiple approaches may be required. It is important to close the space first and eliminate the cause of abnormal frenum followed by compensating the tooth size discrepancy with suitable restorative material. To achieve such objectives fixed orthodontics or bracket assisted closur

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Joneja, Purva, Neha Patil, and Richa Sharma. "Ankyloglossia-Related Speech Articulation Correction in Orthodontics: A Case Report." International Journal of Orofacial Research 8, no. 1 (2024): 7–10. http://dx.doi.org/10.56501/intjorofacres.v8i1.996.

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The ability of the tongue to protrude and elevate is the most crucial characteristic for activities like eating, speaking, nursing, and the development of dental arches. When the lingual frenum is short and tight, it can hinder the movement of the tongue, leading to malalignment of anterior teeth and Speech Articulation. This article discusses a case report of a 20-year-old male patient with a chief complaint of speech difficulty, maxillary anterior teeth spacing, and mandibular anterior teeth crowding. There was lingual frenum attachment suggestive of mild ankyloglossia. Patient underwent a l

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Jana, Anjan, Santanu Mukhopadhyay, and Abu Faijal Karim. "Pyogenic granuloma causing midline diastema: A rare case report." Journal of Oral Research and Review 17, no. 1 (2025): 53–57. https://doi.org/10.4103/jorr.jorr_36_23.

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This case report describes the presentation and management of a 12-year-old female patient with a tissue mass and spacing between her upper front teeth. Clinical examination revealed a reddish pink, lobulated tissue mass measuring approximately 1.5 cm × 2 cm, extending from the upper labial frenum to the incisive papilla and involving the interdental gingiva of the two central incisors. The mass was moderately firm, pedunculated, and prone to bleeding. The patient had poor oral hygiene, exacerbating the condition. Radiographic evaluation ruled out underlying bony lesions, leading to a provisio

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Nabilah and Vincensia Marina Karina. "AESTHETIC IMPROVEMENT IN ONE VISIT PERIODONTAL PLASTIC SURGERY USING SCALPEL AND LASER SURGICAL TECHNIQUE (CASE REPORT)." Interdental Jurnal Kedokteran Gigi (IJKG) 19, no. 2 (2023): 101–8. http://dx.doi.org/10.46862/interdental.v19i2.7862.

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Introduction: A charming smile is formed from good harmonization of teeth and gums. Short teeth clinical crown, dark gingival color, diastema between the maxillary central incisors can interfere the aesthetic of the smile. This case report aims to describe the treatment of periodontal plastic surgery in form of aesthetic crown lengthening, gingival depigmentation and frenectomy to improve function and aesthetic in one visit using scalpel and laser. Case: A 23 year old male patient complained that the maxillary front teeth spaced, short and small, and the gum of the upper jaw is dark, which cau

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Joshi, Ujjwal, Megha Pradhan, Aastha Neupane, Nita Lawaju, Nirma Khadka, and Rajib Chaulagain. "Variations in Maxillary Frenal Morphology in a Sample of Newari Children of Bhaktapur." Journal of Nepalese Society of Periodontology and Oral Implantology 5, no. 1 (2021): 34–38. http://dx.doi.org/10.3126/jnspoi.v5i1.38181.

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Introduction: Frenum attachments are fold of mucous membrane attaching the lips to alveolar mucosa and underlying periosteum. Aberrant location of attachment of maxillary labial frenum poses many clinical problems such as mucogingival problems and midline diastema. Objective: The study was performed to assess the variations in morphology of maxillary labial frenum in a sample of Newari children of Bhaktapur, Nepal. Methods: A descriptive cross-sectional study was performed enrolling 340 Newari children residing in Bhaktapur from August 14, 2020 to March 30, 2021. The study comprise

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Rijal, Arjun Hari, Manoj Humagain, Simant Lamichhane, Pratistha Ghimire, and Sachita Thapa. "Prevalence of Maxillary and Mandibular Frenal Attachment and Its Association with Age, Gender, and Oral Hygiene Status in Nepalese Population Seeking Dental Treatment." International Journal of Dentistry 2024 (January 11, 2024): 1–10. http://dx.doi.org/10.1155/2024/4870253.

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Objective. Frenum attachments are folds of mucous membrane that connect the lips to the alveolar mucosa and underlying periosteum. Aberrant positioning of the maxillary and mandibular labial frenum can lead to various clinical issues, including mucogingival problems and midline diastema. The objective of this study was to assess the prevalence of maxillary and mandibular frenal attachments and their association with age, gender, and oral hygiene status in the Nepalese population seeking dental treatment. Materials and Methods. This descriptive cross-sectional study was conducted over a period

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Khan, Dr Rehan, Dr Sushma Maku, Dr Kalyani Karwa, and Dr Parikshit Kadam. "Prevalence of different types of maxillary labial frenal attachments in 3-8 years old school going children." IOSR Journal of Dental and Medical Sciences 24, no. 6 (2025): 32–37. https://doi.org/10.9790/0853-2406093237.

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Background- The labial frenum is a dynamic structure and is subject to variations in size, shape and position. Frenum attachments are folds of mucous membranes that connect the lips to the alveolar mucosa and underlying periosteum. Aberrant positioning of the maxillary labial frenum can lead to various clinical issues, including mucogingival problems and midline diastema. Aim- To determine the prevalence of the various types of maxillary frenal attachments in 3-8 years old school going children. Study design- This cross-sectional study was carried out among 614 school-going children aged 3 to

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Pandey Patel, Shruti. "Laser frenectomy of papilla penetrating frenulum- A case report." Clinical Dentistry, November 21, 2019. http://dx.doi.org/10.33882/clinicaldent.13.25281.

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Aberrant labial frenum attachment hampers function and aesthetics in maxillary anterior region which can be managed by frenectomy or frenotomy using conventional scalpel incisions or Laser. I preferred to use diode laser due to its extremely precise cutting, clear and bloodless operating field, fast ablation, instant hemostasis, predictable tissue response and less posoperative pain due to coagulation effect on small blood vessels and sensory nerve endings reducing the use of analgesics and pre-operative anaesthesia. I present a case of midline diastema caused by papilla penetrating labial fre

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Dr., Prapti Prashant Kole Dr. Prafulla Gaikwad Dr. Akshay Mishra Dr. Onkar A. Bagade Dr. Revati Manoj Khandare Dr. Pavan Jaydeorao Sable. "LABIAL FRENECTOMY USING ELECTROCAUTERY: A MODERN APPROACH TO A TRADITIONAL PROCEDURE – A CASE REPORT." May 13, 2025. https://doi.org/10.5281/zenodo.15394293.

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An aberrant frenal attachment is associated with various problems such as gingival recession, persistence of midline diastema, esthetic compromise and difficulty in maintaining oral hygiene. This case report demonstrates a successful management of the aberrant maxillary labial frenum after orthodontic treatment to prevent relapse of midline diastema and improve esthetics of the patient with excision of frenum with electrosurgery. Many benefits of electrocautery over conventional technique using scalpel are minimul bleeding, minimal pain, little or no postoperative scar

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-, Manisha Daruka, Nazar Rana -, Mayur Kaushik -, and Pragya Singh -. "Conventional Frenectomy: 2 Case Reports." International Journal For Multidisciplinary Research 5, no. 3 (2023). http://dx.doi.org/10.36948/ijfmr.2023.v05i03.3319.

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The frenum is a fold of mucous membrane that attaches the lip and the cheek to the alveolar mucosa, the gingiva and the underlying periosteum. An aberrant frenum may results in gingival recession, decreased range of lip movement and involvement of interdental papilla causing a diastema leading to compromised esthetic and functional needs of the patient and they may also interfere with oral hygiene. Maxillary midline diastema is a common esthetic problem of patients which adversely affects body image and self-esteem, especially in adults. Often, patients are more conscious about the spaces betw

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Mangesh, B. Phadnaik Mayuri Rajiv Ghike, and Shashikant Chavan Bhagyashree. "FRENECTOMY - DIFFERENT TECHNIQUES." June 27, 2022. https://doi.org/10.5281/zenodo.6855106.

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<strong>Introduction:-</strong>The frenum is a mucous membrane fold that attaches the lip , cheek and the tongue to the alveolar mucosa, the gingiva, and the underlying periosteum .Aesthetic problems are caused by high maxillary frenum which may  compromise the orthodontic treatment results in the midline diastema cases, thus causing a recurrence after the treatment. Ankyloglossia, is also called as tongue-tie, is an embryological anatomical malformation of the tongue, characterized by an abnormally short and a thick lingual frenum. Tongue-tie restricts the physiologic move

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Kumar, Brajesh, Nitin Gupta, Harshavardhana B, and Spandana Reddy V. "CREATING ATTACHED GINGIVA IN POST FRENECTOMY DEFECTS USING INNOVATIVE FRENECTOMY TECHNIQUE: A CASE REPORT." INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, February 1, 2025, 70–71. https://doi.org/10.36106/ijsr/8308262.

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Introduction: The frenum is a fold of tissue that regulates the movement of associated organs and can vary in type, size, and position with growth. While typically a normal structure, an aberrant frenum may cause functional and esthetic concerns, such as maxillary midline diastema, gingival recession, or restricted lip and tongue mobility. Aberrant frenum attachments can contribute to issues like reduced vestibular depth and compromised oral hygiene. Addressing these abnormalities is essential to prevent further complications and restore esthetics and function. Traditional frenectomy methods m

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Dr. Shakir Hussain Rather, Dr. Neeraj Kant Panwar, and Dr. N. Nisanth. "FRENECTOMY: A CASE REPORT." EPRA International Journal of Research & Development (IJRD), May 14, 2020, 138–41. http://dx.doi.org/10.36713/epra4402.

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High frenum attachment is a very common problem in the population and causes various problems in function and aesthetics. It is managed by procedures such as frenotomy and frenectomy. Aberrant frenum can be removed by any 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. KEYWORDS: Labial frenectomy, midline diastema.

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Singh, Sakshi, Ashish A. Sinha, Somy Agarwal, and Priyanka Biswas. "FRENECTOMY: BREAKING THE BARRIER." PARIPEX INDIAN JOURNAL OF RESEARCH, May 15, 2023, 179–80. http://dx.doi.org/10.36106/paripex/9110634.

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One of the causes of midline diastema is an abnormal labial frenulum. This case report showcases the successful and efficient surgical management of an aberrant maxillary labial frenulum in a 17-year-old patient. The follow-up evaluation revealed optimal healing. The midline diastema was further closed using fixed appliance. The patient showed successful closure of the midline diastema within a time period of four months

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Acharya, Rameswari, Vivek Srivastava, Ajita Meenawat, and Yasir Shahab Khan. "Management of Papilla Penetrating Frenum Using Z-plasty Technique - A Case Report." UNIVERSITY JOURNAL OF DENTAL SCIENCES 9, no. 2 (2023). http://dx.doi.org/10.21276//ujds.2023.9.2.19.

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Frenectomy is a surgical procedure that is commonly used to address issues related to the frenulum which can affect speech and can cause midline diastema which looks unesthetic. Z-plasty is a modification of the standard frenectomy procedure to reposition the frenulum and improve outcomes. This article provides an overview of frenectomy by using Z-plasty, including the procedure in detail, potential risks and complications, and a discussion of its clinical applications and outcomes.  Keywords- Aberrant frenum, Frenectomy, Z-plasty Source of support- Nil Conflict of inte

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Arushi Gupta, Ellora Madan, PRANSHU VARSHNEY, and Vaishali. "Frenectomy with laterally displaced flap: An aesthetic approach." UNIVERSITY JOURNAL OF DENTAL SCIENCES 8, no. 4 (2022). http://dx.doi.org/10.21276//ujds.2022.8.4.11.

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Frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, gingiva, and the underlying periosteum. The frena may endanger the gingival health when they are attached closely to the gingival margin. An aberrant frenum is presupposed to create functional and aesthetic problems. Archer’s ‘classical frenectomy’ is an extensive procedure including the excision of fibers, interdental papilla, and exposure of the alveolar bone up to the palatine papilla. The aftermath delayed healing, loss of interdental papilla, and unusual scar led toward the traditional approaches

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Shrestha, Rejina, Amar Bhochhibhoya, and Tekendra Chaulagain. "Prevalence of Type of Attachment and Morphological Variations of Median Maxillary Labial Frenum Among Children." International Journal of Dentistry 2025, no. 1 (2025). https://doi.org/10.1155/ijod/8855769.

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Abstract:

Introduction: Aberrant maxillary frenal attachment pose a problem of midline diastema and gingival recession. In children, they also cause difficulty in maintaining oral hygiene, accumulation of plaque which ultimately results in dental caries. Thus, a study was conducted with the objective of determining the prevalence of frenum in children.Method: A total of 369 children from Kanti Children’s Hospital (KCH) visiting the dental department were recruited in the study. The frenum was examined and classified by Placek’s classification and Sewerin’s classification. Chi‐square test was used for sh

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