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Braz, Andréa Cavalcante Leão, Silmara Sampaio Alves da Rocha, Gabriela de Figueiredo Meira, and Nayhane Cristine da Silva de Oliveira. "Upper Labial Frenectomy in Pediatric Dentistry: When to Indicate? – Literature Review." Núcleo do Conhecimento 03, no. 06 (2023): 05–16. https://doi.org/10.32749/nucleodoconhecimento.com.br/health/upper-labial.
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The labial frenulum, or frenum, is one of the components of the oral mucosa that can be found in both the upper and lower mucosa. When it does not develop correctly, it can present anomalies. It is common among parents, caregivers, and even healthcare professionals to have some difficulty in managing improperly inserted labial frenula, as well as in addressing their potential consequences. The most common measure for managing this alteration is frenectomy, which is a surgery that completely removes the labial frenulum with abnormalities. However, there is still much to study to determine the best age or when to indicate frenectomy. The objective of this work is to review literature addressing when to indicate upper labial frenectomy in pediatric dental patients. To do this, the PubMed, Google Scholar, SciELO, and Virtual Health Library (BVS) databases were consulted, using the boolean operator OR for the descriptors: lip, labial frenulum, oral surgery, pediatric dentistry, and child. A period between 2013 and 2022 was also limited for article publication. A total of 2049 articles were found, with 642 from PubMed, 412 from Google Scholar, 469 from SciELO, and 526 from the Virtual Health Library (BVS). However, only 13 were chosen due to their richness of content within the theme. All articles that were duplicated or diverged from the proposed theme, as well as theses, dissertations, and monographs, were excluded from this work. In addition to the chosen articles, two books by renowned authors in dentistry, published in 2016, contributed to this work. Upon analysis of the articles and books, there was a significant discussion among professionals who treat anomalies found in frenulae; some advocate for early frenectomy, while others approach frenectomy with caution. Thus, there is an evident need for more multidisciplinary studies focused on age-related results and when to recommend upper labial frenectomy in children.
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Aleksandrova, Olga V. "Frenula of tongue and lips: are there or not?" Russian Journal of Dentistry 26, no. 3 (2022): 191–97. http://dx.doi.org/10.17816/1728-2802-2022-26-3-191-197.
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BACKGROUND: The absence, hypoplasia, or hyperplasia of the frenula of the lips and tongue is suggested as a sign of some diseases. This study assessed the presence of frenula among patients with orthodontic concerns.
 AIM: This study aimed to analyze the prevalence of the absence of the frenulum of the tongue and lips to determine the possibility of using the absence of frenula as a diagnostic criterion for other pathologies.
 MATERIALS AND METHODS: A retrospective analysis photographs of 391 patients was performed.
 RESULTS: In total, 100% of the patients have a maxillary frenulum. The inferior labial frenulum was absent in 67.02% of the patients, and 252 patients (95% CI 62.2771.77%) had multiple strands of the mucosal membrane. Hypoplastic mandibular frenulum was found in 109 (28.99%) patients (95% CI 24.433.58%). Absence of lingual frenulum was noted in 6 (1.68%) patients (95% CI 0.353.01%) and hypoplasia in 33 (9.24%) (95% CI 6.2412.24%).
 CONCLUSIONS: The absence of inferior labial and lingual frenulum cannot be a diagnostic criterion for other pathologies without specifying the method of displacement of the lower lip.
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Arcos Núñez, Nicole Andrea, Esteban Joel Gómez Quesada, Brian Steven López Nacimba, and Fuertes Paguay Mario Andrés. "Functional and aesthetic improvement through upper labial frenectomy.case report." Interamerican Journal of Health Sciences 4 (July 22, 2024): 96. http://dx.doi.org/10.59471/ijhsc202496.
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Long upper lip frenulums are bands of tissue that connect the upper lip to the gums and are longer than normal. This can cause functional and aesthetic difficulties. To correct this problem, an upper lip frenectomy can be performed, which involves removing or modifying the upper lip frenulum through a simple surgical procedure with quick recovery. A case is reported of a 21-year-old female patient who attended a consultation with complaints of difficulty in upper lip mobility, altered speech, and aesthetic dissatisfaction. After a thorough evaluation, it was determined that the patient had a long upper lip frenulum that limited lip mobility and affected oral function. An upper lip frenectomy was performed as a treatment, with the main purpose being the removal of the frenulum insertion fibers through a simple and minimally invasive surgical procedure.
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a, Zekiye, and eyda Yaba. "Types fo the Maxillary Labial Frenulum and the Median Diastema in Children: A Cross-Sectional Study." Annals of Medical Research 32, no. 5 (2025): 217. https://doi.org/10.5455/annalsmedres.2025.01.09.
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Aim: The aim of this study was to determine the frequency of different types of the maxillary labial frenulum in children aged 4-13 years and whether they have an effect on the median diastema. Materials and Methods: This cross-sectional study was conducted in 723 children aged 4-13 years who presented to the Department of Pedodontics, Faculty of Dentistry, Inonu University for examination. The examination of the children participating in the study was performed by having them sit upright under normal light. The patient's frenulum type was determined by performing the blanch test. The spacing of the diastema in the maxillary central teeth was measured with orthodontic calipers. All data were analyzed using IBM SPSS Statistics for Windows, version 22.0 (IBM, Armonk, N.Y., USA). The Pearson Chi-square test was used to evaluate the relationship between upper lip frenulum types, gender, and the dentition period. The Fisher-Freeman-Halton exact test was employed to examine the association between median diastema and dentition period, as well as frenulum types. Results: The present study encompassed a total of 343 male subjects and 380 female subjects. The most prevalent maxillary labial frenulum type observed in the study population was the gingival frenulum type, accounting for 57% of cases. In contrast, the least prevalent type was the papillary penetrating frenulum type, representing a mere 2% of the sample. In the present study, the spacing of the diastema was examined. The median diastema was predominantly between 0 and 2 millimeters in the primary dentition, while it was predominantly absent in the mixed and permanent dentition. A statistically significant discrepancy was identified between the maxillary labial frenulum type and diastema spacing (p=0.00). Conclusion: Consequently, a substantial correlation was identified between frenulum type and median diastema. It is incumbent upon dentists, particularly pediatric dentists, to carefully check that frenulums do not cause median diastema when examining pediatric patients
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Millichap, J. Gordon. "Absent Labial Frenulum in Holoprosencephaly." Pediatric Neurology Briefs 12, no. 8 (1998): 64. http://dx.doi.org/10.15844/pedneurbriefs-12-8-12.
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Syahriel, Dwis, Dwis Syahrul, Arya Kusuma Agraha, and Asri Riany Putri. "FRENECTOMY ON MAXILLARY LABIAL FRENULUM PENETRATING PAPILLA TYPE BY CONVENTIONAL SURGICAL TECHNIQUES: A CASE REPORT." Interdental Jurnal Kedokteran Gigi (IJKG) 19, no. 2 (2023): 132–38. http://dx.doi.org/10.46862/interdental.v19i2.7711.
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Introduction: The frenulum is a fold of mucosa that attaches the lips and cheeks to the alveolar mucosa, gingiva, and underlying periosteum. If the attachment is too high and thick to approach the gingival margin (papilla penetrating type) it causes a central diastema on the upper incisor or recurrence after orthodontic treatment, besides causing oral hygiene problems and gingival recession as well as denture stability. An abnormal frenulum should be removed by frenectomy. History and Clinical Finding: An 18-year-old female patient with a tall and thick maxillary labial frenulum as a cause of central diastema on teeth 11, 21. The patient had been treated with removable orthodontics starting 2 years ago. Since 4-6 months ago the diastema has relapse. The maxillary labial frenulum appears to be attached to the incisive papilla (penetration of the papillae). The Blanch test shows movement of the interdental papillae and blanching (ischemia) of the incisor papillae. Case Management: Frenectomy using a scalpel until all the papillae and fibrous fibers are removed. Control 14 days postoperative, the wound was healed. During the blanching test, there was no movement of the papillae and the color was normally. Discussions: The high maxillary labial frenulum causes the two central incisors to erupt far apart. Orthodontic treatment must be accompanied by removal of the etiological factor by frenectomy for the treatment to be successful. Conclusions: Penetrating papilla type frenectomy of the maxillary labial frenulum with the conventional technique of using a scalpel effectively eliminates the causes of central diastema.
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Sfasciotti, Gian Luca, Francesca Zara, Iole Vozza, Veronica Carocci, Gaetano Ierardo, and Antonella Polimeni. "Diode versus CO2 Laser Therapy in the Treatment of High Labial Frenulum Attachment: A Pilot Randomized, Double-Blinded Clinical Trial." International Journal of Environmental Research and Public Health 17, no. 21 (2020): 7708. http://dx.doi.org/10.3390/ijerph17217708.
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Background: The labial frenula are triangular plicas departing from the alveolar mucosa and attaching themselves at different heights of the gingiva. Sometimes a high attachment can determine a gingival recession. The most suitable surgical resolution is the use of laser devices. The aim of this study was to compare the labial frenulectomy through the use of Diode and CO2 laser techniques in pediatric patients with a high labial frenulum attachment, clarifying at the same time the preventive role of the surgical treatment to avoid further recession. Methods: A pilot randomized, double-blinded clinical trial was conducted to compare both the surgical advantages and the preventive treatment of laser technology using two different wavelengths within a population of pediatric patients with a high labial frenulum attachment. Different parameters intra and post-surgery were taken into account (Bleeding, Wound Healing, Gingival Recession, Periodontal pocket and Numerical Scale Value for pain) to compare Diode versus CO2 laser therapy. Results: Although both the laser devices provide a good performance in the post-operative period, the Diode laser shows better results (p < 0.001) in three of the five parameters evaluated. Conclusions: From the results it was found that the Diode Laser device is more suitable compared to the CO2 device.
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Basir, Irmah, and Hasanuddin Thahir. "Treatment of labial frenal attachment and gingival hyperpigmentation in a 17-years-old patient." Makassar Dental Journal 9, no. 2 (2020): 110–13. http://dx.doi.org/10.35856/mdj.v9i2.328.
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Objectives: This case report describes the treatment of labial frenal attachment and gingival hyperpigmentation in an adolescent patient who will undergoing orthodontic treatment; the frenulum type is papilla penetrating. The abnormality of this frenulum leads to diastema on anterior region particularly centralis incisor. This frenal attachment appailing the tooth movement and play a role in occurence of relapse, and interfere with the oral hygiene. Case: An adolescent patient came to Department of Periodontic for high frenum referred by her orthodontic. Gingival depigmentation is treated after frenectomy procedure for aesthetic purposes. The healing process goes well and there are no signs of inflammation. Conclusion: Frenectomy and gingival depigmentation were treated withscrapping technique with scalpel. This treatment exhibit a good attachment of frenum and a new formation of gingiva increases a patient confidence.
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Noer Ulfah, Nova Andriani Hepitaria, and Mulyati. "Frenectomy for supporting diastema closure correction in orthodontic patients." World Journal of Advanced Research and Reviews 24, no. 2 (2024): 798–802. http://dx.doi.org/10.30574/wjarr.2024.24.2.3397.
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Introduction: The maxillary frenulum can cause aesthetic problems or jeopardize orthodontic results in cases of central diastema, causing relapse after treatment. One of the etiologic factors of central diastema persistence is an aberrant frenulum. The most common way to diagnose frenulum attachment is with the blanch test. One of the treatments for aberrant frenulum is frenectomy. Frenectomy can reduce the risk of relapse from central diastema closure. The purpose of this case report is to describe the stages of frenectomy in a case of maxillary central diastema. Case report: A 24-year-old woman came to the Periodontics Specialist Clinic due to a referral from the Department of Orthodontic, Dental Hospital Universitas Airlangga with complaints of loose maxillary front teeth and planned to be treated using fixed orthodontic devices at Department Orthodontic. The blanching test examination showed that the labial frenulum was in the high frenulum category. Case management: Frenectomy was performed using a scalpel. After extraoral and intraoral asepsis, infiltration anesthesia was performed on the labial and palatal sides of tooth 11,21. Clamp the maxillary labial frenulum using a hemostat and then incise the frenulum using blade no 15c in a V shape, then incise the frenulum attachment on the interdental to the palatal region with an elliptical incision. Interrupted suturing using Nylon thread size 4.0. The surgical area was closed using a periodontal pack. Suturing was removed on day 14. Follow-up at 19 months showed no diastema in the anterior maxilla, the patient wore a retainer in the maxilla and a fixed retainer in the mandible. There were no further complaints after the treatment. Conclusion: Frenectomy before orthodontic treatment helps accelerate the treatment progress to correct the central diastema.
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Noer, Ulfah, Andriani Hepitaria Nova, and Mulyati. "Frenectomy for supporting diastema closure correction in orthodontic patients." World Journal of Advanced Research and Reviews 24, no. 2 (2024): 798–802. https://doi.org/10.5281/zenodo.15087620.
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<strong>Introduction: </strong>The maxillary frenulum can cause aesthetic problems or jeopardize orthodontic results in cases of central diastema, causing relapse after treatment. One of the etiologic factors of central diastema persistence is an aberrant frenulum. The most common way to diagnose frenulum attachment is with the blanch test. One of the treatments for aberrant frenulum is frenectomy. Frenectomy can reduce the risk of relapse from central diastema closure. The purpose of this case report is to describe the stages of frenectomy in a case of maxillary central diastema. <strong>Case report: </strong>A 24-year-old woman came to the Periodontics Specialist Clinic due to a referral from the Department of Orthodontic, Dental Hospital Universitas Airlangga with complaints of loose maxillary front teeth and planned to be treated using fixed orthodontic devices at Department Orthodontic. The blanching test examination showed that the labial frenulum was in the high frenulum category. <strong>Case management<em>:</em></strong> Frenectomy was performed using a scalpel. After extraoral and intraoral asepsis, infiltration anesthesia was performed on the labial and palatal sides of tooth 11,21. Clamp the maxillary labial frenulum using a hemostat and then incise the frenulum using blade no 15c in a V shape, then incise the frenulum attachment on the interdental to the palatal region with an elliptical incision. Interrupted suturing using Nylon thread size 4.0. The surgical area was closed using a periodontal pack. Suturing was removed on day 14. Follow-up at 19 months showed no diastema in the anterior maxilla, the patient wore a retainer in the maxilla and a fixed retainer in the mandible. There were no further complaints after the treatment. <strong>Conclusion</strong>: Frenectomy before orthodontic treatment helps accelerate the treatment progress to correct the central diastema.
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Qamar, Wajiha, Sidra Qadir, Hazrat Bilal, and Ahmad . "Frequency of Naturally Occurring Maxillary Midline Diastema (mmd) and its Association with Enlarged Labial Frenulum in Students of Public Medical College Mardan, Pakistan." Journal of Gandhara Medical and Dental Science 5, no. 1 (2018): 14–17. http://dx.doi.org/10.37762/jgmds.5-1.11.
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OBJECTIVE:
 The study was conducted to determine the prevalence of naturally occurring maxillary midline diastema (MMD) in students of public sector medical college in Mardan, Pakistan and its association with enlarged labial frenulum.
 METHODOLOGY:
 The cross-sectional study was conducted in Mardan where students were assessed to determine MMD. Sample size was 150 (males 76%, n= 114; females 24%, n= 36). Ethical consideration was followed, and data was analyzed using SPSS version 17 for descriptive statistics.
 RESULTS:
 Only 20% (n= 30) male students were having MMD while out of these only 20% (n= 6) were having enlarged labial frenulum. No MMD was found in female students
 CONCLUSION:
 The maxillary midline diastema is more pronounced in male students and the authors decline the observation based on their findings that major contributing factor in MMD is because of enlarged labial frenulum.
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Mandalas, Henry, and Widya . "PERAWATAN PADA PASIEN ANKYLOGLOSSIA." ODONTO : Dental Journal 4, no. 1 (2017): 67. http://dx.doi.org/10.30659/odj.4.1.67-71.
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Background: Ankyloglossia (tongue tie) is a congenital aberration characterized by a thick, toned, or short frenulum that causes limited tongue movement. Lingual frenectomy is performed for the treatment of patients with ankyloglossia. After surgery the patient can lift the tongue to the palate and can reach the labial portion of the maxillary left and right teeth. The purpose of this case report is to report frenectomy treatment in the lingual frenulum. Case Management: The 14-year-old female patient felt the tongue could not be lifted to the palate and it was difficult to clean the labial portion of the maxillary left and right teeth. On clinical examination the patient’s lingualis frenulum is short. The patient get prophylaxis treatment followed by a lingualis frenectomy surgery. Result: After 1 month control, the patient can lift the tongue to the palate and can clean the labial portion of the maxillary right and left teeth
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Ceran, Fatih, Ozgur Pilanci, Mehmet Sagir, Omer Saglam, and Samet Vasfi Kuvat. "Hypoplastic Mandibular Labial Frenulum With Accessory Frenulum in a Healthy Child." Journal of Craniofacial Surgery 26, no. 1 (2015): 325–26. http://dx.doi.org/10.1097/scs.0000000000001251.
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Ismi, Nuzulul, and Ira Komara. "The Z-Plasty Technique on the Frenectomy Approach of the Aesthetic Gingival Recession In Frenulum Labial Mandibular Case." Journal of Syiah Kuala Dentistry Society 5, no. 2 (2021): 80–84. http://dx.doi.org/10.24815/jds.v5i2.20018.
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The frenulum is an anatomical structure in the oral cavity. Its formed folds of mucosa membranes attach the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. Abberansia frenulum is one of the causes of aesthetic and functional problems such as gingival recession, which occurs either due to plaque control or muscle pull issues. One of the treatment options for the anomaly of the frenulum case is by performing a frenectomy procedure. This paper aimed to explain using the z-plasty technique in abberansia frenulum treatment with hypertrophy frenum associated with midline diastema and short vestibule. A 36-year-old female patient came to Periodontic Clinic in Oral dan Dental Hospital, Universitas Padjajaran, Bandung, Indonesia, with chief complaint pain in 41 teeth, and clinically the gingiva appears recession and short vestibule. This situation is alarming in terms of aesthetics and functionality. The treatment of frenectomy with the z-plasty technique is an indication for this case. The frenectomy with the z-plasty method has shown favorable results in aesthetics and functional appearance. The z-plasty technique helped in reducing soft tissue tension so that it can minimize scar formation
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Safitri, Rahmidian. "Laporan Kasus : Frenektomi dengan Electrosurgery." STOMATOGNATIC - Jurnal Kedokteran Gigi 20, no. 1 (2023): 83. http://dx.doi.org/10.19184/stoma.v20i1.38610.
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The frenulum is a fold of mucous membrane that attaches the lips and cheeks to the alveolar mucosa, gingiva, and underlying periosteum. High frenulum attachment can cause periodontal and esthetic problems, such as gingivitis, gingival recession, and central diastema which require frenectomy. Frenectomy is the complete removal of the frenulum, including its attachment to the alveolar bone, causing a wide wound and triggering bleeding. A 21-year-old female patient who came to the Mataram City Hospital complained that her upper front teeth were not meeting and spaced. This situation makes the patient feel insecure. The patient had no history of systemic disease. OHIS is good and objective examination shows a central diastema due to the attachment of the superior labial frenum which achieves papillary penetration. Management is done by frenectomy with electrosurgery. The patient was very satisfied with the results. Frenectomy using electrosurgery provides good esthetic results and less bleeding.
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Akin, Richard, and Al Sri Koes Soesilowati. "Penatalaksanaan Frenektomi dan Depigmentasi Gingiva pada Regio Anterior Rahang Atas Anak Perempuan Usia 11 Tahun." Majalah Kedokteran Gigi Klinik 1, no. 1 (2016): 5. http://dx.doi.org/10.22146/mkgk.11910.
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Frenulum labialis yang abnormal dapat berpengaruh terhadap kesehatan gingiva dan menimbulkan penyakit periodontal dengan cara menarik margin gingiva sehingga menimbulkan resesi gingiva. Abnormalitas dari frenulum ini juga menyebabkan diastema dari gigi insisivus sentral, iritasi pada jaringan periodontal, menghalangi proses pembersihan gigi, menghalangi pergerakan alat ortodonsi, mengganggu pemakaian protesa gigi serta berpengaruh pada estetik. Selain frenulum yang abnormal, masalah pada gingiva yang dapat berpengaruh juga pada estetik adalah pigmentasi gingiva. Pigmentasi pada gingiva merupakan hasil dari granul melanin yang diproduksi oleh melanoblas. Hiperpigmentasi melanin pada gingiva biasanya bukan masalah medis tetapi keluhan pasien yang menginginkan terapi perbaikan estetik. Untuk melaporkan penatalaksanaan frenektomi labialis superior dan depigmentasi pada kasus sentral diastema dan pigmentasi gingiva. Anak perempuan 11 tahun diastema sentral insisivus maksila disertai dengan hiperpigmentasi gingiva regio anterior maksila. Diastema sentral insisivus maksilanya disebabkan oleh perlekatan frenulum labialis superior yang tinggi. Perawatan untuk perlekatan frenulum labialis superior yang tinggi dilakukan frenektomi dan perawatan depigmentasi dilakukan dengan teknik scraping menggunakan skalpel. Perawatan frenektomi dan depigmentasi menunjukkan hasil perbaikan perlekatan frenulum dan menghilangkan hiperpigmentasi gingiva. ABSTRACT: Management of Frenectomy and Gingival Depigmentation at Regio Anterior Upper Arch of 11 Year Old Girl. Abnormal labial frenulum may affect gingival health and cause periodontal disease by pulling the gingival margin causing gingival recession. Abnormalities of the frenulum also cause diastema of central incisors and irritation of the periodontal tissues, bother the teeth cleaning process, interfere the movement of orthodontic tools, interfere with the proper fit of the denture and affect the aesthetics. In addition to abnormal frenulum, a problem that can affect the gingival esthetics is also gingival pigmentation. Gingival pigmentation is a result of melanin granules produced by melanoblast. Melanin hyperpigmentation of the gingiva is not a medical problem but it becomes a complaint from patients who desire aesthetic improvement therapies. To report frenectomy labialis superior management and depigmentation in the central case of diastema and gingival pigmentation. An 11 year old girl had diastema in maxillary central incisor accompanied by gingival pigmentation in maxillary anterior region. Diastema in maxillary central incisor is caused by a high attachment of the superior labial frenulum. The (one of the) Treatment for a high attachment of the superior labial frenulum is frenectomy and the depigmentation treatment is done by scraping technique using a scalpel. Frenectomy and depigmentation treatment show improved results of the frenulum attachment and remove gingival pigmentation.
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Mohamad, Ikhwan Hakimi, Siti Lailatul Akmar Zainuddin, and Irfan Mohamad. "Laser Frenectomy: A Technical Note." Journal of Clinical and Health Sciences 7, no. 2 (2022): 41–45. http://dx.doi.org/10.24191/jchs.v7i2.9833.
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Labial frenulum is a band of tissues that connects the lip to the gum inside the oral cavity. In a highly-attached upper labial frenulum, a procedure known as frenectomy is usually performed under local anaesthesia. The indications for removal may include frequently traumatized soft tissues, gum recession, difficulties in maintaining good oral hygiene as well as for orthodontic purposes. There are various techniques in performing frenectomy including conventional scalpel and laser. Nowadays, laser is becoming the first choice for use in frenectomy as it is more time-saving, less painful and shows low-to-none intra- and post-operative complication. In this paper, we report a case of laser frenectomy procedure at the upper labial area, its complication and how we tackled it.
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Zumba Morales, Deysi Yolanda, Israel Alexander Villafuerte Montero, Samantha Gabriela Llundo Michilena, and Luz Amelia Granda Macías. "Detail quality of Upper Labial Frenulum on Alginate Impressions using cheek retractors." Interamerican Journal of Health Sciences 4 (July 11, 2024): 111. http://dx.doi.org/10.59471/ijhsc2024111.
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Objective: To compare the impression quality of an alginate with and without the use of cheek retractors. Materials and methods: Experimental in-vitro study, two alginate impressions (with and without cheek spacers) were taken from 10 people of 36 students from 2 'B' of Dentistry, excluding students with orthodontics. Alginate and Cavex water meter, alginate mixing bowl, alginate spatula, perforated metal trays, amount of alginate and water according to manufacturer's instructions, Maquira plastic cheek spacers were used. Results: The appearance of a complete frenulum was 70% and 30% incomplete with the use of cheek retractors, while without the use of retractors, only 30% of the impressions presented complete frenulum and 70% incomplete frenulum. Conclusions: Using cheek retractors increases the detail of the complete upper labial frenulum compared to not using it
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Obradovic, Radmila, Ljiljana Kesic, Ana Pejcic, Marija Igic, and Milica Petrovic. "Maxillary labial frenulum attachment level in adults." Glasnik Antropoloskog drustva Srbije, no. 51 (2016): 57–62. http://dx.doi.org/10.5937/gads51-12373.
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Vinanto, Putero Negoro, Michelle Darjanki Claudia, and Krismariono Agung. "Management of High Frenulum Attachment in Upper Anterior Teeth: A Case Report." INTERNATIONAL JOURNAL OF HEALTH & MEDICAL RESEARCH 03, no. 07 (2024): 531–34. https://doi.org/10.5281/zenodo.13132033.
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Introduction: Frenulum is a mucous membrane fold that attach lip and the cheek to the alveolar mucosa, gingiva, and underlying periosteum. A frenulum that extends to the gingival margin is pathogenic and indicated for removal. It causes diastema between teeth, gingival recession, difficult to maintain oral hygiene, the attached gingiva is weak, vestibule becomes short. Objective: The purpose of frenotomy is to reposition the frenulum attachment therefore improve esthetics smile from periodontal approach. Case Presentation: A 23 years old female patient came to RSKGMP Airlangga University with complaints of bleeding gums on the front of the maxillary teeth. On intra-oral examination, a high labial frenulum attachment was found in the mucosal folds. Case Management: Asepsis of the surgical area with povidone iodine, local anesthesia in the operating area, Clamp the labial frenulum region that will be incised using an artery clamp, followed by an incision at the top and bottom of the clamp using a 15C blade. Remove the muscle attachment, then suturing the gingiva with 4.0 silk suture, Irrigation with normal saline. Dry with gauze then cover the surgical area with a periodontal dressing (coe- pack). Patient were instructed restrict the movement of the lips and were prescribed antibiotics, analgesics and mouthwash. Conclusions: Frenotomy is a potential for treatment of improving periodontal aesthetics.
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Aleksandrova, O. V. "The relationship between the shape of the maxillary labial frenulum and a gummy smile and intraoral pathology." Parodontologiya 27, no. 4 (2022): 336–42. http://dx.doi.org/10.33925/1683-3759-2022-27-4-336-342.
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Relevance. An upper lip tie causes different pathological conditions. The popular aberrant frenulum classifications are ambiguous.The study aimed to assess different classifications of the maxillary labial frenulum in the context of a gummy smile, diastema, gingival recession and tissue ischemia relationship.Materials and methods. Photographs documented the type of smile and the pathological conditions of 41 patients aged 9 – 39 y.o. The study measured the maxillary central incisor height on the plaster model and compared the frontal view of the smile and the teeth to the size of the central incisor and with each other. Measurements were carried out.Results. A gummy smile is more common in individuals with a V-shaped frenulum independent of its width (61%, 14 patients, X2 = 13.06; p = 0.01) or in individuals with a wide frenulum independently of its shape (83%, 19 patients). 50% of all toothy smile cases are in the narrow frenulum group (69% in the group, nine patients). All cases with a lip tie (3 patients) showed a toothy smile (X2 = 10.29; p = 0.01). The group of the I-shaped frenulum attached at the gingival level demonstrated a diastema. Tissue ischemia is more prevalent in the group with the V-form frenulum, the frenulum ischemia and the attached gingiva or insertion point ischemia. It occurs separately from gingival recession only in V-shaped frenulum cases. The gingival recession prevails in X-shaped frenulum cases in the alveolar insertion point area (87.5%, four subjects) (p ≤ 0.05).Conclusion. The received data are paramount for decision-making about the necessary treatment technique.
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Henrique Moura Fonsêca dos Santos, Álvaro, Bárbara Eduarda Pelizaro Almeida Santos, Camila Gabrielly de Souza Moura, Victória Brito de Almeida Couto, and Maurício da Rocha Costa. "SURGICAL TREATMENT OF AN ABNORMAL UPPER LABIAL FRENUM IN PEDIATRIC DENTISTRY." Health and Society 2, no. 06 (2023): 45–55. http://dx.doi.org/10.51249/hs.v2i06.1089.
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Introduction: The superior labial frenum corresponds to a thin and triangular anatomical structure that has its formation during the third month of intrauterine life, located from the tubercle of the upper lip to the alveolar process. Abnormal insertion of the roof-labial frenulum is usually indicated for surgical removal. If the surgical procedure is not performed, the frenum causes instability, the main problem being the diastema between the incisors, which many times cannot be treated only by orthodontics. The purpose of correction of the upper labial frenum consists of eliminating excess free tissue between the teeth, in addition to the purpose of improving aesthetics. Objective: To describe a case report of surgical treatment of the upper labial frenum performed on a pediatric patient at a Dental Specialties Center. Case report: Female patient, 11 years old, referred by the orthodontist with indication for surgical treatment of the upper labial frenum. On intraoral physical examination, the presence of persistent roof-labial frenum and diastema between the upper central incisors was observed. In view of the data obtained in the anamnesis and physical examination, we opted for the frenotomy technique with the repositioning of the brake. Intraoral antisepsis and facial antisepsis were performed, followed by terminal infiltrative anesthesia in the anterior superior alveolar nerves, bilaterally. Two oblique incisions were made close to the insertion of the roof-labial frenum and then the repositioning of the. Friction movements were performed between the incisors and simple stitches were used for suturing. After two weeks, the patient returned and the presence of tissue remnant was observed, which was removed using the same anesthetic technique and with the aid of Metzenbaum scissors, without the need for a new suture. Conclusion: Surgical treatments for labial frenum present excellent results and should be chosen according to the individual needs of each patient, always evaluating the risks, benefits and advantages and disadvantages.
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Ani, Yoseph Saferius Kanisius, Firman Salam, and Hasanuddin Thahir. "Maximum Labial Frenektomi Using The Two-Clamps Technique In Fixed Orthodontic Patients: A Case Report." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 3 (2024): 492–96. https://doi.org/10.46862/interdental.v20i3.9526.
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Introduction: The frenulum is a fold of mucous membranes that attaches the lips to the alveolar mucosa, gingiva, and underlying periosteum. The high and large frenulum attachment between the maxillary incisors can cause aesthetic problems in orthodontic results. Therefore, surgical removal of the frenulum is necessary to prevent a recurrence, gingival recession, difficulty in oral hygiene, interference with labial movement, and esthetic or orthodontic requirements. History and Clinical Findings: A 20-year-old woman with fixed orthodontic wear one month ago was referred from the orthodontics department because there was a high and large frenulum attachment between the maxillary incisors. Clinical examination obtained diastema on teeth 11, 12, 13 and 21, 22, 23, 31, 32, 33 and 41, 42, 43, with Angle Class I occlusion. There were no abnormalities in the oral mucosa and the patient had no history of systemic disease. Case Management: Management of frenectomy using clamps and a scalpel with the two clamps technique method. Discussion: Frenectomy is the frenulum-cutting procedure with the aim of improving esthetics due to central diastema. A frenectomy is performed conventionally with a scalpel using a two-clamp technique to remove the muscle fibers that connect the orbicularis oris to the palatine papillae, with excision covering the interdental tissue, palatine papillae, and frenulum. Concussion: Closure of the diastema between the maxillary incisors with a prominent frenulum is more predictable with frenectomy and concomitant orthodontic treatment than with frenectomy alone.
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Arnov, Steffi Triany, and Risyandi Anwar. "Terapi Bedah Frenektomi Pada Ankyloglossia: Laporan Kasus." STOMATOGNATIC - Jurnal Kedokteran Gigi 20, no. 2 (2023): 136. http://dx.doi.org/10.19184/stoma.v20i2.44013.
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Frenectomy is a surgical procedure to remove or eliminate the frenulum, either the labial, buccal, or lingual frenulum. An abnormality of the thickened and tight lingual frenulum of the tongue that results in limitation of tongue movement is called ankyloglossia. This limitation can causes speech problems. A 25-year-old woman with tongue problems, immobility and difficulty in pronouncing certain letters. The tongue cannot cross the vermilion lip line. The choice of surgical treatment is frenectomy under local anesthesia using the dual hemostat method. Frenectomy as a treatment option for ankyloglossia gave good results without complications and was continued with speech therapy rehabilitation.
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Pritama, Muhammad Fauzi Adityawan, and Dahlia Herawati. "MODIFIKASI TEKNIK INSISI ABERRANSIA FRENULUM SEBELUM PERAWATAN ORTODONTIK: LAPORAN KASUS." YARSI Dental Journal 2, no. 2 (2025): 45–52. https://doi.org/10.33476/ydj.v2i2.226.
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Abstrak Pendahuluan: Perlekatan frenulum labialis yang tinggi mempengaruhi jaringan periodontal berupa gingivitis dan diastema sentral yang dapat mengganggu fungsi estetika, sehingga perlu dilakukan perawatan frenektomi. Frenektomi dengan teknik konvensional menggunakan blade berakibat lebarnya luka karena tarikan otot bibir dan menimbulkan banyak perdarahan. Perdarahan yang minimal dapat dicapai dengan modifikasi teknik insisi frenektomi Incision Below the Clamp (IBC). Tujuan penulisan ini adalah melaporkan perawatan frenektomi dengan teknik IBC yang dapat meminimalkan perdarahan. Laporan Kasus: Wanita 21 tahun datang ke Klinik Periodonsia Rumah Sakit Gigi dan Mulut Prof. Soedomo UGM dengan keluhan gigi depan atas renggang dan mengganggu penampilan. Setelah pemeriksaan, terdapat aberransia frenulum labialis superior yang menjadi penyebab diastema sentral. Perawatan yang dilakukan sebelum diastema closure adalah frenektomi dengan teknik IBC menggunakan clamp diposisikan sejajar dan menempel mukosa labial, kemudian insisi dibawah clamp sampai dasar vestibulum serta penjahitan di mucolabial fold. Diskusi: Frenektomi dengan teknik IBC menghasilkan luka kecil pada mukosa labial karena tarikan muskulus orbicularis oris ke arah lateral ditahan oleh clamp dan suturing dengan segera setelah insisi pada puncak insisi akan menahan tarikan otot pasca dilepasnya clamp serta mengurangi perdarahan karena luka terbuka. Tindakan operasi dengan sedikit perdarahan akan memberikan rasa tenang dan nyaman untuk pasien maupun dokter gigi. Kesimpulan: Frenektomi pada aberransia frenulum labialis superior dengan teknik IBC dapat menghilangkan frenulum secara sempurna dan dapat dilanjutkan perawatan ortodontik. Kata Kunci: Aberransia frenulum, frenektomi, Incision Below the Clamp, diastema sentral, muskulus orbicularis oris
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Makhlynets, N. P., Z. R. Ozhogan, G. B. Prots, V. I. Yatsynovych, and M. V. Pyuryk. "Rehabilitation of patients with acquired maxillomandibular anomalies after surgical correction of disorders of the vestibule of the mouth." Morphologia 17, no. 3 (2023): 87–91. https://doi.org/10.26641/1997-9665.2023.3.87-91.
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Background. Treatment of surgical wounds in patients with maxillomandibular anomalies is important after buccal frenum plastic surgery is relevant. Objective. Increasing the effectiveness of medical treatment of patients with a pathological bite after buccal frenulum plastic surgery. Methods. 30 patients were examined and treated. The patients underwent surgical correction of violations of the architecture of the oral cavity (buccal frenums) using the proposed method and palatal allografts. Patients of the I group (15 people) in the postoperative period were prescribed standard treatment, patients of the II group (15 people) were treated with a supplement based on hyaluronic acid. A clinical study was conducted, where the main point was to determine the height of attachment of the buccal frenulum and labial frenulum, the presence of changes in the periodontal tissues based on the results of the index assessment. They studied the condition of the surgical wound and the processes of the formation of a postoperative scar, performed a cytological examination of the mucous membrane according to H.V.Banchenko. Results. Before treatment, all patients were diagnosed with a violation of the architecture of the vestibule of the mouth, manifested by high-attached buccal frenums and labial frenums on the mandible (less than 5 mm); low-attached buccal frenums and labial frenums on the maxilla (less than 5 mm). In patients of the II group, a significant difference was observed in the index assessment of periodontal tissues and cytological characteristics (p≤0.05) and the formation of a normotrophic scar. They did not cause a traumatic effect on the periodontal tissues, the position of a separate group of teeth. After treatment, a significant difference in cytological characteristics and the phenomenon of “creeping attachment” was observed in patients of the II group compared to I group (p≤0.05). Conclusion. Surgical correction of the vestibule of the mouth is an important step in the complex treatment of patients with maxillomandibular anomalies. Cytological characteristics of the mucous membrane of the vestibule of the mouth and clinical characteristics of the postoperative scar indicate the advantages of using gengigel in the postoperative period.
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Sousa, Idathoson Breno Dias de, Maria Thais Rodrigues Silva, Marcone de Oliveira Rocha, Ítalo Lopes Teixeira, Gabriela Lourenço Alves Almeida, and Pablo Vinicyus Ferreira Chagas. "FRENECTOMIA LABIAL SUPERIOR EM PACIENTE ODONTOPEDIÁTRICO: Relato de caso clínico em paciente de dez anos de idade da cidade de Mato Verde - MG." Scientia Generalis 5, no. 2 (2024): 37–42. http://dx.doi.org/10.22289/sg.v5n2a5.
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Lip brakes have the function of limiting the movement of the lips, stabilizing the midline and inhibiting accentuated gingival exposure. The superior labial frenulum is a fold composed of mucous membrane and fibrous tissue. It is attached on one side to the inside of the upper lips and on the other side to the gums in the middle of the jaw. The objective of this study was to report a case of upper lip frenectomy in a pediatric dentistry patient. This is a study with a qualitative approach with a descriptive/observational objective. A survey was carried out in the municipality of Mato Verde-MG at Faculdade Verde Norte (FAVENORTE). A ten-year-old male patient was taken by the guardian to the dental clinic at Faculdade Verde Norte - FAVENORTE, with the following main complaint: “Large space in the front teeth”. After anamnesis, it was found that the patient had no systemic changes. On clinical examination, the presence of diastema between the permanent upper central incisors and a wide and voluminous upper labial frenulum was observed during the upper laboratory treatment. The treatment was surgical removal: Frenectomy using the Modified Archer Technique. In the case reported, it was demonstrated that the surgical technique was performed successfully, where the repositioning of the labial frenulum and new reinsertion were observed, promoting an improvement in the patient's quality of life.
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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 lingual frenectomy pro- cedure under local anaesthesia which resulted in speech correction and relief of lower anterior crowding. Maxillary anterior spacing and midline diastema was corrected with orthodontic mechanotherapy and labial frenectomy, re- spectively. In cases where the frenulum anomaly is severe enough to result in both mechanical and functional limitations, surgery to reduce the frenulum (frenulectomy) is recommended. In consequence, it is fair to state that the chief complaint of inappropriate speech of the patient need to be resolved by an interdisciplinary approach.
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Thahir, Hasanuddin, Arni I. Djais, Shek Wendy, Muhammad H. Achmad, and Fuad H. Akbar. "Management of maxillary labial frenum with comparison of conventional and incision below the clamp techniques: a case report." Journal of Dentomaxillofacial Science 3, no. 1 (2018): 61. http://dx.doi.org/10.15562/jdmfs.v3i1.634.
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Objective: Describes and compare the procedure of superior labial frenum frenectomies with conventional technique and incision below the clamp technique.Methods: Two female patient came to Departement of periodonsia, Unhas Dental Hospital to have frenectomies. The first patient was 28 year old with labialis superior frenulum reached attached gingiva, gingival recession 1-2 mm with calculus deposits, and referred to do frenectomy with Incision below the Clamp. While the second patient was 15 year old with labialis superior frenulum extend up to palatine papilla, central diastema and referred to do frenectomy with conventional technique.Results: The conventional techniques is done by engaged the frenum by a haemostat that inserted into the depth of the vestibule, and incision were placed on the upper and the under surface of haemostat, then followed by suturing the wound and periodontal pack. Insision below the clamp technique is done by placing a hemostat in position adjacent and parallel to the lip mucosa, and incision carried out below the clamp, then followed by suturing at the mucolabial fold and periodontal pack.Conclusions: Patients were very satisfied with the results that achieved. Technique Incision below the Clamp is an alternative treatment with good aesthetic and less bleeding during frenectomies by using a scalpel.
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Akbar Aji Wiguno, Agnes Herlina Kumalasari, Prawati Nuraini, and Soegeng Wahluyo. "Frenectomy with Classical Technique." World Journal of Advanced Research and Reviews 19, no. 3 (2023): 172–76. http://dx.doi.org/10.30574/wjarr.2023.19.3.1772.
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Objective: A 16-year-old man came to RSGMP Airlangga University with a complaint of a midline diastema in the maxilla which interfered with his appearance when smiling. After examination, it was found that there was an abnormal attachment of the superior labial frenulum so a frenectomy was needed. Methods: Anesthetize the operating area with a local anesthetic. The lips are retracted upwards. The frenulum is clamped using a hemostat until released. Irrigate the surgical area with saline. Perform suturing of the operating area with the interrupted technique using silk thread size 4 – 0. Result: one week post frenectomy shows redness, and slight edema in the mucobuccal fold region 11 21. One month post frenectomy it appears that wound healing is good, there is no pull from the frenulum. Conclusion: Frenectomy with the classical technique can correct the abnormal attachment of the frenulum
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Dioguardi, Mario, Andrea Ballini, Cristian Quarta, et al. "Labial Frenectomy using Laser: A Scoping Review." International Journal of Dentistry 2023 (April 30, 2023): 1–7. http://dx.doi.org/10.1155/2023/7321735.
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Labial frenectomy is a surgical technique, that aims to remove the frenulum with its attachment to the underlying bone. Frenectomy, is indicated if the frenulum attachment causes midline diastema, gingival recession, hindrance in maintaining oral hygiene, or if it interferes with lip movements and for prosthetic needs. A labial frenectomy can be performed either by the routine scalpel technique, electrocautery, and most recently medical lasers. The aim of this study was to evaluate, whether the laser technique is more effective than the conventional surgical technique, and whether there are differences between the different types of lasers. The scoping review was conducted and prepared on the basis of the indications of the PRISMA guidelines (PRISMA Extension for Scoping Reviews, PRISMA-ScR) of PRISMA checklist, and nine papers were considered admissible to the qualitative analysis for the following outcomes: bleeding during intervention, use of sutures, duration of the intervention, and use of analgesic drugs in the days following the intervention. This review suggests that laser-performed labial frenectomy is faster and offers better intra- and postoperative management; however, due to the limited number of available papers, the final results of the present review are not absolute.
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Santa Maria, Chloe, Janelle Aby, Mai Thy Truong, Yogita Thakur, Sharon Rea, and Anna Messner. "The Superior Labial Frenulum in Newborns: What Is Normal?" Global Pediatric Health 4 (January 2017): 2333794X1771889. http://dx.doi.org/10.1177/2333794x17718896.
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Akbar, Aji Wiguno, Herlina Kumalasari Agnes, Nuraini Prawati, and Wahluyo Soegeng. "Frenectomy with Classical Technique." World Journal of Advanced Research and Reviews 19, no. 3 (2023): 172–76. https://doi.org/10.5281/zenodo.11544763.
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<strong>Objective: </strong>A 16-year-old man came to RSGMP Airlangga University with a complaint of a midline diastema in the maxilla which interfered with his appearance when smiling. After examination, it was found that there was an abnormal attachment of the superior labial frenulum so a frenectomy was needed. <strong>Methods</strong>: Anesthetize the operating area with a local anesthetic. The lips are retracted upwards. The frenulum is clamped using a hemostat until released. Irrigate the surgical area with saline. Perform suturing of the operating area with the interrupted technique using silk thread size 4 – 0. <strong>Result: </strong>one week post frenectomy shows redness, and slight edema in the mucobuccal fold region 11 21. One month post frenectomy it appears that wound healing is good, there is no pull from the frenulum. <strong>Conclusion</strong>: Frenectomy with the classical technique can correct the abnormal attachment of the frenulum
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Akdeniz, Canan, and Arzum Güler Doğru. "Management of initial and surgical management of amlodipine-induced gingival enlargement with multifactorial etiology: a case report with 6 months follow-up." Journal of Dental Sciences and Education 1, no. 4 (2023): 123–26. http://dx.doi.org/10.51271/jdse-0022.
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Drug-induced gingival enlargement can be seen as a side effect of systemically used drugs such as calcium channel blockers, anticonvulsants, and immunosuppressants. One of these drugs is amlodipine, a dihydropyridine derivative calcium channel blocker used in the treatment of high blood pressure and coronary artery disease. Amlodipine-induced gingival overgrowth is rarely seen compared to other calcium channel blockers. The aim of this case is to present the diagnosis of gingival overgrowth due to amlodipine use and the identification of other etiologic factors such as labial frenulum, phase 1 initial, and phase 2 surgical treatment approaches. A 56-year-old female patient presented to our clinic with severe gingival overgrowth, intense bleeding, difficulty feeding, and pain. The anamnesis revealed that she had hypertension and had been taking amlodipine derivative Norvasc 10 mg once a day for 8 years. A look inside the mouth showed that there was a lot of gum tissue growing over the crowns from the labial and palatal sides, mainly in the front of the maxilla. Phase 1 treatment was initiated. As a result of the consultation with the patient's cardiologist, the hypertension medication Norvasc 10 mg was replaced with Candexil 16 mg by the medical physician. The preoperative tension and blanch test was positive, and the labial frenulum was seen to mobilize the free gingival margin of the central teeth. After the same session of gingivoplasty, the labial frenulum was removed by a frenectomy operation. After the operation, antibiotics, analgesics, and mouthwash were prescribed. The patient stated that he did not have any problems after the operation. 6-month follow-up showed uneventful healing. No recurrence of gingival growth was found in the 1st, 3rd, and 6th month follow-ups. In conclusion, this case report shows that non-surgical periodontal treatment alone isn't always enough to treat drug-induced gingival overgrowths. The gingival shape should be changed so that the patient can properly clean their teeth, and drug-induced gingival overgrowths, like the one in this case, may have more than one cause and may need additional surgery like a labial frenectomy.
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Inchingolo, Angelo Michele, Giuseppina Malcangi, Irene Ferrara, et al. "Laser Surgical Approach of Upper Labial Frenulum: A Systematic Review." International Journal of Environmental Research and Public Health 20, no. 2 (2023): 1302. http://dx.doi.org/10.3390/ijerph20021302.
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An abnormal and hypertrophied upper labial frenulum (ULF) can cause diastemas, gingival recession, eruption abnormalities, and the onset of carious and periodontal problems in the upper central incisors, as well as aesthetic and functional disorders of the upper lip. The goal of this investigation is to review the evidence on the surgical techniques that are currently available for treating ULF in order to identify the best approach. PubMed, Scopus, Cochrane Library, and Embase were searched for papers that matched our topic from 13 November 2012 up to 22 November 2022 using the following Boolean keywords: “frenulum” and “surgery*”. A total of eight articles were selected for the purpose of the review. ULF can be surgically treated using either traditional scalpel surgery or laser surgery. The latter is the better option due to its intra- and post-operative benefits for both the patients and the clinicians, in terms of faster healing, fewer side effects and discomfort, and greater patient compliance. However, a higher learning curve is required for this technique, especially to calibrate the appropriate power of the laser. To date, it is not possible to identify which type of laser achieves the best clinical results for the treatment of ULF.
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Mironova Tabachová, Jana. "Preoperative Speech Therapy Care for Shortened Labial and Lingual Frenulum." Listy klinické logopedie 7, no. 1 (2023): 11–18. http://dx.doi.org/10.36833/lkl.2023.007.
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Kandemir, Müzeyyen, Bedriye İbiş, and Ebru Ece Sarıbaş. "Lingual frenulum surgery in the treatment of ankyloglossia: case series." Journal of Dental Sciences and Education 3, no. 1 (2025): 27–30. https://doi.org/10.51271/jdse-0051.
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The aim of this case series is to evaluate the clinical outcomes of lingual frenectomy in two young adult female patients with ankyloglossia and to emphasise the impact of surgical intervention on speech ability, tongue mobility and overall oral function. Two women, aged 22 and 19 years, presented with speech difficulties, restricted tongue movement and high lingual frenulum attachment. Clinical examination revealed associated conditions such as midline diastema, infantile swallowing patterns and labial displacement of the mandibular anterior teeth. After informed consent, both patients underwent lingual frenectomy under local anaesthesia using a #15 scalpel and blunt dissection technique. Sutures were placed with a continuous suture technique, and postoperative care included antibiotics, analgesics, and chlorhexidine mouthwash. Patients were followed up for six months. Both patients experienced significant improvements in tongue mobility and articulation after the procedure. No complications such as excessive haemorrhage or nerve damage were observed. At the six-month follow-up, the healing process was uneventful. They were then referred to the orthodontic clinic for further treatment of midline diastema, labial displacement and swallowing dysfunction. Ankyloglossia can cause functional and psychological problems by affecting speech, swallowing and tooth alignment. Early diagnosis and timely surgical intervention, such as lingual frenectomy, can con-tribute to significant improvements in tongue mobility and speech function. Long-term follow-up and interdisciplinary treatment are essential to achieve optimal patient outcomes.
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Adibah, Media sukmalia, Eka Pramudita Ramadhany, Valeo Adika Laksana, and Ni Luh Desy Ayu Susilahati. "MULTIDISCIPLINARY PERIODONTIA-ORTHODONTIA APPROACH IN A CASE OF MIDLINE DIASTEMA WITH LABIAL FRENECTOMY USING ELECTROSURGERY." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 1 (2024): 1–6. http://dx.doi.org/10.46862/interdental.v19i2.7725.
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Introduction: Periodontal tissue condition plays an important role as an adjunctive in the success of orthodontic therapy. One of prominent esthetic problem is midline diastema case, which was caused by high and aberrant frenulum attachment. This clinical case aims to report the frenectomy procedures with electrosurgery through multidiscipline perio- orthodontic approach to close the midline diastema. Case: : A female 19 years old patient was referred from orthodontic clinic with chief complaint there was a gap between her central insisif in upper jaw. The frenulum showed the Blanch test positive and there was no clinical attachment loss. Case Treatment: Frenectomy with electrosurgery was done to eliminate the aberrant frenulum attachment. This procedure followed with fixed orthodontic therapy to close the midline diastema and prevent any relapse. Discussions: Frenectomy can be achieved with electrosurgery which has many advantages such as coagulation, a better visualization, blood-less area, bacterimial risk reduction, an uneventful healing process, less post operative discomforts, and minimal scar tissue formation. Fixed orthodontic appliance was bonded to close the gap between central incisors. The intraoral examination showed that there was no any relaps in midline after one year follow up debonding of fixed orthodontic. Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema. Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema.
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Xie, Ling, Ping Wang, Yue Ding, and Liang Zhang. "Comparative frenectomy with conventional scalpel and dual-waved laser in labial frenulum." World Journal of Pediatric Surgery 5, no. 1 (2022): e000363. http://dx.doi.org/10.1136/wjps-2021-000363.
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AimThe purpose of the study is to compare the labial frenectomy between the laser surgery (erbium yttrium aluminum garnet and neodymium-doped yttrium aluminum garnet (Er:YAG and Nd:YAG)) and the scalpel method.MethodsThe trial was a randomized controlled test. Thirty four patients aged from 5 to 10 years requiring the frenectomy were included in this study. Patients were randomly divided into two groups: group A: Er:YAG and Nd:YAG laser group and group B: scalpel group. In addition, this comparison considered the following factors: surgical time and Visual Analog Scale (VAS) pain score, which includes intraoperative pain, postoperative pain and complications, such as speaking and chewing, for 1 day and 7 days following labial frenectomy. After 3 months, we recorded the healing outcome by photos.ResultsThere was a statistically significant difference in mean surgical time between laser surgery (mean=224±59 s) and scalpel surgery (mean=740±168 s). According to VAS scores of the intraoperative period (3 hours after the operation and 1st postoperative day of pain), chewing and speaking were statistically higher in group B than those in group A; but in the 7th postoperative day of pain, there was no significant difference in speaking and chewing. After 1 month, all of the patient results were recorded, including the healing of wound and scar. Except for one patient in group B who had a scar, all patients achieved good results.ConclusionBased on the results of this study, it can be concluded that Nd:YAG laser is an efficient and more comfortable alternative to the scalpel for a frenectomy in upper lip frenulum.
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Martin, Rick A., and Kenneth Lyons Jones. "Absence of the superior labial frenulum in holoprosencephaly: A new diagnostic sign." Journal of Pediatrics 133, no. 1 (1998): 151–53. http://dx.doi.org/10.1016/s0022-3476(98)70198-2.
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Rahaju, Asih, and Itoh Rositoh. "NON-INVASIVE ESTHETIC REHABILITATION OF ANTERIOR DIASTEMA WITH DIRECT COMPOSITE RESTORATION." Journal of Health and Dental Sciences, Volume 2 No 2 (September 30, 2022): 329–42. http://dx.doi.org/10.54052/jhds.v2n2.p329-342.
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Diastema is a gap between adjacent teeth that occur physiologically from the teeth eruption. However, diastema between the maxillary central incisors in an adult can be an aesthetic problem and sometimes impair speech. Diastema treatment with low or enlarged superior labial frenulum includes frenectomy, orthodontic treatment, veneers, crown, and bridge or resin-based composite direct restorations. This case report will discuss the rehabilitation of diastema in an aesthetic zone of maxillary central incisors due to low frenulum attachment. It was done by a minimally invasive approach using direct composite restoration, completed within several hours after the study model was analyzed, and much less expensive than other forms of treatment. The protocol involved model analysis, smile design, mock-up, silicon index creation, and composite selection. Patient cooperation and understanding of the limitations are critical to long-term treatment success. The direct composite resin is a fast, simple method yet durable to achieve good improvement of small diastema in the aesthetic zone. And stable after three years.
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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 a double rotational flap. The two flaps were then transposed to the opposite side of the apex of each flap for relief of soft tissue tension. This pattern has shown uneventful healing and minimized scar formation, which was favorable in aesthetics.
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Hartanti. "Combination of Periodontal and Aesthetic Surgery in Cases of Periodontal Tissue Abnormalities." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 2 (2024): 274–79. http://dx.doi.org/10.46862/interdental.v20i2.9522.
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Introduction: A high superior labial frenulum causes a gap in the incisors and in the long term will lead to periodontal disease such as gingival enlargement. And pigmentation abnormalities that usually appear physiologically on the gingiva which disturb the aesthetic aspect of the patient. Anatomical abnormalities and abnormalities that occur due to periodontal disease if not treated will result in the severity of periodontal disease progression. Case: A 20-year-old female patient complained of enlargement of her gums and the color of her gums was slightly dark. Case Management: Intra oral examination revealed a high frenulum, gingival enlargement and gingival pigmentation. Discussion: Surgical procedures performed at one visit to overcome the patient's problem, periodontal surgery was performed in the form of gingivektomi, frenectomy and for aesthetic surgery in the form of gingival depigmentation in sequence with a surgical blade. Conclusion: Conventional surgical procedures in this case can be performed with sequential stages in one visit for the efficiency of patient visits and time. So that patients are more comfortable without having to repeat periodontal surgery.
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Ardila, Carlos-Martín, and Efraín Álvarez-Martínez. "Dental and Maxillofacial Manifestations of Axenfeld–Rieger Syndrome: Presentation of a Case in a 5-Year-Old Girl." Case Reports in Dentistry 2022 (August 2, 2022): 1–5. http://dx.doi.org/10.1155/2022/4348264.
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In this case study, the dental and maxillofacial manifestations of a 5-year-old girl with Axenfeld–Rieger syndrome (ARS) are described. This syndrome is characterized by craniomaxillofacial, ocular, dental, and umbilical disorders. The patient presented ocular dyscoria and corectopia, iris abnormalities, midface hypoplasia with a thin upper lip, and a protruded lower lip. Hyperplastic maxillary labial frenulum, oligodontia, ghost teeth, bilateral Class III molar and canine relationship, and right posterior crossbite were also found. An everted umbilicus with redundant periumbilical skin was evident. Early diagnosis of ARS is essential to establishing preventive and corrective measures that provide a good quality of life for patients who suffer from this syndrome.
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Darwis, Rudi S., and Ilham Fadhilah. "Manajemen Diastema Multipel Tipe Dental: Laporan Kasus." e-GiGi 12, no. 1 (2023): 44–48. http://dx.doi.org/10.35790/eg.v12i1.48303.
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Abstract: Diastema is a space or gap between two or more adjacent teeth which can result in oral and esthetic problems. Orthodontic treatment is needed for diastema concerning inter alia itsetiology. We reported a 17-year-old male patient complaining of gaps between the front teeth of the upper jaw. Based on anamnesis, the patient was in good condition. Intra oral examination revealedmultiple diastemas between upper front teeth, high labial frenulum, overjet, dan overbite. There was a positive arch length discrepancy of upper jaw meanwhile the other analyses were in normal limit. The etiology of multiple diastemas in this case were small teeth on a relatively large jaw, and a high labial frenulum. The patient was treated using active and passive removable orthodontic appliance to fix the tooth gaps. After 10 times of activation, the diastemas were corrected then the patient was continued to the retentive phase using removable retainer of Hawley type to prevent relapse. In conclusion, diagnosis, examination, and choosing removable orthodontic appliance are important to correct the multiple diastemas. Maintenance and patient’s cooperation in using the active and retentive appliance are needed to achieve hard and soft tissue healthiness in the long run. Keywords: multiple diastemas; orthodontic treatment; removable orthodontic appliances; retentive phase; patient’s cooperation Abstrak: Diastema adalah ruang atau celah diantara dua atau lebih pada gigi secara berdekatan,yang dapat mengakibatkan berbagai masalah dalam rongga mulut dan estetik. Diperlukan penatalaksanaan khusus terhadap setiap masalah diastema, dengan memperhatikan faktor etiologi dan lainnya. Kami melaporkan seorang pasien laki-laki berusia 17 tahun dengan keluhan gigi terlihat berjarak pada gigi depan bagian atas yang mengganggu penampilan. Hasil anamnesis pasien memiliki keadaan umum baik, pemeriksaan ekstra oral pasien dalam batas normal, sedangkan intra oral ditemukan diastema pada gigi anterior atas, perlekatan frenulum mendekati margin gingiva, overjet, dan overbite. Analisis model kerja mendapatkan arch length discrepancy rahang atas yang positif, sedangkan hasil analisis lainnya dalam batas normal. Etiologi diastema pada kasus ini ialah besarnya lengkung gigi yang tersedia dan ukuran gigi yang cenderung kecil, serta perlekatan frenulum tinggi. Pada pasien ini dilakukan perawatan diastema multipel menggunakan alat ortodonti lepasan dengan alat aktif dan pasif untuk menutup celah yang terdapat di antara gigi. Hasil perawatan ialah diastema terkoreksi pada rahang atas setelah dilakukan aktivasi selama 10 kali, kemudiandilanjutkan ke fase retensi menggunakan retainer lepasan tipe Hawley untuk mencegah terjadinya relaps. Simpulan kasus ini ialah penegakan diagnosis, pemeriksaan dan pemilihan alat ortodonti lepasan aktif dapat mengoreksi masalah diastema multipel. Diperlukan fase pemeliharaan dan kerjasama pasien dalam penggunaan alat aktif dan alat retensi untuk mendapatkan hasil perawatan kesehatan jaringan keras dan jaringan lunak dalam jangka panjang. Kata kunci: diastema multipel; perawatan ortodonti; alat ortodontik lepasan; fase retensi; kerjasama pasien
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Walianto, Adiguna Putra, and Osa Amila Hafiyyah. "Gingival Depigmentation With Scraping Technique And Frenectomy With Parallel Technique One Visit Veneer Prep Nursing." Interdental Jurnal Kedokteran Gigi (IJKG) 20, no. 3 (2024): 515–21. https://doi.org/10.46862/interdental.v20i3.9045.
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Introduction: Smile design requires harmony between the teeth and the surrounding soft tissue. In the case of anterior veneer treatment preparation, in patient with midline diastema and hyperpigmentation of gingiva should be adequately assessed. One visit treatment for periodontal surgeries is more beneficial for the patients and operator. In this case report, we reported a single visit treatment of frenectomy and gingival depigmentation to achieve more aesthetically acceptable patient prior to veneer procedure. Case: A 28-year-old female patient came to the Periodontics clinic on referral from the Prosthodontics clinic with chief complaint of gapped upper front teeth and brownish upper front tooth gums. Superior labial frenulum attachment was located on the interdental papilla which extended palatally, causing a central diastema and interfering with the veneer plan. Case Treatment: Gingival depigmentation by scraping technique using scalpel no. 15C and frenectomy by parallel technique using scalpel no. 11 to make two parallel incisions on the lateral side of the frenulum in one visit. Discussions: Periodontal surgery cases that can be performed simultaneously are those in the same region with the advantage that is effectiveness of time and trauma incurred as well as cost efficiency. Dark uneven gingiva can be treated with gingival depigmentation and frenectomy is a procedure that removes the frenulum completely including its attachment to the bone. Conclusion and Suggestions: Gingival depigmentation with scraping technique and frenectomy with parallel technique provide good treatment results and can be performed together in a single visit to address patients' aesthetic demands regarding gingival pigmentation and support central diastema correction through veneer treatment in collaboration with prosthodontics.
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Novianty, Shella Indri, Wayan Ardhana, and Christnawati Christnawati. "Perawatan Ortodontik menggunakan Teknik Begg pada Kasus Pencabutan Satu Gigi Insisivus Inferior dan Frenectomy Labialis Superior." Majalah Kedokteran Gigi Indonesia 21, no. 2 (2014): 197. http://dx.doi.org/10.22146/majkedgiind.8757.
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Pencabutan gigi insisivus rahang bawah merupakan salah satu cara yang digunakan untuk mendapatkan ruang pada perawatan ortodontik. Seleksi kasus yang ketat harus dilakukan sebelum menentukan pencabutan gigi tersebut, agar mendapatkan hasil perawatan yang baik. Artikel ini memaparkan hasil perawatan menggunakan alat cekat teknik Begg pada kasus maloklusi Angle klas I disertai dengan spacing anterior rahang atas dan pencabutan satu gigi insisivus sentralis rahang bawah, serta frenektomi frenulum labialis superior pada seorang wanita berumur 47 tahun yang datang dengan diagnosa kasus maloklusi Angle klas I, skeletal klas I disertai protrusif bimaksiler, bidental protrusif, spacing anterior rahang atas, crowding anterior rahang bawah dan beberapa malposisi gigi individual pada kedua rahang. Frenektomi pada frenulum labialis superior dan pencabutan insisivus sentralis kiri rahang bawah dilakukan untuk mencapai tujuan perawatan. Perawatan aktif dimulai pada bulan September 2012 menggunakan alat cekat teknik Begg dan berakhir pada bulan September 2013. Retraksi anterior dilakukan pada rahang atas sebesar 5,0 mm dan rahang bawah sebesar 2,5 mm. Observasi pada hasil akhir perawatan terlihat ada perubahan yang baik pada profil, susunan gigi geligi dan analisis sefalometri. Pada pemeriksaan studi model diperoleh hasil bahwa overjet akhir 3,5 mm, overbite 3,0 mm, interdigitasi baik, dan median line rahang atas dan rahang bawah tidak segaris. Pencabutan satu gigi insisivus sentralis rahang bawah pada kasus maloklusi Angle klas I dengan spacing anterior rahang atas dan dilakukan perawatan dengan alat cekat teknik Begg, memberikan hasil perawatan yang cukup memuaskan. Orthodontic Treatment Using Begg Technique In The Case of Extraction of One Inferior Incisor Tooth and Superior Labial Frenectomy. Extraction of lower arch incisive was the alternative way for space gaining on orthodontic treatment. Case selection is needed before deciding the extraction in order to achieve optimal orthodontic treatment result. The Objectives of this study is to report the result of orthodontic treatment using Begg technique appliance on Angle’s class I malocclusion with spacing anterior at the upper arch, extraction of one incisive central at the lower arch and frenectomy of frenulum labial superior. A 47 years old woman was diagnosed as Angle’s class I malocclusion, class I skeletal with bimaxillary protrusion, bidental protrusion, spacing anterior on the upper arch, crowding anterior on the lower arch, and tooth malposition on both arches. Frenectomy at frenulum labii superior and extraction of one incisive central at the lower arch were done for the orthodontic treatment. Orthodontic treatment was started on September 2012 and finished on September 2013. The upper anterior were 5 mm retracted and the lower anterior were 2.5 mm retracted. An observation at the end of treatment showed improvement in profile, alignment of the teeth, and skeletal appraisal. Study model observation showed 3.5 mm of overjet, 3.0 mm of overbite, good interdigitation, and median line shifting of the lower arch anterior. Extraction of one incisive central at the lower arch, for Orthodontic treatment on Angle’s class I malocclusion with spacing anterior at the upper arch using Begg technique appliance showed an excellent result.
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Kamasaki, Youko, Satoshi Fukumoto, Kazumi Kubota, and George Goto. "Clinical evaluation of a patient with single maxillary central incisor." Journal of Clinical Pediatric Dentistry 26, no. 2 (2003): 181–86. http://dx.doi.org/10.17796/jcpd.26.2.k521j56563773367.
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Hypodontia in permanent dentition is the most common developmental anomaly and frequently found in the second premolar and maxillary lateral incisor. In the primary dentition, however, hypodontia appears to be less frequent, with the exception of cases such as ectodermal dysplasia and cleft lip and palate.We report a child with one primary maxillary central incisor at midline. The presence of a single permanent maxillary central incisor was also confirmed by radiological examination. Other intraoral abnormalities were detected including absence of upper labial frenulum and abnormal palatal structure, but no other facial or brain anomalies. Although the condition is exceedingly rare, a thorough examination for more serious anomalies should be conducted since it is suggested to be the mildest feature of holoprosencephaly.
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Khan, MohammadKamran, and MahendraKumar Jindal. "Interceptive treatment of the aberrant labial frenulum in the transition dentition stage using 808nm diode laser." International Journal of Oral Health Sciences 12, no. 2 (2022): 86. http://dx.doi.org/10.4103/ijohs.ijohs_35_21.
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Yengopal, Veerasamy. "What’s new for the clinician? - Excerpts from and summaries of recently published papers." South African Dental Journal 76, no. 06 (2021): 374–77. http://dx.doi.org/10.17159/2519-0105/2021/v76no6a8.
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The World Health Organization (WHO) considers breast milk as the best source of nourishment for infants. Although exclusive breastfeeding is recommended up to 6 months of age, globally only 40% of children under this age are exclusively breastfed and this is mainly due to negative breastfeeding experiences. There are many different causes for negative breastfeeding experiences such as poor weight gain, necessitating supplementation, poor latch, maternal nipple pain, and oral restrictions like a tongue-tie (ankyloglossia) and/or lip-tie. Ankyloglossia (either the decrease in mobility for the tongue by classic anterior tongue-tie or a submucosal restriction, a posterior tongue-tie) and a superior tethered labial frenulum can cause altered latch and sucking mechanics. Studies have shown that a frenotomy, if adequately performed, can improve breastfeeding scores and relieve nipple pain with little or no serious complications.