FRENECTOMY ON MAXILLARY LABIAL FRENULUM PENETRATING PAPILLA TYPE BY CONVENTIONAL SURGICAL TECHNIQUES: A CASE REPORT
DOI:
https://doi.org/10.46862/interdental.v19i2.7711Keywords:
central diastema, frenectomy, Maxillary labial frenulumAbstract
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.
Downloads
References
Archana N.V , Paul J, D’Lima JP, Parackal ST, Thomas D, Akhil S. Maxillary labial frenectomy by using conventional technique and laser – Report of two cases. Int Dent J Stud Res 2020; 8(1): 27-32. DOI: https://doi.org/10.18231/j.idjsr.2020.006
Devishree, Gujjari SK, Shubhashini P V. Frenectomy: A review with the reports of surgical techniques. J Clin Diagnostic Res 2013; 6(9): 1587-1592. DOI: https://doi.org/10.7860/jcdr/2012/4089.2572
Priyanka M, Sruthi R, Ramakrishnan T, Emmadi P, Ambalavanan N. An overview of frenal attachments. J Indian Soc Periodontol 2013; 17(1): 12-15. DOI: 10.4103/0972-124X.107467
Soumya B, Jakati RJ, Jakati SV. Pre Orthodontics Frenectomy: Flip side of the coin-A case report 2019; 33(1): 28-32.
Ahn JH, Tim Newton T, Campbell C. Labial frenectomy: current clinical practice of orthodontists in the United Kingdom. Angle Orthod 2022; 92: 780–786. DOI: https://doi.org/10.2319/011822-56.1
Abu-Hussein M, Watted N. Maxillary Midline Diastema: Aetiology and Orthodontic Treatment. Clinical Review. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) 2016; 15(6): 116-130. DOI: 10.9790/0853-150602116130
Santa Maria C, Aby J, Truong MT, Thakur Y, Rea S, Messner A. The Superior Labial Frenulum in Newborns: What Is Normal? Glob Pediatr Health 2017; 4: 2333794X17718896. DOI: 10.1177/2333794X17718896
Jeng-Fen Liu, Chia-Ling Hsu, Hui-Ling Chen. Prevalence of developmental maxillary midline diastema in Taiwanese children. Journal of Dental Sciences 2013; 8(1): 21-26. DOI: 10.1016/j.jds.2012.09.008
Niazi M, Manzoor N, Sajjad S, Qazi HS. Morphological and attachment variations of median maxillary labial frenum. J Stomatol Oral Maxillofac Surg 2017; 9(1): 19-23.
Khursheed DA, Zorab SS, Zardawi FM, Ali AJ, Talabani RM. Prevalence of Labial Frenum Attachment and its Relation to Diastemia and Black Hole in Kurdish Young Population. IOSR J Dent Med Sci Ver I 2015; 14(9): 2279-2861. DOI: 10.9790/0853-149197100
Inchingolo AM, Malcangi G, Ferrara I, Viapiano F, et al. Laser Surgical Approach of Upper Labial Frenulum: A Systematic Review. Int J. Environ Res Public Health 2023; 20(2): 1302. DOI: https://doi.org/10.3390%2Fijerph20021302
Sagar S. Morphological Variation of Abnormal Maxillary Labial Frenum in South Indian Population. Int J Pharm Sci Res 2016; 7(5): 13040.
Rao DS, Rao KVP. Gingival Overgrowth During Orthodontic Therapy and Its Management : A Case Report. Ann Essences Dent 2013; (4): 9-11. DOI: 10.5368/aedj.2013.5.4.3.2
Boutsi EA dan Tatakis DN. Maxillary labial frenum attachment in children. Int J Paediatr Dent 2013; 21(4): 284-288. DOI: https://doi.org/10.1111/j.1365-263x.2011.01121.x
Wheeler B, Carrico C.K, Shroff B, Brickhouse T, Laskin D.M. Management of the Maxillary Diastema by Various Dental Specialties. J Oral Maxillofac Surg 2018; 76(4): 709-715. DOI: 10.1016/j.joms.2017.11.024r,
Bathla S. Periodontic Revisited. New Delhi: Jaypee Bro Med Publ; 2011.
Fragiskos D. Oral Surgery. Verlag Berlin Heidelberg: Springer; 2007. h. 262—265.
Chiapasco M, Zaniboni M. Surgery of the oral frenula and minor preprosthetic surgery. Dalam Chiapasco, Matteo (ed), Manual of Oral Surgery. 3rd ed. 2018
Schuepbach I, Vento C, Denes BJ. Antonarakis GS., Kiliaridisa S. Longitudinal changes of the insertion of the maxillary labial frenum in children and adolescents undergoing orthodontic treatment. Am J Orthod Dentofacial Orthop 2023; 163(6):786-92. DOI: 10.1016/j.ajodo.2022.06.027
Rajani ER, Biswas PP, Emmatty R. Prevalence of variations in morphology and attachment of maxillary labial frenum in various skeletal patterns - A cross-sectional study. J Indian Soc Periodontol 2018; 22(3): 257-262. DOI: 10.4103/jisp.jisp_294_17
Divater V, Bali P, Nawab A, Hiremath N, Jain J, Kalaivanan D. Frenal attachment and its association with oral hygiene status among adolescents in Dakshina Kannada population: A cross-sectional study. J Family Med Prim Care 2019; 8(11): 3664-3667. DOI: 10.4103/jfmpc.jfmpc_611_19
Nerurkar S, Kamble R, Kaiser J, Mathew J. Multidisciplinary Approach to Treatment of Midline Diastema With Edge-to-Edge Bite. Cureus 2022; 14(10): e30400. DOI: 10.7759/cureus.30400
Siva1 S., Kishore S., Ravi J. Stability of Midline Diastema Closure by Frenectomy and Orthodontic Treatment: A Systematic Review. Journal of Clinical and Diagnostic Research 2023; 17(5): 31-34. DOI: 10.7860/JCDR/2023/60342.17958.
Lanka J, Gopalkrishna P, Kumar S. Management of Aberrant Frenulum Attachments in Adults by Scalpel Method and 980 nm Diode Laser. Case Rep Dent 2023; 2023: 7258637. DOI: https://doi.org/10.1155/2023/7258637
Xie L, Wang P, Ding Y, Zhang L. Comparative frenectomy with conventional scalpel and dual-waved laser in labial frenulum. World J Pediatr Surg 2022; 5(1): e000363. DOI: 10.1136/wjps-2021-000363
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Dwis Syahriel, Dwis Syahrul, Arya Kusuma Agraha, Asri Riany Putri
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
- Every manuscript submitted to must observe the policy and terms set by the Interdental Jurnal Kedokteran Gigi (IJKG)
- Publication rights to manuscript content published by the Interdental Jurnal Kedokteran Gigi (IJKG) is owned by the journal with the consent and approval of the author(s) concerned.
- Full texts of electronically published manuscripts can be accessed free of charge and used according to the license shown below.