Should a frenectomy be done in a young patient with a low frenum -A frenectomy in this case should be followed with orthodontic One hemostat technique. The technique for a laser frenectomy is similar to that using a blade (Figure ). Local or topical anesthesia is administered. The clinician should first visualize. Frenectomy. 1. frenectomy Ryan Pandu Digjaya PPDGS IBM FKG UGM Kuliah bedah preprostetik; 2. TECHNIQUE 1. the simple excision.

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Frenectomy: A Review with the Reports of Surgical Techniques

YAG laser to remove gingival melanin hyperpigmentation: A 32 year old female patient had complaint of receding gums in upper anterior teeth. Frenum, Frenectomy, Mucogingival techniques. A better approach to make primary closure in the midline and to avoid anaesthetic scar by creating zone of attached gingiva, frenectomy is associated with lateral pedicle flap.

Results showed that new paralleling technique for frenectomy causes less postoperative discomfort technlques also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy. Diagnosis The techiques frena are detected visually by applying tension over the frenum to see the movement of the papillary tip or the blanch which is produced due to ischaemia in the region. December 21, Citation: December 19, ; Published date: Fibrous tissue attached to the lip was dissected with scissors, and undermining of the labial mucosa was done.

Such condition has to be treated by frenectomy which can be performed by scalpel, electrocautery, or with soft tissue lasers.

Primary closure obtained by suturing Click here to view. The use of the CO2 laser for the removal of phenytoin hyperplasia.

A modified frenectomy technique: a new surgical approach.

Comprised of 10 subjects selected for diode laser technique. This is because the donor site of the graft, in most cases, is the palate keratinized gingiva and at the time of transplantationthe receptor site receives genetic features of the palate, leaving the grafted area with whitish shade [ 814 – 16 ].


Open in a separate window. How to cite this URL: Effects on oral soft tissue produced by a tecyniques laser in vitro. Alveolar mucosa at the base was undermined to facilitate repositioning of the pedicle without tension.

A modified frenectomy technique: a new surgical approach.

Haytac MC, Ozcelik O. The frenectomy and the free mucosal graft. Next, sulcular incisions were made around the tooth, and fenectomy papilla was transposed to the buccal via a papilla preservation flap.

The periodontal pack and the sutures were removed at 1 week of follow-up.

frenectimy The techniques like simple excision and a modification of V-rhomboplasty fail to provide satisfactory aesthetic results in the case of a broad, thick hypertrophied frenum.

Consequences of an abnormal frenal attachment include gingival recession, decreased vestibular depth, decreased range of lip movement, and involvement of interdental papilla, causing a diastema. Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. The labial frenal attachments have been classified as mucosal, gingival, papillary and papilla penetrating, by Placek et al [ 3 ]. Dibart Serge, Karima Mamdouth.

A case report of maxillary frenectomy using a carbon dioxide laser in a pediatric patient. Haytac MC, Ozcelik O. J Oral Maxillofac Surg ; Tissue along with periosteum was separated from underlying bone. Comparison of VAS score of speech after conventional and paralleling technique Click here to view.

The surgical aids to a denture construction. The triangular resected portion of the frenum with the haemostat was removed. Color Atlas of Periodontal Surgery. In bilateral double pedicle graft technique, 2 triangular pedicles sutured together medially, that completely covers the V-shaped defect on the gingiva and act as a tissue dressing, and thus facilitating healing by primary intention and minimizing any chance of scar formation [ 13 ].


The labial frenum, midline diastema, and palatine papilla: The continuing presence of a diastema between the maxillary central incisors in adults, has often been considered as an aesthetic problem. Oral and maxillofacial surgery.

The frena may jeopardize the gingival health when they are attached too closely to the gingival margin, either due to an interference in the plaque control or due to a muscle pull. In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy. In most of these procedures aesthetic outcome in terms of attached gingiva with colour matching was not considered and these procedures results in scar formation [ 6 – 8 ].

Author information Article notes Copyright and License information Disclaimer. Thereby, it is best suited to prevent an orthodontic relapse. Eur J Gen Dent ;3: Preoperative view of frenum treated with bilateral pedicle flap. Tecnhiques frenectomy which was done by using a carbon dioxide laser in a pediatric patient: Devishree1 Sheela Kumar Gujjari2 and P. A review of its etiology and treatment. Papilla penetrating- when the fibres techniqyes the alveolar process and extend up to the palatine papilla.

Ito T, Johnson JD, editors. A vertical parallel incision was taken on the mesial side of lateral incisor, mm apical to marginal gingiva, up to vestibular depth. Papilla penetrating — when the frenal fibres cross the alveolar process and extend up to the palatine papilla.