FRENECTOMY TECHNIQUES PDF

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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A vertical parallel incision was taken on the mesial side of lateral incisor, mm apical to marginal gingiva, up to vestibular depth. Int J Orofacial Myology ; It may become a matter of concern in the case of a high smile line exposing anterior gingiva.

Thereby, it is best suited to prevent an orthodontic relapse. A 20 year old female patient was referred from the Department of Orthodontics for frenectomy. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique.

On examination there was papillary frenum attachment Figure 1a.

A modified frenectomy technique: a new surgical approach.

Devishree1 Sheela Kumar Gujjari2 and P. How to cite this article: Comparison of labial frenectomy procedure with conventional surgical technique and diode laser.

A total of 20 subjects ranging from 16 to 40 years of age group with papillary or papillary penetrating frenal attachment in the maxillary anterior region were selected. Am J Orthod freneectomy This technique may be suitable in situations where anterior aesthetics is of primary importance. Application of an Er: J Clin Pediatr Dent. Armamentarium — Scalpel blade no. Twenty patients with high labial frenum were randomly selected from the outpatient department. Evaluating patient perceptions as short-term outcomes of periodontal treatment: Acknowledgement The authors express their gratitude to Dr.

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Preoperative view of hechniques treated with bilateral pedicle flap. The labial frenum, midline diastema, and palatine papilla: Flap was raised, mobilised mesially and sutured to obtain primary closure across the midline Figure 3d.

Fundamentals of dental lasers: Evaluation of patient perceptions after frenectomy operations: Also frenectomy by free gingival graft necessitates another surgical field to obtain the graft donor sitewhich heals by second intention. Papilla penetrating — when the frenal fibres cross the alveolar process and extend up to the palatine papilla. The authors express their gratitude to Dr. 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.

V-shaped defect on attached gingival after frenum excision. The maxillary anterior region was anesthetized on the buccal and palatal aspects. None, Conflict of Interest: The present article is a compilation of a series of clinical cases of an aberrant frenum which were approached by various surgical techniques which were employed for frenectomy, with an added note on the merits and the demerits of each procedure.

Dressing and the sutures were removed 1 week later.

A modified frenectomy technique: a new surgical approach.

In such cases it is necessary to perform a frenectomy for aesthetic and functional reasons. A 21 year old female patient was referred from the Department of Orthodontics for an abnormal maxillary frenum. Application frenectpmy diode and Er: 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.

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Treatment procedure and clinical evaluation.

Frenectomy: A Review with the Reports of Surgical Techniques

This approach was advocated in the midline diastema cases with an aberrant frenum to ensure the removal of the muscle fibres which were supposedly connecting the orbicularis oris with the palatine papilla [ 2 ].

Oblique partial thickness incision on adjacent attached frenectmy on both sides extending beyond mucogingival junction.

Periodontal plastic and esthetic surgery. Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy.

Introduction Aesthetic concerns have led to an increasing importance in seeking dental treatment, with the purpose of achieving perfect smile. Articles from Journal of Clinical and Diagnostic Research: Color Atlas of Periodontal Surgery. The Miller’s technique was advocated by Miller PD in teechniques Clinically, papillary and papilla penetrating frenum are considered as pathological and have been found to be associated with loss of papilla, recession, diastema and plaque accumulation [ 34 ].

Frenectomy: A Review with the Reports of Surgical Techniques

A blunt dissection was done to relieve the fibrous attachment Figure 1b. Oral surgery for a dental prosthesis. American Academy of Periodontology. Mean scores of pain perception after conventional and laser technique Click here to view.

Treatment The aberrant frena can be treated by frenectomy or tschniques frenotomy procedures. YAG lasers [ 6 ] in labial frenectomies in infants and Er,Cr: