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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One month follow up view is shown in Figure 3e. How to cite this URL: A comparison of diode laser and scalpel techniques.

A modified frenectomy technique: a new surgical approach.

Among all the approaches for frenectomy which were employed in the present case series, the electrocautery procedure offered the advantage of minimal time consumption and a bloodless field during the surgical procedure, with no requirement of sutures. This not only allows healing and tissue maturation, but it also permits the surgeon to use orthodontic appliances as a means of retaining a periodontal dressing.

Related articles Diode laser frenectomy scalpel wound healing. The classical technique leaves a longitudinal surgical incision and scarring, which may lead to periodontal problems and an anaesthetic appearance, thereby rfenectomy other modifications.

Frenectomy: A Review with the Reports of Surgical Techniques

The classical technique was introduced by Archer. Quintessence Int Dent Dig ;8: One week postoperative view Click here to view. At 1 month of follow-up, there was a gingiva across the midline and the interdental papilla was maintained.

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. Care technkques be taken to extend the incisions into the lip as far as necessary, to assure that a remnant of the frenulum is not left on the lip.


The application of diode and Er: Am J Orthod Oral Surg ; A horizontal incision was then given mm apical to gingival techniqus in the attached gingiva, connecting the coronal ends of the two vertical incisions Figure 3c. Furthermore, surgical procedures in the ventral aspect of the tongue like lingual frenectomy can lead to mucocele of the Blandin-Nuhn gland.

After 1 week, the dressing frenectkmy removed, while the remnants of the sutures were left, as resorbable sutures were used.

High maxillary frenum causes hindrance in oral hygiene maintenance. The development of periodontal techniquse surgery. One month post-operative view is shown in Figure 1d.

Median frenum of upper lip and its influence on spacing of upper central incisor teeth. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance.

Reconstructive surgery — orofacial flaps and skin grafting; p. Comparison between laser, electrocautery and scalpel in the treatment of drug-induced gingival overgrowth: Surgical trauma to these glands during lingual frenectomy probably during suturing causes extravasations of mucous to submucosal layer leads to the mucocele of Blandin-Nuhn glands [ 19 ].

Various parameters such as pain, inflammation, swelling, difficulty of procedure, and wound healing were evaluated at intervals of 1 week, 1 month, and 3 rd month. Thus, the aim of this case report is to present case series of various frenectomy techniques for management of aberrant frenum.

This may be frenectomu to the inability to achieve a primary closure at the centre, consequently leading to a secondary intention healing at the techniqques exposed wound. J Oral Maxillofac Surg ; Lasers Surg Med ; In such cases it is necessary to perform a frenectomy for aesthetic and functional reasons.


Evaluation of patient perceptions after frenectomy operations: Regenerative and reconstructive periodontal plastic surgery. Haytac MC, Ozcelik O. On examination there was frenecyomy frenum attachment Figure 1a. Flap was raised, mobilised mesially and sutured to obtain primary closure across the midline Figure 3d. A blunt dissection was done on the bone to relieve the fibrous attachment.

A 21 year old female patient was referred from the Department of Orthodontics for an abnormal maxillary frenum. Case Report Open Access.

A modified frenectomy technique: a new surgical approach.

Mark EP stated that periodontal surgery in maxillary labial area including frenectomy in patients taking angiotensin converting enzyme ACE inhibitor, aspirin, morphinehydrazalazine, quinine, organic iodides and calcium channel blockers are prone to develop idiopathic angioedema of upper lip [ 20 ].

Based on current findings and clinical outcome, diode lasers provide better patient technoques and an efficient and satisfactory option for procedures such as frenectomy.

Mucosal — when the frenal fibres are attached up to the mucogingival junction. Aetiology The maxillary labial frenum develops as a post-eruptive remnant of the ectolabial bands which connect the tubercle of the upper lip to the palatine papilla. This case was treated surgically by bilateral double pedicle graft technique. Papillary penetrating frenum preoperative Click here to view. Upper-lip laser frenectomy without infiltrated anaesthesia in a paediatric patient: There after it was treated surgically by unilateral pedicle flap technique.

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