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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J Clin Pediatr Dent.

Depending upon the extension of attachment of fibres, frenum has been classified as follows: New zone of attached gingiva at previous frenum site one month postoperatively. After adequate local anaesthesia, a horizontal incision was taken to separate the frenum from the base of interdental papilla. Case report and clinical technique: Treatment The aberrant frena can be treated by frenectomy or by frenotomy procedures. The present article is a compilation of a brief overview about the frenum, with a focus on the indications, contraindications, advantages and the disadvantages of various frenectomy techniques, like Miller’s technique, V-Y plasty, Z-plasty and frenectomy by using electrocautery.


Two paralleling incision placed on sides of frenum in paralleling technique Click here to view.

Archer’s classical frenectomy technique is an extensive procedure which causes scarring and loss of frenextomy papilla. A case report and a clinical technique: An electrocautery unit with the loop electrode and a haemostat. Examination revealed high maxillary frenum attachment which was papillary type with positive tension test Figure 2a.

Frebectomy management of such an aberrant frenum is accomplished by performing a frenectomy. A V-shaped full-thickness incision with an external bevel was placed at the gingival base of the frenum attachment Figure 5a. A 38 year old female patient had complaint of spacing in upper anterior teeth which was increasing with unaesthetic appearance.

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.

This technique may be suitable in situations where anterior aesthetics is of primary importance.

A modified frenectomy technique: a new surgical approach.

Examination revealed a hypertrophied, broad, thick labial frenum of papillary type attachment and a midline diastema Figure 5a.

Afterward, the frenum was classically cut and sutured. This case was treated surgically by bilateral double pedicle graft tecnhiques. However, it carries the routine risks of surgery like bleeding and patient compliance.


A blunt dissection was done on the bone to relieve the fibrous attachment. Incision given at both ends of the frenum to obtain 2 texhniques flaps.

Laser Med Sci ;7: Frenectlmy month post-operative view is shown in Figure 6b. The Miller’s technique was advocated by Miller PD in There are several surgical techniques for removal of labial frenum. Quintessence Int Dent Dig ;8: But in most of the techniques the zone of attached gingiva and aesthetics are not considered.

A modified frenectomy technique: a new surgical approach.

It may become a matter of concern in the case of a high smile line exposing anterior gingiva. Related frenectomu Conventional scalpel technique frenectomy high frenum oral hygiene paralleling technique. How to cite this URL: Application of an Er: A comparative histological study of wound healing following CO2 laser and conventional surgical excision of canine buccal mucosa.

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