Paralleling technique for frenectomy and oral hygiene. The following techniques are of particular interest in pediatric dentistry. 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. It is a biomedical, multidisciplinary including all medical and dental specialities, ejournal, with wide scope and extensive author support. The techniques which can be employed are 0 conventional classical frenectomy dieffenbach vplasty and schuchardt zplasty 0 vy plasty 0 millers technique 0 frenectomy using electrosurgery 0 frenectomy using soft issue lasers. The techniques like simple excision and a modification of vrhomboplasty fail to provide satisfactory aesthetic results in the case of a broad, thick. The frenum is a mucosal fold that attaches the lips or cheeks to the alveolar mucosa, gingiva, and underlying periosteum. The free gingival graft combined with the frenectomy. Vestibular frenectomy in periodontal plastic surgery journal of. Frenectomy can be accomplished either by the routine scalpel technique, electrosurgery or by using lasers. A frenectomy is a simple surgical procedure that involves the removal of one or both frena from the mouth. The periodontist or oral surgeon usually performs the procedure under dr. The waxing and waning of opinion about the impact liptie and tonguetie have on infants breastfeeding and speech the soft tissue photothermal ablation is a process of and even the conditions actual existence remain the. A frenectomy is usually performed for one of three reasons.
The content on this site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Frenulectomy is surgery to remove a small piece of tissue called the frenulum. Laserassisted frenectomy is a much more comfortable for the patient because it means that no scalpel or stitches are required. This is not an infection and is simply a covering over the healing soft tissue. Done mostly for orthodontic purposes, a frenectomy is either performed inside the middle of the upper lip, which is called labial frenectomy, or. The present study aims to compare two methods of frenectomy for the pain experienced, intraoperative bleeding, healing outcome, and need for analgesics. Surgical techniques for the treatment of ankyloglossia in children. A series of cases of an aberrant frenum were approached by various surgical frenectomy techniques like conventional classical technique, millers technique using unilateral pedicle flap and frenectomy technique using bilateral pedicle flap and results are reported. The lack of need for sutures, as well as improved postoperative comfort and healing, make this technique particularly useful for very young patients. A frenectomy is normally carried out under local anaesthesia in older children and under general anaesthesia in younger children. Still, i consider this a relatively lowrisk procedure for potentially large benefits. You may need surgery if the frenulum attached to the center of your upper lip is too thick and causes a large gap between your teeth. It is related to frenuloplasty, a surgical alteration in a frenulum.
Deciding to have a frenectomy is a personal decision. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease. After adequate local anaesthesia, a horizontal incision was taken to separate the frenum frenectomg the base of. Clinical suggestions for diagnosis and management ari kupietzky, dmd, msc eyal botzer, dmd dr. Newborn babies with a short frenulum may struggle to nurse, which can make it difficult to. Evidence suggests that the frequency of frenotomyfrenectomy is increasing, with reports indicating as much as a 90 percent increase in recent years. The term freetongue is defined as the length of tongue from the insertion of lingual frenum from the base of the tongue to the tip of the tongue.
In cases where there is a very short frenum and the floor of the mouth is shallow, a zplasty is performed sometimes. This clinical study was carried out at department of maxillofacial. A white soft scab will appear for the first 710 days while the frenectomy site is healing. 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 millers technique, vy plasty, zplasty and frenectomy by using electrocautery. A lingual frenectomy is a surgical procedure that removes a band of tissue that connects the underside of the tongue with the bottom of the mouth. Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy shahabe saquib abullais 1, nitin dani 2, priyanka ningappa 1, kapil golvankar 3, amit chavan 4, nikhil malgaonkar 5, anup gore 2 1 department of periodontics, yogita dental college and hospital, khed, ratnagiri, maharashtra, india 2 department of periodontics, m. The frenum is a connective tissue membrane that attaches one surface within the mouth to another. High frenum attachment is a very common problem in the population. Conventional scalpel technique, frenectomy, high frenum, oral hygiene.
Frenectomy involves the surgical incision of the frenum, establishing haemostasis and suturing of the wound. The indications, timing, and surgical techniques for performing. Surgical techniques for the treatment of ankyloglossia in. Conventional frenectomy with blade has been widely used. Comparative results of frenectomy by three surgical. Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. The latter causes less bleeding, reduces the need for stitches, and minimizes postoperative discomfort and has a faster recovery, but it does require that the patient be very still throughout. Frenectomy is a procedure used to correct a congenital condition when the lingual tongue or labial lip frenulum is tight resulting in restriction of function potentially resulting in difficulty breastfeeding and other concerns such as dental, digestive, restricted airway and speech issues. A frenectomy is the removal of a frenulum, a small fold of tissue that prevents an organ in the body from moving too far.
Reduced operating time and rapid postoperative hemostasis, thus eliminating the need for sutures. However, it carries the routine risks of surgery like bleeding and patient compliance. It can refer to frenula in several places on the human body. Aapd policy on management of the frenulum in pediatric. Alveoloplasty and vestibuloplasty page 2 of 4 unitedhealthcare dental coverage guideline effective 10012019 proprietary information of unitedhealthcare. The laser surgery itself isnt bad, but the postop is very painful more details in tips for frenectomy. A frenectomy is a minor surgical procedure that removes or repositions a portion of the frenum tissue. Several methods to eliminate ectopic frenal attachments have been suggested, including frenectomy elimination and frenotomy repositioning. There are no conclusive parameters regarding the timing of frenectomy in the literature 22 this procedure is more invasive and difficult to be performed in young children, although the results are more predictable, decreasing the recurrence rate 18 learn more about lingual frenectomy. This study aims to evaluate patients response to two different frenectomy technique, and oral hygiene maintenance before and after frenectomy. At the same time, a free text of manuscript is available in html and pdf format.
Laser frenectomy the benefits of a laser frenectomy are greater as compared to traditional techniques. Techniques of frenectomy conventional classical frenectomy millers technique vy plasty z plasty. Edwards frenectomy, frenum relocation by zplasty and free gingival graft. Therefore, the purpose of the present article was to describe a series of clinical cases of ankyloglossia, which were approached by various techniques.
Frenectomy is complete excision of the frenum attachment to the underlying bone. Comparative results of frenectomy by three surgical techniques. Then, a frenectomy was made fig 2k to complete the removal of the frenum using the conventional technique described by devishree et al. Pdf the frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying. Paralleling technique for frenectomy and oral hygiene evaluation. The resultant delayed healing, loss of the interdental papilla, and abnormal scar led toward the conservative approaches such as edwards frenectomy, frenum relocation by zplasty, and free. A frenectomy may be done with a scalpel or a laser. Kupietzky is clinical instructor, department of pediatric dentistry, hebrew universityhadassah school of dental medicine, and pediatric. Tension free closure was checked through the insertion of. Placement of the first suture should be at the maximal depth of the vestibule and should include both edges of mucosa and underlying periosteum at the height.