Case report: A-short period management of female adolescent with Papilary Penetrating (PP) frenulum attachment

Ilvana Ardiwirastuti 1, * and Dion Sandro Satrya 2

1 Department of Pediatric Dentistry, Faculty of Dental Medicine, Institut Ilmu Kesehatan Bhakti Wiyata, Kediri, East Java, Indonesia.
2 Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Institut Ilmu Kesehatan Bhakti Wiyata, Kediri, East Java, Indonesia.
 
Case Study
World Journal of Advanced Research and Reviews, 2023, 20(01), 775-779
Article DOI: 10.30574/wjarr.2023.20.1.2130
 
Publication history: 
Received on 08 September 2023; revised on 17 October 2023; accepted on 19 October 2023
 
Abstract: 
Background:  A space between the anterior teeth and midline diastema is really important for aesthetic concerns in adolescents. Midline diastema may be related to high frenal attachment. Frenectomy is a treatment option for high frenal attachment. The entire removal of the frenum may be followed by orthodontic treatment.
Case Presentation: A female 16-year-old patient complained of feeling embarrassed because of a gap in her front teeth. A frenectomy with orthodontic treatment is used to correct midline diastema. A frenectomy procedure uses conventional technique. The Straight Wire Technique (SWT) technique for orthodontic treatment. Midline diastema is complete correction at the 3rd control.
Conclusion: Frenectomy before orthodontic treatment, followed by a medium-anchored Straight Wire Technique (SWT) with an elastromic chain or power chain, can be an alternative technique with a short duration.
 
Keywords: 
Midline Diastema; Frenectomy; Orthodontic treatment
 
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