Management of frenectomy anterior upper arch before orthodontic treatment

Ni Luh Desy Ayu Susilahati *, Eka Pramudita Ramadhany, Valeo Adika Laksana and Media Sukmalia Adibah

Department of Oral and Dentistry, Faculty of Medicine, Udayana University, Denpasar, Bali, Indonesia.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(02), 1400–1406
Article DOI: 10.30574/wjarr.2024.21.2.0554
 
Publication history: 
Received on 04 January 2024; revised on 16 February 2024; accepted on 19 February 2024
 
Abstract: 
Abnormal labial frenum may affect gingival health and cause periodontal disease. Abnormalities of the frenum also cause diastema of central incisors and irritation of the periodontal tissues, interfering with the teeth cleaning process, movement of orthodontic tools, and the proper fit of the denture and affecting the aesthetics. This case report shows that frenectomy is an alternative treatment due to abnormal labial frenum, in this case, caused by central diastema on maxillary incisors teeth. A-19 years old female patient came with chief complaints of midline diastema that affect her smile. She wants to get orthodontic treatment after the frenectomy management. The frenum was clinically high and elongated to the palatal side. Scaling and root planing were done at the first appointment, continued with frenectomy using a conventional technique (classical frenectomy) a week after the control. The treatment result showed that the frenectomy attachment was repaired and can continue the orthodontic treatment.
 
Keywords: 
Abnormal labial frenum; Central diastema; Frenectomy; Conventional technique; Orthodontic treatment
 
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