Frenectomy with unilateral displaced pedicle flap: a Case Report

Dr.Janarthanan S; Dr.R.T.Arun; Dr.S.Srinivasan; Dr.S.Senthil Kumar; Dr.Preethi Meenakshi T

Volume : VIII, Issue : IV, April - 2019

Frenectomy with unilateral displaced pedicle flap: a Case Report

Dr. Janarthanan S, Dr. R. T. Arun, Dr. S. Srinivasan, Dr. S. Senthil Kumar, Dr. Preethi Meenakshi T

Abstract :

Maxillary labial frenum is capable of creating a diastema and recession, affecting aesthetics. Archer�s classical frenectomy technique is an extensive procedure which causes scarring and loss of interdental papilla. This leads towards the conservative approaches like Edward�s frenectomy, frenum relocation by Z–plasty and free gingival graft. Since the procedure of frenectomy was first proposed, a number of modifications have been developed to solve the problem caused by an abnormal labial frenum. A better approach to make a primary closure in midline and to avoid anesthetic scar by creating a zone of attached gingiva, frenectomy is assisted with lateral pedicle graft. The interdental papilla is left surgically undisturbed and healing takes place by primary intention. Miller, in his study on 27 subjects, suggested that the newly created zone of attached gingiva might have acing effect inhibiting reopening of diastema. A case series of this technique with its distinct advantages is presented.