This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. This article has been cited by other articles in PMC. Abstract This paper reports a series of clinical cases of ankyloglossia in children, which were approached by different techniques: frenotomy and frenectomy with the use of one hemostat, two hemostats, a groove director or laser. Information on the indications, contraindications, advantages and disadvantages of the techniques was also presented. Children diagnosed with ankyloglossia were subjected to different surgical procedures. The choice of the techniques was based on the age of the patient, length of the frenulum and availability of the instruments and equipment.

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E-mail: moc. Abstract Background: High frenum attachment is a very common problem in the population. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance. Materials and Methods: Twenty patients with high labial frenum were randomly selected from the outpatient department. Patients were divided into two groups according to the technique used. Each group contained ten patients. To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month.

In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy. Results: Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy.

Conclusion: High maxillary frenum causes hindrance in oral hygiene maintenance. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique. Frenum problem most often occurs on the labial surface between the maxillary and mandibular central incisors and in canine and premolar areas. They occur less often on the lingual surface of the mandible.

Clinically, papillary and papilla penetrating frena are considered as pathological and have been found to be associated with loss of papilla, recession, diastema, difficulty in brushing, alignment of teeth and psychological disturbances to individual. There are two techniques for frenectomy.

One of these is the conventional technique with scalpels and periodontal knives, and the other is using the soft tissue laser. It also cause more pain and discomfort to the patient when compared with the laser technique. In this study a new technique has been invented for the frenectomy which is compared with the conventional scalpel technique on the degree of postoperative pain, discomfort, and functional complication like speech problem which is experienced by the patient after frenectomy.

V Dental College and Hospital Nasik. Twenty patients requiring frenectomy were randomly assigned to have treatment either with conventional surgical or with paralleling technique.

Informed written consent was obtained from all patients. All subjects were systemically healthy, did not use medications, with gingivitis and had good oral hygiene at the time of surgery. Only maxillary frena extending to the interdental papilla were considered in the study. Twelve male and eight female patients aged between 20 and 35 years were included in the study. For the conventional technique, the frenum was held with a pair of hemostats [ Figure 1 ], and the whole band of the tissue together with its alveolar attachment was excised with a number 15 blade [ Figure 2 ].

After dissecting the fibrous attachment to the underlying periosteum, the wound was closed with suture [ Figure 3 ].


Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy

Devishree ,No. Phone: E-mail: ni. Abstract The frenum is a mucous membrane fold that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. The frena may jeopardize the gingival health when they are attached too closely to the gingival margin, either due to an interference in the plaque control or due to a muscle pull.


Frenectomy: A Review with the Reports of Surgical Techniques



Surgical techniques for the treatment of ankyloglossia in children: a case series


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