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Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem.

Deshmukh J, Khatri R, Fernandes B, Kulkarni VK, Singh S - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites.Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area.In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

ABSTRACT
Gingival recession is defined as the displacement of gingival margin apical to cementoenamel junction. Aberrant frenum attachment can contribute to the progression of recession by generating tension on the marginal tissues. Treating such defects is a two stage procedure-frenectomy and recession coverage procedure. New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites. Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area. In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

No MeSH data available.


Related in: MedlinePlus

Excision of V shaped frenum
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Figure 4: Excision of V shaped frenum

Mentions: Following the markings with an indelible pencil [Figure 2], a continuous semilunar incision was made apically following the curvature of the gingival margins of the teeth, using a scalpel with a 15c blade. The incisions involving the central incisors coalesced 2 mm below the coronal extent of the maxillary labial frenum. Incisions were extended into the alveolar mucosa so that apical portion of the flap could rest over periosteum for better blood supply. All interproximal portions of the semilunar incisions remained ± 2 mm from the tips of the papillae and free gingival margins to permit optimal perfusion of blood to the repositioned tissue [Figure 3]. After semilunar incision, a new 15c blade was used to perform the frenectomy while the keratinized tissue was still bound and immobile. The frenectomy was initiated where the semilunar incisions coalesced between the central incisors and extended at a 45° angle in an apical direction to the cortical bone. Another incision was made from 2 mm beyond the apical portion of the frenum at a 45 angle in the coronal direction. The V-shaped frenum was removed at this point [Figure 4].


Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem.

Deshmukh J, Khatri R, Fernandes B, Kulkarni VK, Singh S - J Indian Soc Periodontol (2015 Jul-Aug)

Excision of V shaped frenum
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555807&req=5

Figure 4: Excision of V shaped frenum
Mentions: Following the markings with an indelible pencil [Figure 2], a continuous semilunar incision was made apically following the curvature of the gingival margins of the teeth, using a scalpel with a 15c blade. The incisions involving the central incisors coalesced 2 mm below the coronal extent of the maxillary labial frenum. Incisions were extended into the alveolar mucosa so that apical portion of the flap could rest over periosteum for better blood supply. All interproximal portions of the semilunar incisions remained ± 2 mm from the tips of the papillae and free gingival margins to permit optimal perfusion of blood to the repositioned tissue [Figure 3]. After semilunar incision, a new 15c blade was used to perform the frenectomy while the keratinized tissue was still bound and immobile. The frenectomy was initiated where the semilunar incisions coalesced between the central incisors and extended at a 45° angle in an apical direction to the cortical bone. Another incision was made from 2 mm beyond the apical portion of the frenum at a 45 angle in the coronal direction. The V-shaped frenum was removed at this point [Figure 4].

Bottom Line: New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites.Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area.In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

ABSTRACT
Gingival recession is defined as the displacement of gingival margin apical to cementoenamel junction. Aberrant frenum attachment can contribute to the progression of recession by generating tension on the marginal tissues. Treating such defects is a two stage procedure-frenectomy and recession coverage procedure. New techniques are developed to increase the predictability, reduce patient discomfort and number of surgical sites. Also, these techniques try to satisfy patients esthetic demands, which include the final colour and tissue blend of the covered area. In this case report, we present a method for coronally repositioning gingiva for root coverage over the maxillary central incisors while simultaneously performing a frenectomy, thus being clinically advantageous compared to two-stage technique.

No MeSH data available.


Related in: MedlinePlus