Frnectomy

❇️ Frenectomy: The frenum is a normal anatomical structure of the oral cavity but the position of its attachment may characterize it as abnormal, warranting removal.

❇️Clinical findings associated with an aberrant frenum include:

  • midline diastema
  • gingival recession
  • inadequate attached gingiva
  • shallow vestibule

💠Here are some common incision designs used for frenectomy via excision with a scalpel.

✳️ Diamond: This conventional incision design involves a diamond shaped excision of the frenum with blunt dissection to relieve the attachment. The margins of the surgical site are reapproximated in a linear fashion.

✳️ZPlasty: This technique is commonly used for scar removal in plastic surgery. It is indicated for a thick frenum with low insertion. An elliptical excision of the frenum is performed, followed by the creation of two triangular flaps (~60 degree angle) with a “Z” shaped incision, which are transposed to reorient the tissue and achieve primary closure.

✳️VY-Plasty: This V-shaped incision is highly useful for a broad frenum attachment. In this case, the superior margin of the wound is repositioned apically and sutured in a “Y” shape.

– by Dr.Sneha poeghal (BDS) from Mallareddy institute of dental sciences.👩‍⚕️

Reference books- carranza

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