An aberrant Maxillary labial frenum is capable of creating diastema and recession resulting in compromised aesthetics and function of the patient. Aberrant frena can be treated by frenectomy procedures. The “classical frenectomy” technique is an extensive procedure exposing the alveolar bone and thus leading to scar formation. To minimize these defects, Miller proposed a frenectomy technique combined with a laterally positioned pedicle graft. This technique provides closure across the midline and healing by primary intention and resulted in aesthetically acceptable results without scar formation. This article is a case report of frenectomy with laterally displaced flap.
Henry SW, Levin MP, Tsaknis PJ. Histological features of superior labial frenum. J Periodontol 1976;47:25-28.
Placek M, Miroslavs, Mrklas L. Significance of the labial frenal attachment in periodontal disease in man. Part 1; Classification and epidemiology of the labial frenum attachment. J Periodontol 1974;45:891-94.
Archer W H (ed). Oral surgery- a step by step atlas of operative techniques, 3rd edition. Philedelphia, W B Saunders Co.,1961;192.
Kruger GO (ed). Oral surgery, 2nd edition. St. Louis, The C.V. Mosby Co.,1964;146.
Jhaveri H. The Aberrant Frenum. In: Dr. Hiral Jhaveri, Dr. PD Miller the father of periodontal plastic surgery, 2006;29-34.
Nirwal Anubha, Chaubey K.K, Arora Vipin, Thakur Rajesh K, Zafri Zeba, Narula Inderpreet S. Frenectomy combined with a laterally displaced pedicle graft. Indian Journal of Dental Sciences 2010;2(2):47-51.
K. Krishna Chaubey, Vipin K. Arora, Rajesh Thakur, and Inderpreet S. Narula. Perioesthetic surgery: Using LPF with frenectomy for prevention of scar. J Indian Soc Periodontol 2011;15(3):265-269.
Ameet Mani, Pramod Marawar, Larissa Furtad. Frenectomy with laterally displaced flap: a Case Report. International Dental Journal of Students Research. 2012;1(3):63-66.
Devi Shree, Sheela Kumar Gujjari, Shubha Shini P.V. Frenectomy: A Review with the Reports of Surgical Techniques. J Clin Diagn Res. 2012;6(9):1587-1592.
Hungund S, Dodani K, Kambalyal P, Kambalyal P. Comparative Results of Frenectomy by Three Surgical Techniques- Conventional, Unilateral Displaced Pedicle Flap and Bilateral Displaced Pedicle Flap. Dentistry 2013;4(1):2-6.
Miller PD. Frenectomy, combined with a laterally positioned pedicle graft functional and esthetic considerations. J Periodont 1985;56:102-6.
Regina Fearmonti, MD, Jennifer Bond, PhD, Detlev Erdmann, MD. A Review of Scar scale and Scar Measuring Devices. Eplasty 2010;10(43):354-363.
Edwards J G. The diastema, the frenum, the frenectomy: a clinical study. Am J Ortho 1977;71:489.
