Gingival enlargement is an inflammatory response to plaque present on tooth surfaces or due to factors like drugs and several systemic conditions. In cases where the local factors are responsible and subgingival scaling and root planing do not help, gingivectomy/gingivoplasty is performed which creates a raw wound which heals slowly. Since surgical practice primarily depends upon the healing of these wounds without serious complication and infection occurring, to increase the rate of healing of a postoperative surgical wound, placental extract gel has been used as a therapeutic agent because it has unique pharmacological effects like enhancement of wound-healing, anti-inflammatory action, analgesic effect etc. A variety of substances with biological and therapeutic activity present in human placenta have been isolated and identified as hormones, proteins, glycosaminoglycans, nucleic acids, polydeoxyribonucleotides (PDRNs) etc. which therefore play a major role in the faster healing of a surgical wound.
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 frenum may hamper the gingival health if it is attached too closely to the gingival margin, which can be a result of interference in the plaque control or due to a muscle pull. The management of such an aberrant frenum is treated by performing a frenectomy. The present case report is on frenectomy using the conventional technique with 3 months of follow up.
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