Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups

Kılınç, Gülser; Çetin, Müjdet; Köse, Zafer Berk; Ertunç, Ümran

doi:10.30621/jbachs.880475

Cited by 4 publications

(8 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, gingival frenum was the most prevalent type of frenal attachment followed by mucosal, papillary and papillary penetrating being the least common type. This finding was in congruence with the study by Niazi et al, 1 Rathod et al, 8 Kilinc et al 13 However, few other studies including the study by Rajkarnikar et al, 5 Chaulagain et al, 6 Varghese et al 14 showed mucosal type. This slight difference in the results could be due to the diversed population and dentition.…”

Section: Discussionsupporting

confidence: 87%

Prevalence and Variations of Maxillary Labial Frenal Attachment among the Patients in a Tertiary Health Care Center: An Analytical Cross-sectional Study

Ranjit,

Bista,

Subedi

et al. 2023

J Coll Med Sci-Nepal

View full text Add to dashboard Cite

IntroductionA high frenal attachment can cause diastema, distend the gingival sulcus, increasing plaque accumulation, gingival recession, bone loss, poor lip mobility while smiling and speaking, along with speech and esthetic issues. The objective of this study was to assess the prevalence of maxillary labial frenum and its’ variations among patients visiting a tertiary care hospital.MethodsThis analytical cross-sectional study was conducted from July 2022 to March 2023 among 385 patients. The demographic details of the participants were recorded and the types of frenal attachment and its’ morphological variations were assessed using the classification by Mirko et al. and Sewerin. Pearson Chi-square test was used to determine the association between categorical variables where p-value ≤0.05 was considered statistically significant.ResultsThe most prevalent frenum was found to be gingival 237(61.56%) while the least common was papillary penetrating type 29(7.53%). Only 85(22.08%) frenum showed morphological variations where, commonest variation was frenum with nodule 51(13.25%) followed by frenum with appendix 27(7.01%). The gingival frenal attachment was found to be more among younger patients while papillary and papillary frenal attachment were seen lesser among older individuals.ConclusionsGingival type was the commonest frenal attachment followed by mucosal, papillary and then papillary penetrating frenum in all the age groups and both sexes. Around three-fourth of the participants showed no variations in frenal morphologies.

show abstract

Section: Discussionsupporting

confidence: 87%

Prevalence and Variations of Maxillary Labial Frenal Attachment among the Patients in a Tertiary Health Care Center: An Analytical Cross-sectional Study

Ranjit,

Bista,

Subedi

et al. 2023

J Coll Med Sci-Nepal

View full text Add to dashboard Cite

show abstract

“…These results align with several other studies that reported similar findings [ 6 , 17 , 19 – 21 , 23 , 25 , 26 , 32 ]. Whereas in some studies frenum with appendix, [ 5 , 16 , 31 ] persistent tectolabial frenum, [ 17 ] were most prevalent frenal attachment. Moving on to the mandibular anterior region, our investigation revealed only three variations in frenal attachment: normal frenum, comprising 358 (94.20%) cases, duplication of frenum, with 20 (5.30%) cases, and bifid frenum, with two (0.50%) cases.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Maxillary and Mandibular Frenal Attachment and Its Association with Age, Gender, and Oral Hygiene Status in Nepalese Population Seeking Dental Treatment

Rijal,

Humagain,

Lamichhane

et al. 2024

International Journal of Dentistry

View full text Add to dashboard Cite

Objective. Frenum attachments are folds of mucous membrane that connect the lips to the alveolar mucosa and underlying periosteum. Aberrant positioning of the maxillary and mandibular labial frenum can lead to various clinical issues, including mucogingival problems and midline diastema. The objective of this study was to assess the prevalence of maxillary and mandibular frenal attachments and their association with age, gender, and oral hygiene status in the Nepalese population seeking dental treatment. Materials and Methods. This descriptive cross-sectional study was conducted over a period of 6 months, from February 2023 to August 2023, among patients visiting the Department of Periodontology and Oral Implantology, aged 6 years and above, after obtaining official permission from the Institutional Review Committee (IRC-KUSMS Approval No. 8/23). The study collected data on morphological variations of frenal attachment and various periodontal parameters such as Oral Hygiene Index-Simplified (OHI-S), pocket depth, recession, and midline diastema in both arches. Descriptive statistics, including frequency and percentage, were used to analyze the data. The χ2-test was employed to determine the correlation between gender and types of frenulum attachment, while analysis of variance was used to assess the association of frenal attachments with oral hygiene status. Results. Among 380 patients, the prevalence of frenal attachment was as follows: gingival 248 (65.30%), mucosal 71 (18.70%), papillary 42 (11.10%), and papillary penetrating 19 (5.00%) in the maxilla, and mucosal 225 (59.20%) and gingival 155 (40.78%) in mandible. Among the different morphological variations of frenal attachments, normal frenum was the most common, accounting for 231 cases (60.80%), followed by frenum with a nodule, with 101 cases (26.60%). Conclusions. The study found significant associations between frenal attachment and gender, as well as oral hygiene status. The prevalence of frenal attachments in this study was comparable to findings from previous research.

show abstract

“…Frenum normale was the most prevalent in all groups (67.78%). Rajani et al [28], Chaulagain et al [32] and Kilinc et al [47] also found that frenum normale (45.3 to 72.5%) and mucosal attachment (42 to 100%) were predominant among the participants. More recent studies consider frenum normale to be the normal morphological type and other variations are considered abnormal types.…”

Section: Morphological Type Of Frena By Age Groupmentioning

confidence: 90%

“…After the reading of the abstracts and full texts, 40 articles were selected for the present review [6,8,9,. Among these 40 articles, 18 in 19 publications offered data on both the morphology and attachment of the frenum [8,[11][12][13]15,16,21,22,[25][26][27][28]41,[43][44][45]47], nine offered data only on morphology [9,18,20,23,24,[38][39][40]42] and twelve offered data only on attachment level [6,17,19,29,[33][34][35][36][37]46,48]. The results of the 40 studies are summarized in tables 1 and 2.…”

Section: Eligible Studiesmentioning

confidence: 99%

“…The studies that evaluated the morphology or attachment of frena involved a total of 22,912 individuals. Seventeen studies were conducted in India [8,16,[21][22]24,26,28,[30][31][37][38][39]41,43,[45][46]; five in Brazil [11][12][13][14][15]; five in Nepal [19,32,34,44,48]; two in Iraq [35,36]; one in Peru [18]; one in Denmark [9]; one in Ecuador [20]; one in Jordan [40]; one in Pakistan [25]; one in Malaysia [27]; one in the Czech Republic [17]; one in Poland [6]; one in Iran [29]; one in Turkey [47] and one in the United States of America [42].…”

Section: Eligible Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Morphological variations of the labial frenum, type of attachment and presence of diastemas: integrative review

Santos

Silva

Lima

et al. 2023

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

Objective: The aim of the present literature review was to compile data on the frequency of morphological and attachment types of the upper and lower labial frenum in different populations and investigate the association between the attachment level of the upper labial frenum and the occurrence of diastemas. Methods: Searches were conducted between May and June 2021 in the Medline (via Ovid), Google Scholar and CAPES databases. Thirty-eight studies that evaluated frenum morphology, frenum morphology and attachment or frenum morphology, attachment and the occurrence of diastemas were selected for the extraction of data. Results: Based on the data compiled in this review, the most common morphological and attachment types were labial frenum normale and mucosal attachment. The papillary and papilla penetrating types of attachment were more associated with the occurrence of diastemas. Conclusion: Longitudinal studies are needed to investigate this correlation in children and adults.

show abstract

Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups

Cited by 4 publications

References 15 publications

Prevalence and Variations of Maxillary Labial Frenal Attachment among the Patients in a Tertiary Health Care Center: An Analytical Cross-sectional Study

Prevalence and Variations of Maxillary Labial Frenal Attachment among the Patients in a Tertiary Health Care Center: An Analytical Cross-sectional Study

Prevalence of Maxillary and Mandibular Frenal Attachment and Its Association with Age, Gender, and Oral Hygiene Status in Nepalese Population Seeking Dental Treatment

Morphological variations of the labial frenum, type of attachment and presence of diastemas: integrative review

Contact Info

Product

Resources

About