Oral surgery: Labial frenectomy: Indications and practical implications

Naini, Farhad B.; Gill, Dilip

doi:10.1038/sj.bdj.2018.656

Cited by 17 publications

(15 citation statements)

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“…The timing of this is variable, some orthodontists prefer frenectomy to be carried out prior to commencing orthodontic therapy, others just prior to debond with the expectation that scar formation will help to prevent relapse. 14 Given the lack of evidence for the benefit and timing of this procedure many clinicians find it difficult to justify undertaking this procedure alone under GA, though it may be performed as an additional procedure in a child who requires other oral surgery procedures under GA. In a cooperative patient frenectomy can, however, be effectively completed under LA.…”

Section: Surgical Management Of Pathological Lesionsmentioning

confidence: 99%

Oral surgery: Considerations for the younger patient

Bryant

2022

Prim Dent J

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The need for oral surgery will, for many younger patients, precipitate their first significant interaction with healthcare professionals; this will inevitably impact on the planning and delivery of their treatment. This paper will describe the range of oral surgical procedures which are most commonly performed on younger patients. It will explore the indications for treatment, the techniques used to promote successful treatment outcomes, and the role of general dental practitioners in the management of younger patients undergoing oral surgery. Consideration will be given to the unique challenges encountered when undertaking surgical procedures in younger patients with a dentition which is still developing.

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Section: Surgical Management Of Pathological Lesionsmentioning

confidence: 99%

Oral surgery: Considerations for the younger patient

Bryant

2022

Prim Dent J

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“…Isso porque observaram uma grande probabilidade de atrofia do freio e o encerramento do diastema de forma fisiológica. 9,11,12 Porém, outros autores recomendam a intervenção cirúrgica após a erupção dos laterais permanentes superiores. A indicação durante essa fase é para freio com inserção baixa na papila palatina, freio hipertrófico, que pode desencadear diastema considerável, além da associação com causas hereditárias.…”

Section: Discussão E Conclusõesunclassified

“…7,10 Todavia, existem autores que são mais conservadores quanto ao tempo de intervenção e preferem aguardar a erupção dos caninos superiores permanentes para realizar a intervenção cirúrgica. 11 No seguimento das considerações acima, este trabalho tem como objetivo apresentar o caso clínico de uma paciente na fase infantil, dentição mista, com freio labial superior persistente associado à condição hereditária e a um leve diastema interincisal, no qual se optou pelo tratamento cirúrgico de remoção do freio, além de analisar e discutir o momento ideal para a intervenção de remoção do freio na dentição mista.…”

Section: Introductionunclassified

Frenectomia labial superior na dentição mista associada a diastema interincisivo: relato de caso

Santana¹,

Humildes²,

Cabral³

et al. 2021

j.rpemd

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O freio labial superior, frequentemente, pode apresentar alteração em sua estrutura e forma, causando um diastema interincisivo, além de problemas quanto à higienização, fonação e recessão gengival. Este trabalho tem como objetivo apresentar o caso clínico de uma paciente na fase infantil, com dentição mista e leve diastema interincisivo devido à posição do freio, a quem foi indicada e realizada a frenectomia labial superior. Paciente de 8 anos de idade, sexo feminino, saudável, com presença de freio labial superior fibroso, de inserção baixa, que produzia isquemia ao ser tracionado, apresentava espaço interincisal, além de histórico hereditário de diastema. Foi realizada frenectomia, através da técnica de Archer modificada, a qual foi indicada em momento oportuno neste caso, uma vez que a paciente apresentava o freio labial superior com inserção baixa, diastema interincisivo, bem como havia histórica familiar desta alteração.

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“…The recovery of the upper labial frenulum is also related to the prevention of central incisor suture formation, prevention of orthodontic recurrence, aesthetic psychological factors, diastema closure, bone loss for muscle traction, limitations in lip mobility, brushing the maxillary anterior teeth with less traumatic pulling of the gingiva, and/or tethering of the upper lip by the frenum, leading to hypomobility of the philtrum of the upper lip and improved bilabial speech sounds. 5 6 …”

Section: Introductionmentioning

confidence: 99%

Comparative frenectomy with conventional scalpel and dual-waved laser in labial frenulum

Xie

Wang

Ding

et al. 2022

World Jnl Ped Surgery

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AimThe purpose of the study is to compare the labial frenectomy between the laser surgery (erbium yttrium aluminum garnet and neodymium-doped yttrium aluminum garnet (Er:YAG and Nd:YAG)) and the scalpel method.MethodsThe trial was a randomized controlled test. Thirty four patients aged from 5 to 10 years requiring the frenectomy were included in this study. Patients were randomly divided into two groups: group A: Er:YAG and Nd:YAG laser group and group B: scalpel group. In addition, this comparison considered the following factors: surgical time and Visual Analog Scale (VAS) pain score, which includes intraoperative pain, postoperative pain and complications, such as speaking and chewing, for 1 day and 7 days following labial frenectomy. After 3 months, we recorded the healing outcome by photos.ResultsThere was a statistically significant difference in mean surgical time between laser surgery (mean=224±59 s) and scalpel surgery (mean=740±168 s). According to VAS scores of the intraoperative period (3 hours after the operation and 1st postoperative day of pain), chewing and speaking were statistically higher in group B than those in group A; but in the 7th postoperative day of pain, there was no significant difference in speaking and chewing. After 1 month, all of the patient results were recorded, including the healing of wound and scar. Except for one patient in group B who had a scar, all patients achieved good results.ConclusionBased on the results of this study, it can be concluded that Nd:YAG laser is an efficient and more comfortable alternative to the scalpel for a frenectomy in upper lip frenulum.

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Oral surgery: Labial frenectomy: Indications and practical implications

Cited by 17 publications

References 0 publications

Oral surgery: Considerations for the younger patient

Oral surgery: Considerations for the younger patient

Frenectomia labial superior na dentição mista associada a diastema interincisivo: relato de caso

Comparative frenectomy with conventional scalpel and dual-waved laser in labial frenulum

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