Frenectomy and Gingival Depigmentation as a Preliminary Preparation for Orthodontic Treatment: A Case Report


Background: High attachment of labial frenulum causes central diastema and obstructs the movement of orthodontic devices. A surgical approach is needed in the form of frenectomy to improve the attachment of the frenulum. The presence of gingival hyperpigmentation due to excessive deposition of melanin is also an aesthetic problem. This hyperpigmented and uneven appearance of gum color can be corrected by ablation procedures, one of which is by using a scalpel scraping technique.

Objective: To discuss the procedure for frenectomy and gingival depigmentation in preparation for further orthodontic treatment.

Case Report: An 18-year-old woman was referred from the Department of Orthodontics to the Department of Periodontia, Hasanuddin University Dental and Oral Hospital, with the chief complaint of central diastema and hyperpigmented gum. The patient was planned to receive orthodontic treatment and was also disturbed by the darker color of her gums. The patient had no family history of hyperpigmented gums, smoking or consuming drugs. There was a high attachment of the frenulum, categorized as papillapenetrating type, and gingival hyperpigmentation was caused by intrinsic factor, which based on DOPI was classified as grade 3. The surgery was done in two steps. Gingival depigmentation was done one week after the frenectomy procedure.

Results: The results of the treatment showed improved adhesion of the frenulum and eliminated gingival hyperpigmentation.

Conclusion: Frenectomy and gingival depigmentation improved the patient’s appearance and frenectomy allowed preparation for further orthodontic treatment.

Keywords: gingival hyperpigmentation, central diastema, frenectomy, orthodontic treatment

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