Frenectomy as a Multidisciplinary Prostho--Perio Management Approach for Partial Denture: A Case Report
Abstract
Background: The frenulum is defined as a thin membrane attached to the alveolar mucosa and periosteum which limits lip movement. The attachment of frenulum may influence prosthetic construction in denture making.
Objective: To describe frenectomy in prostho–perio cases for the manufacture of partial dentures.
Case Report: A 38-year-old woman presented to the Prosthodontic Department of Hasanuddin University Dental and Oral Hospital for an artificial tooth implant. The patient was referred to the periodontic department by a prosthodontist for frenectomy. Intraoral examination showed a high frenulum from the alveolar crest to the labial mucosa of the upper jaw. The patient had no history of hypersensitivity and was diagnosed with gingival frenal attachment. Surgical excision was performed, and frenulum tissue was excised, which was followed by irrigation and suturing.
Results: The control period of one week post treatment showed good outcomes when the patient was referred to the prosthodontist.
Conclusion: Frenectomy helps in preparing denture placement in high frenulum cases.
Keywords: frenulum, frenectomy, prospective surgery
References
[1] Thahir H, Djais AI, Wendy S, Achmad MH, Akbar FH. Management of maxillary labial frenum and comparison between conventional techniques and incision-below theclamp technique: Case report. Makassar Dent Journal. 2018;3(1):61–6.
[2] Lioliou E, Kostas A, Zouloumis L. The maxillary labial frenum - A controversy of oral surgeons vs orthodontists. Balk Journal Stomatol. 2012;16:141-6.
[3] Akin R, Koes S. Studi kasus penatalaksanaan frenektomi dan depigmentasi gingiva pada regio anterior rahang atas anak perempuan usia 11 tahun. Majalah Kedokteran Gigi Klinik. 2015;1:5-8.
[4] Shree D, Gujjari SK, Shini PVS. Frenectomy: A review with the reports of surgical techniques. Journal of Clinical and Diagnostic Research. 2012;6(9):1587– 92. https://doi:10.7860/JCDR/2012/4089.2572
[5] Al Jabbari YS. Frenectomy for improvement of a problematic conventional maxillary complete denture in an elderly patient: A case report. Journal of Advanced Prosthodontics. 2011;3:236-9. http://dx.doi.org/10.4047/jap.2011.3.4.236
[6] Calinsir M, Ege B. Evaluation of patient perceptions after frenectomy operations: A comparison of neodymium-doped yttrium aluminum garnet laser and conventional techniques in the same patients. Niger Journal Clin Pract. 2018;21(8):1059–64.
[7] Sulijaya. BS. The comparison of frenectomy using blade versus laser (Nd- YAG): A case report. Global Journal of Dentistry and Oral Hygiene. 2015;2(1):59–62.
[8] Rahma H, Irawaty DJ. Frenektomi untuk perawatan ortodonsi (Laporan kasus). Makassar dent Journal. 2018;7(3):121-124.
[9] Bagchi SS, Sarkar P, Bandyopadhyay P. Case report management of aberrant frenum: Series of cases. Annals of Applied Bio-Sciences. 2016;3(2):C34-C39.
[10] Anderson JF. Hamular frenum modification: A removable denture prosthesis retention and stability enhancement. The International Journal of Periodontics & Restorative Dentistry. 2001;21(2):183–90.