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Comparative Results Of Frenectomy By Three Surgical Techniques- Conventional, Unilateral Displaced Pedicle Flap And Bilateral Displaced Pedicle Flap

Hungund S,Dodani K,Kambalyal P*,Kambalyal P

Maxillary labial frenum is capable of creating a diastema and recession, affecting aesthetics. Archer's classical frenectomy technique is an extensive procedure which causes scarring and loss of interdental papilla. This leads towards the conservative approaches like Edward's frenectomy, frenum relocation by Z-plasty and free gingival graft. Since the procedure of frenectomy was first proposed, a number of modifications have been developed to solve the problem caused by an abnormal labial frenum. But in most of the techniques the zone of attached gingiva and aesthetics are not considered. Thus, the aim of this case report is to present case series of various frenectomy techniques for management of aberrant frenum. A series of cases of an aberrant frenum were approached by various surgical frenectomy techniques like conventional (classical) technique, Miller's technique using unilateral pedicle flap and frenectomy technique using bilateral pedicle flap and results are reported. The frenectomy technique using pedicle flap gives good aesthetic results, colour match, gain in attached gingiva and no anaesthetic scar formation as healing takes place by primary intention.