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

Year 2021, Volume: 5 Issue: 3, 30 - 35, 20.09.2021
https://doi.org/10.30621/jbachs.880475

Abstract

Introduction: The aim of this study is to evaluate the median maxillary labial frenum (MMLF) type and morphology and its associations with age and gender.
Patients and Methods: The present study was conducted on 1023 patients who attended to University Child and Adult Dental Clinic. Patients were divided into five age groups. The MMLF type and morphology of the patients were evaluated under dental unit light and classified according to the criterias described by Mirko et al. and Sewerin.
Results: 1023 patients included in the study, 51.4% (524) were male and 49.9% (498) were female. In all groups, gingival type (55.2%) frenum was the most frequently observed MMLF type, while simple frenum (66.9%) was the most frequently observed MMLF morphology. Papillar and papillar penetration types were observed more frequently in GI, GII and GIII groups compared to the GIV and GV groups. Persistent tectolabial type frenum was observed in only 3 patients in GI group and was not observed in any of the age groups. Although there were no significant differences were observed between MMLF type and gender, there were significant differences between MMLF type and age. MMLF is a small anatomical process yet it differs in type and morphology. It can be concluded that, with aging, the MMLF attachment level shifts from coronal to a more apical level.
Conclusions: The present study showed that, dental practitioners should be aware of the MMLF type and morphology variations in order to avoid excessive treatment especially in young patients.

References

  • 1- Boutsi E, Tatakis D. Maxillary labial frenum attachment in children. Int J Paediatr Dent. 2011; 21:284-288.
  • 2- Upadhyay S, Ghimire N. Atachment of maxillary labial frenum in Nepalese children. Orthodontic J Nepal. 2012; 2:28-31.
  • 3- Bervian J, Cazarotto F, Perussolo B, Patussi EG, Pavinato LCB. Description of the upper labial frenulum characteristics in preschool children of Passo Fundo, Brazil. Braz Res Pediatr Dent Integr Clin. 2016; 16:351-357.
  • 4- Niazi M, Shahroz N, Sajjad S, Haroon S. Morphological and attachment variations of median maxillary labial frenum. POJ. 2017;9: 19-23
  • 5- Rajani ER, Biswas PP, Emmatty R. Prevalence of variations in morphology and attachment of maxillary labial frenum in various skeletal patterns - A cross-sectional study. J Indian Soc Periodontol. 2018;22:257-262.
  • 6-Jindal V, Kaur R, Goel A, Mahajan A, Mahajan N, Mahajan A. Variations in the frenal morphology in the diverse population: A clinical study. J Indian Soc Periodontol. 2016; 20:320-323.
  • 7- Mohan R, Soni PK, Krishna MK, Gundappa M. Proposed classification of median maxillary labial frenum based on morphology. Dent Hypothesis. 2014;5:16‐20.
  • 8-Santa Maria C, Aby J, Truong MT, Thakur Y, Rea S, Messner A. The superior labial frenulum in newborns: what is normal? Glob Pediatr Health. 2017; 4: 1–6.
  • 9- Díaz-Pizán M, Lagravère M, Villena R. Midline diastema and frenum morphology in the primary dentition. J Dent Child. 2006; 73:11-14.
  • 10- Biradar SM, Patil AY, Kotnoor SS, Shraddanand Bacha S, Bijjaragi SC, Kattimani PT. Assessment of Diverse Frenal Morphology in Primary, Mixed, and Permanent Dentition: A Prevalence Study. J Contemp Dent Pract.2020;21:561-567.
  • 11- Needleman I. Aging and Periodontium. In: Caranza F, Newman M, editors. Caranza’s Clinical Periodontology. 11th ed 2012. p. 28-30.
  • 12- Sewerin I. Prevalence of variations and anomalies of the upper labial frenum. Acta Odontol Scand. 1971; 29:487-496.
  • 13- Mirko P, Miroslav S, Lubor M. Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol. 1974; 45:891-894.
  • 14- Pandiyan NJ, Hedge A. Clinical assessment of frenum morphology and attachment in Malaysian children. Pesq Bras Odontoped Clin Integr. 2018; 18 :1-9.
  • 15-Christabel SL, Gurunathan D. Prevalence of type of frenal attachment and morphology of frenum in children, Chennai, Tamil Nadu. World J Dent. 2015;6:203-207.
  • 16.Nadar S. Maxillary labial frenum attachment in children of different age groups. Int J Current Rese. 2017;9:50367-50369.
  • 17- Dasgupta P, Kamath G, Hs S, Babshet M, Doddamani L. Morphological variations of median maxillary labial frenum: A clinical study. J Stomatol Oral Maxillofac Surg. 2017; 118: 337-341.
  • 18- Seraj B, Shahrabi M, Masoumi S, Jabbarian R, Manesh A, Baghizadeh Fini M. Studying Maxillary Labial Frenulum Types and Their Effect on Median Diastema in 3–6-year-old Children in Tehran Kindergartens. World J Dent. 2019:10:93-97.
  • 19- Kakodkar PV, Patel TN, Patel SV, Patel SH. Clinical assessment of diverse frenum morphology in permanent dentition. Internet J Dent Sci. 2008;7:1‐8.
Year 2021, Volume: 5 Issue: 3, 30 - 35, 20.09.2021
https://doi.org/10.30621/jbachs.880475

Abstract

Supporting Institution

Yok

References

  • 1- Boutsi E, Tatakis D. Maxillary labial frenum attachment in children. Int J Paediatr Dent. 2011; 21:284-288.
  • 2- Upadhyay S, Ghimire N. Atachment of maxillary labial frenum in Nepalese children. Orthodontic J Nepal. 2012; 2:28-31.
  • 3- Bervian J, Cazarotto F, Perussolo B, Patussi EG, Pavinato LCB. Description of the upper labial frenulum characteristics in preschool children of Passo Fundo, Brazil. Braz Res Pediatr Dent Integr Clin. 2016; 16:351-357.
  • 4- Niazi M, Shahroz N, Sajjad S, Haroon S. Morphological and attachment variations of median maxillary labial frenum. POJ. 2017;9: 19-23
  • 5- Rajani ER, Biswas PP, Emmatty R. Prevalence of variations in morphology and attachment of maxillary labial frenum in various skeletal patterns - A cross-sectional study. J Indian Soc Periodontol. 2018;22:257-262.
  • 6-Jindal V, Kaur R, Goel A, Mahajan A, Mahajan N, Mahajan A. Variations in the frenal morphology in the diverse population: A clinical study. J Indian Soc Periodontol. 2016; 20:320-323.
  • 7- Mohan R, Soni PK, Krishna MK, Gundappa M. Proposed classification of median maxillary labial frenum based on morphology. Dent Hypothesis. 2014;5:16‐20.
  • 8-Santa Maria C, Aby J, Truong MT, Thakur Y, Rea S, Messner A. The superior labial frenulum in newborns: what is normal? Glob Pediatr Health. 2017; 4: 1–6.
  • 9- Díaz-Pizán M, Lagravère M, Villena R. Midline diastema and frenum morphology in the primary dentition. J Dent Child. 2006; 73:11-14.
  • 10- Biradar SM, Patil AY, Kotnoor SS, Shraddanand Bacha S, Bijjaragi SC, Kattimani PT. Assessment of Diverse Frenal Morphology in Primary, Mixed, and Permanent Dentition: A Prevalence Study. J Contemp Dent Pract.2020;21:561-567.
  • 11- Needleman I. Aging and Periodontium. In: Caranza F, Newman M, editors. Caranza’s Clinical Periodontology. 11th ed 2012. p. 28-30.
  • 12- Sewerin I. Prevalence of variations and anomalies of the upper labial frenum. Acta Odontol Scand. 1971; 29:487-496.
  • 13- Mirko P, Miroslav S, Lubor M. Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol. 1974; 45:891-894.
  • 14- Pandiyan NJ, Hedge A. Clinical assessment of frenum morphology and attachment in Malaysian children. Pesq Bras Odontoped Clin Integr. 2018; 18 :1-9.
  • 15-Christabel SL, Gurunathan D. Prevalence of type of frenal attachment and morphology of frenum in children, Chennai, Tamil Nadu. World J Dent. 2015;6:203-207.
  • 16.Nadar S. Maxillary labial frenum attachment in children of different age groups. Int J Current Rese. 2017;9:50367-50369.
  • 17- Dasgupta P, Kamath G, Hs S, Babshet M, Doddamani L. Morphological variations of median maxillary labial frenum: A clinical study. J Stomatol Oral Maxillofac Surg. 2017; 118: 337-341.
  • 18- Seraj B, Shahrabi M, Masoumi S, Jabbarian R, Manesh A, Baghizadeh Fini M. Studying Maxillary Labial Frenulum Types and Their Effect on Median Diastema in 3–6-year-old Children in Tehran Kindergartens. World J Dent. 2019:10:93-97.
  • 19- Kakodkar PV, Patel TN, Patel SV, Patel SH. Clinical assessment of diverse frenum morphology in permanent dentition. Internet J Dent Sci. 2008;7:1‐8.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Gülser Kılınç 0000-0002-7422-0482

Müjdet Çetin This is me 0000-0001-6077-5578

Zafer Berk Köse 0000-0002-5812-9144

Ümran Ertunç 0000-0003-4788-5427

Alp Abidin Ateşçi 0000-0001-6346-3801

Publication Date September 20, 2021
Submission Date March 1, 2021
Published in Issue Year 2021 Volume: 5 Issue: 3

Cite

APA Kılınç, G., Çetin, M., Köse, Z. B., Ertunç, Ü., et al. (2021). Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups. Journal of Basic and Clinical Health Sciences, 5(3), 30-35. https://doi.org/10.30621/jbachs.880475
AMA Kılınç G, Çetin M, Köse ZB, Ertunç Ü, Ateşçi AA. Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups. JBACHS. September 2021;5(3):30-35. doi:10.30621/jbachs.880475
Chicago Kılınç, Gülser, Müjdet Çetin, Zafer Berk Köse, Ümran Ertunç, and Alp Abidin Ateşçi. “Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups”. Journal of Basic and Clinical Health Sciences 5, no. 3 (September 2021): 30-35. https://doi.org/10.30621/jbachs.880475.
EndNote Kılınç G, Çetin M, Köse ZB, Ertunç Ü, Ateşçi AA (September 1, 2021) Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups. Journal of Basic and Clinical Health Sciences 5 3 30–35.
IEEE G. Kılınç, M. Çetin, Z. B. Köse, Ü. Ertunç, and A. A. Ateşçi, “Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups”, JBACHS, vol. 5, no. 3, pp. 30–35, 2021, doi: 10.30621/jbachs.880475.
ISNAD Kılınç, Gülser et al. “Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups”. Journal of Basic and Clinical Health Sciences 5/3 (September 2021), 30-35. https://doi.org/10.30621/jbachs.880475.
JAMA Kılınç G, Çetin M, Köse ZB, Ertunç Ü, Ateşçi AA. Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups. JBACHS. 2021;5:30–35.
MLA Kılınç, Gülser et al. “Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups”. Journal of Basic and Clinical Health Sciences, vol. 5, no. 3, 2021, pp. 30-35, doi:10.30621/jbachs.880475.
Vancouver Kılınç G, Çetin M, Köse ZB, Ertunç Ü, Ateşçi AA. Evaluation of Median Maxillary Labial Frenum Type and Morphology in Different Age Groups. JBACHS. 2021;5(3):30-5.