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Labial Frenulum Types and Their Effects on Gingival Health in Children Living in and Around Bolu

Year 2020, , 108 - 111, 13.06.2020
https://doi.org/10.21673/anadoluklin.598512

Abstract

Aim:

The
purpose of this study is to evaluate labial frenulum types and their effects on
gingival health in children living in milk and mixed dentition in and around
Bolu.

Material and Methods:

This
study was conducted at Bolu Abant Izzet Baysal University Faculty of Dentistry
Hospital. 205 children (50.4% boys, 49.6% girls) between the ages of 3 and 16
years were included in the study. 49.3% of the cases were between 3-6 years of
age and primary dentition, 50.7% of them were between 7-16 years and mixed
dentition. The maxillary labial frenulum type in children was classified
according to the Mirko classification and the gingival index scoring was
performed according to the classification defined by Löe & Silness.

Results:

There
was no statistically significant difference in maxillary labial frenulum type
distribution between genders. The most common type of labial frenulum was the
gingival type in both primary and mixed dentition. There have not been seen any
differences in labial frenulum type between primary and mixed dentition.
Gingival index scores were found to be significantly higher in papillary
penetrating maxillary labial frenulum in both age groups.

Conclusion:















Outside
the normal limits of the length of the frenulum may cause gingival recession,
tooth malposition, tooth decay and speech problems.  For this reason, it is necessary to give
importance to the children to evaluate the frenulum during oral and dental
examinations. 

References

  • Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza's Clinical Periodontology E-Book. Philadelphia, PA: Saunders; 2019.
  • Minsk L. The frenectomy as an adjunct to periodontal treatment. Compendium of continuing education in dentistry (Jamesburg, NJ : 1995). 2002;23(5):424-6, 8.
  • Olivi M, Genovese MD, Olivi G. Laser labial frenectomy: a simplified and predictable technique. Retrospective clinical study. European journal of paediatric dentistry : official journal of European Academy of Paediatric Dentistry. 2018;19(1):56-60.
  • Gartner LP, Schein D. The superior labial frenum: a histologic observation. Quintessence international (Berlin, Germany : 1985). 1991;22(6):443-5.
  • Delli K, Livas C, Sculean A, Katsaros C, Bornstein MM. Facts and myths regarding the maxillary midline frenum and its treatment: a systematic review of the literature. Quintessence international (Berlin, Germany : 1985). 2013;44(2):177-87.
  • Sewerin I. Prevalence of variations and anomalies of the upper labial frenum. Acta odontologica Scandinavica. 1971;29(4):487-96.
  • 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. Journal of periodontology. 1974;45(12):891-4.
  • Kotlow LA. The influence of the maxillary frenum on the development and pattern of dental caries on anterior teeth in breastfeeding infants: prevention, diagnosis, and treatment. Journal of human lactation : official journal of International Lactation Consultant Association. 2010;26(3):304-8
  • Huang WJ, Creath CJ. The midline diastema: a review of its etiology and treatment. Pediatric dentistry. 1995;17(3):171-9.
  • Mohan R, Soni PK, Krishna MK, Gundappa M. Proposed classification of medial maxillary labial frenum based on morphology. Dental Hypotheses. 2014;5(1):16-20.
  • Diaz-Pizan ME, Lagravere MO, Villena R. Midline diastema and frenum morphology in the primary dentition. Journal of dentistry for children (Chicago, Ill). 2006;73(1):11-4.
  • Boutsi EA, Tatakis DN. Maxillary labial frenum attachment in children. International journal of paediatric dentistry. 2011;21(4):284-8.
  • Priyanka M, Sruthi R, Ramakrishnan T, Emmadi P, Ambalavanan N. An overview of frenal attachments. Journal of Indian Society of Periodontology. 2013;17(1):12-5.

Bolu ve Çevresinde Yaşayan Çocuklarda Labial Frenulum Tipleri ve Gingival Sağlığa Etkileri

Year 2020, , 108 - 111, 13.06.2020
https://doi.org/10.21673/anadoluklin.598512

Abstract

Amaç:



Bu çalışmanın amacı; Bolu ve çevresinde yaşayan süt ve
karışık dişlenme döneminde bulunan çocuklarda labial frenulum tipleri ve
gingival sağlığa etkilerini değerlendirmektir.



Materyal-metot:



Bu çalışma Bolu Abant İzzet Baysal Üniversitesi Diş
Hekimliği Fakültesi Hastanesi’nde gerçekleştirildi. Çalışmaya 3-16 yaş
aralığında 205 çocuk (%49,7 erkek ve %50,3 kız) dahil edildi. Olguların %49,3’ü
3-6 yaş arasında olup süt dişlenmeye, %50,7’si 7-16 yaş arasında olup karışık
dişlenmeye sahipti. Çocuklarda maksiller labial frenulumun tipi Mirko
sınıflamasına göre, gingival indeks skorlaması ise Löe & Silness’in
tanımladığı sınıflamaya göre yapıldı.



Bulgular:



Maksiller labial frenulum tipleri arasında cinsler arası
istatistiksel olarak anlamlı bir fark bulunamadı. Hem süt hem de karışık
dişlenme döneminde en fazla gingival tip frenulum tespit edildi. Frenulum
tipleri arasından gruplar arası anlamlı fark bulunmadı. Her iki yaş grubunda da
papile penetre formdaki maksiller labial frenulumlarda gingival indeks
skorlarının anlamlı seviyede yüksek olduğu tespit edilmiştir.



Sonuç:



Frenulum uzunluğunun normal sınırlar dışında olması diş
eti çekilmelerine, dizilim bozulmalarına, diş çürüklerine ve konuşma
problemlerine sebep olabilir.  Bu nedenle
çocuklarda ağız-diş muayenesi sırasında frenulum değerlendirmesine de önem
vermek gerekmektedir. 

References

  • Newman MG, Takei HH, Klokkevold PR, Carranza FA. Newman and Carranza's Clinical Periodontology E-Book. Philadelphia, PA: Saunders; 2019.
  • Minsk L. The frenectomy as an adjunct to periodontal treatment. Compendium of continuing education in dentistry (Jamesburg, NJ : 1995). 2002;23(5):424-6, 8.
  • Olivi M, Genovese MD, Olivi G. Laser labial frenectomy: a simplified and predictable technique. Retrospective clinical study. European journal of paediatric dentistry : official journal of European Academy of Paediatric Dentistry. 2018;19(1):56-60.
  • Gartner LP, Schein D. The superior labial frenum: a histologic observation. Quintessence international (Berlin, Germany : 1985). 1991;22(6):443-5.
  • Delli K, Livas C, Sculean A, Katsaros C, Bornstein MM. Facts and myths regarding the maxillary midline frenum and its treatment: a systematic review of the literature. Quintessence international (Berlin, Germany : 1985). 2013;44(2):177-87.
  • Sewerin I. Prevalence of variations and anomalies of the upper labial frenum. Acta odontologica Scandinavica. 1971;29(4):487-96.
  • 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. Journal of periodontology. 1974;45(12):891-4.
  • Kotlow LA. The influence of the maxillary frenum on the development and pattern of dental caries on anterior teeth in breastfeeding infants: prevention, diagnosis, and treatment. Journal of human lactation : official journal of International Lactation Consultant Association. 2010;26(3):304-8
  • Huang WJ, Creath CJ. The midline diastema: a review of its etiology and treatment. Pediatric dentistry. 1995;17(3):171-9.
  • Mohan R, Soni PK, Krishna MK, Gundappa M. Proposed classification of medial maxillary labial frenum based on morphology. Dental Hypotheses. 2014;5(1):16-20.
  • Diaz-Pizan ME, Lagravere MO, Villena R. Midline diastema and frenum morphology in the primary dentition. Journal of dentistry for children (Chicago, Ill). 2006;73(1):11-4.
  • Boutsi EA, Tatakis DN. Maxillary labial frenum attachment in children. International journal of paediatric dentistry. 2011;21(4):284-8.
  • Priyanka M, Sruthi R, Ramakrishnan T, Emmadi P, Ambalavanan N. An overview of frenal attachments. Journal of Indian Society of Periodontology. 2013;17(1):12-5.
There are 13 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section ORIGINAL ARTICLE
Authors

Derya Guler 0000-0001-8119-1125

Şevki Güler This is me 0000-0002-2854-0856

Umut Öğütücü This is me 0000-0001-8519-1827

Publication Date June 13, 2020
Acceptance Date December 28, 2019
Published in Issue Year 2020

Cite

Vancouver Guler D, Güler Ş, Öğütücü U. Bolu ve Çevresinde Yaşayan Çocuklarda Labial Frenulum Tipleri ve Gingival Sağlığa Etkileri. Anadolu Klin. 2020;25(2):108-11.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.