Evaluation of the distance between the central teeth after frenectomy: a randomized clinical study

Abstract

Purpose The present study aimed to evaluate the periodontal status and the distance between the teeth one year after frenectomy in patients with abnormal frenums in the maxillary and mandibular midline. Materials and Methods This study included 50 patients (24 men and 26 women) between the ages of 13 and 53 who have frenum-induced diastemas between the incisors. The abnormal frenums were removed via conventional frenectomy. The distances between the teeth before and one year after the surgery were measured with a caliper. To determine the periodontal status, the pocket depth, plaque index, and bleeding on probing were measured from four surfaces. In addition, the amount of attached gingiva and degree of gingival recession were recorded and were statistically analysed. Results A significant decrease in the distance between teeth before and after frenectomy was observed (p<0.05). There was a statistically significant difference in the amount of gingival attachment, pocket depth, degree of gingival recession, plaque index, and bleeding on probing (p<0.05). Conclusion The removal of abnormal frenums with frenectomy can contribute to the reduction in the distance between the teeth. In addition, frenectomy increases the amount of gingiva and decreases the depth of the pocket, gingival recession, amount of plaque, and bleeding.

Keywords

• Abnormal frenum
• Frenectomy
• Diastema
• Mucogingival surgery
• Muscle attachment

References

1. 1. Haytac MC, Ozcelik O. Evaluation of patient perceptions after frenectomy operations: a comparison of carbon dioxide laser and scalpel techniques. Journal of periodontology 2006; 77:1815-19. [CrossRef] google scholar
2. 2. Fiorotti RC, Bertolini MM, Nicola JH, Nicola EM. Early lingual frenectomy assisted by CO2 laser helps prevention and treatment of functional alterations caused by ankyloglossia. Int J Orofacial Myology 2004;30:64-71. google scholar
3. 3. Takei HH, Azzi RA. Periodontal plastic and esthetic surgery. In: Newman MG, Takei HH, Carranza FA, editors. Carranza’s Clinical Periodontology. London: W.B. Saunders, 2002, p. 870-871. google scholar
4. 4. Abullais SS, Dani N, Ningappa P, Golvankar K, Chavan A, Malgaonkar N, Gore A. Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy. Journal of Indian Society of Periodontology 2016;20:28-31. [CrossRef] google scholar
5. 5. Taylor JE. Clinical observation relating to the normal and abnormal frenum labii superioris. Am J Orthod Oral Surg 1939;25:646-50. [CrossRef] google scholar
6. 6. Gass JR, Valiathan M, Tiwari HK, Hans MG, Elston RC. Familial correlations and heritability of maxillary midline diastema. American journal of orthodontics and dentofacial orthopedics 2003;123:35-9. [CrossRef] google scholar
7. 7. Goldman HM, Cohen DW. Periodontal therapy, 4th Ed. St. Louis, CV Mosby Co, 1968, p.302. google scholar
8. 8. Devishree SKG, Shubhashini PV. Frenectomy: a review with the reports of surgical techniques. Journal of clinical and diagnostic research 2012;6:1587-92. [CrossRef] google scholar

9. 9. Olivi G, Chaumanet G, Genovese MD, Beneduce C, Andreana S. The Er,Cr:YSGG laser labial frenectomy: a clinical retrospective evaluation of 156 consecutive cases. Gen Dent 2010;58:126-33. google scholar
10. 10. Silness P, Loe H. Periodontal disease in pregnancy. Acta Odontologica Scandinavica 1964;22:121-35. [CrossRef] google scholar
11. 11. Bhatia G, Kumar A, Khatri M, Bansal M, Saxena S. Assessment of the width of attached gingiva using different methods in various age groups: A clinical study. J Indian Soc Periodontol 2015;19:199-202. [CrossRef] google scholar
12. 12. Sşkowska A, Chalas R. Diastema size and type of upper lip midline frenulum attachment. Folia morphologica 2017;76:501-5. [CrossRef] google scholar
13. 13. 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 2013;44:177-87. google scholar
14. 14. Abrahams R, Kamath G. Midline diastema and its aetiology-a review. Dental update 2014;41:457-64. [CrossRef] google scholar
15. 15. Nirwal A, Chaubey KK, Arora V, Thakur RK, Zafri Z, Narula IS. Frenectomy combined with a laterally Displaced pedicle graft. Indian Journal of Dental Sciences 2010;2:47-51. google scholar
16. 16. Boutsi EA, Tatakis DN. Maxillary labial frenum attachment in children. International journal of paediatric dentistry 2011;21:284-8. [CrossRef] google scholar
17. 17. Suter VG, Heinzmann AE, Grossen J, Sculean A, Bornstein MM. Does the maxillary midline diastema close after frenectomy? Quintessence international 2014;45:57-66. google scholar
18. 18. Bergström K, Jensen R, Mârtensson B. The effect of superior labial frenectomy in cases with midline diastema. American journal of orthodontics 1973;63:633-8. [CrossRef] google scholar
19. 19. Monnet-Corti V, Antezack A, Moll V. Vestibular frenectomy in periodontal plastic surgery. Journal of Dentofacial Anomalies and Orthodontics 2018;21:205-17. [CrossRef] google scholar
20. 20. Huang WJ, Creath CJ. The midline diastema: a review of its etiology and treatment. Pediatric dentistry 1995;17:171-9. google scholar
21. 21. Whinston GJ. The frenectomy and mucobuccal fold resection utilized in periodontal therapy. NY State Dent J 1956;22:495-9. google scholar