Maxillary labial frenum types in children and effects on the oral cavity: a cross-sectional study

Yıl 2025, Cilt: 14 Sayı: 1, 41 - 48, 27.01.2025

Taibe Tokgöz Kaplan , Mihriban Gökcek Taraç

https://doi.org/10.54617/adoklinikbilimler.1539716

Öz

Aim:This study aimed to evaluate the labial frenum types and effects on diastema, caries, and gingival health in children.
Materials and Methods:The study included 500 children(50.2% girls, 49.8% boys) aged 3-14 years. MLF types were classified according to the Mirko classification, and the gingival index score was performed according to the Löe-Silness classification.Dentition periods, presence of anterior caries, and diastema widths were saved.
Results:There was no statistically significant difference between the genders in terms of MLF types.The most common frenum type was gingival type frenum(48%),followed by papillary type (30%) and papillary penetrating type(16%).The gingival frenum type was significantly higher in the older age group.Among the 291 patients with diastema, the papillary penetrating type was significantly higher in those with 2-4 mm diastema significant correlation was found between frenum type and the presence of caries between the anterior teeth.
Conclusion:Frenums can cause gingival recession, midline diastema, dental caries, and gingival disease.

Anahtar Kelimeler

Gingival health, Frenum attacment, Maxillary anterior caries, Maxillary labial frenum, Midline diastema

Çocuklarda maksiller labial frenum tipleri ve ağız boşluğu üzerindeki etkileri: kesitsel bir çalışma

Öz

Amaç:Frenulum, dudak ve yanağı alveolar prosese bağlayan; boyut, şekil ve yapışma açısından değişiklik gösterebilen bir mukoza kalıntısıdır.Maksiller labial frenum (MLF) ağız boşluğunda birçok dental veya gingival malformasyonla ilişkilidir.Bu çalışmanın amacı,çocuklarda labial frenum tiplerini ve diastema, çürük ve dişeti sağlığına etkilerini değerlendirmektir.
Gereç ve Yöntem: Çalışmaya 3-14 yaş arası 500 çocuk(%50.2 kız, %49.8 erkek) atılmıştır. MLF tipleri Mirko sınıflamasına göre sınıflandırılmış; gingival indeks skoru Löe-Silness sınıflamasına göre yapılmıştır.Dişlenme dönemleri, anterior dişler arasında çürük varlığı ve diastema genişlikleri kaydedilmiştir.
Bulgular:MLF tipleri açısından cinsiyetler arasında istatistiksel olarak anlamlı bir fark bulunmamıştır.En yaygın frenum tipi gingival tip frenum (%48) olurken,bunu papiller tip (%30) ve papiller penetran tip (%16) takip etmiştir.Gingival frenum tipi ileri yaş grubunda anlamlı olarak daha yüksekti.Diasteması olan 291 hastada,papiller penetran tip,2-4 mm diasteması olanlarda anlamlı olarak daha yüksekti.Frenum tipi ile ön dişler arasında çürük varlığı arasında anlamlı korelasyon bulundu.
Sonuç:Frenumlar dişeti çekilmesi,orta hat diasteması,diş çürükleri ve dişeti hastalıklarına neden olabilir.

Anahtar Kelimeler

Gingival sağlık, Frenum bağlantısı, Maksiller anterior çürük, Maksiller labial frenulum, Orta hat diasteması

Kaynakça

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