Bilateral pedicle flap: A novel technique for functional and esthetic management of aberrant labial frenum

Abstract

An aberrant maxillary labial frenum can lead to diastema and gingival recession creating functional and esthetic problems. Archer's classical frenectomy technique is an extensive procedure and has led to scarring and loss of interdental papilla. Conservative approaches such as Edward's frenectomy, frenum relocation by Z-plasty, and free gingival graft showed limitations in terms of esthetics. This case report describes a novel technique of bilateral pedicle flap for frenectomy which gives good esthetic results, color match, gain in attached gingiva, and no unaesthetic scar formation as healing takes place by primary intention.