Abstract

The frenum is a fold of mucous membrane that attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. The frenum may jeopardize the gingival health when they are attached too closely to the gingival margin, either due to an interference in the plaque control or due to a muscle pull. In addition to this, the maxillary frenum may present aesthetic problems or compromise the orthodontic result in the midline diastema cases, thus causing a recurrence after the treatment. An abnormally placed frenum also hampers prosthetic rehabilitation. The management of such an aberrant frenum is accomplished by performing a “frenectomy”. The present article is a compilation of a series of clinical cases of preorthodontic, pre-prosthtic frenectomy and frenotomy approached by various techniques.

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