FRENECTOMY - DIFFERENT TECHNIQUES

Abstract

Introduction:-The frenum is a mucous membrane fold that attaches the lip , cheek and the tongue to the alveolar mucosa, the gingiva, and the underlying periosteum .Aesthetic problems are caused by high maxillary frenum which may compromise the orthodontic treatment results in the midline diastema cases, thus causing a recurrence after the treatment. Ankyloglossia, is also called as tongue-tie, is an embryological anatomical malformation of the tongue, characterized by an abnormally short and a thick lingual frenum. Tongue-tie restricts the physiologic movements of the tongue and results in various functional, behavioural and speech abnormalities. Material method :- The present article consists of a series of clinical cases of an aberrant frenum which were approached by various surgical frenectomy techniques. Result:- Different techniques have their own advantages and disadvantages. Laser gives advantages of less post operative pain and discomfort. Lingual frenectomy help in improvement in tongue movement and speech. Conclusion:- An aberrant frenum can be removed by any of the modification techniques that have been proposed,and a functional and an aesthetic outcome can be achieved by a proper selection of technique which is based on the type of the frenal attachment.