Upper labial frenectomy in a child patient - from diagnosis to surgical technique: A case report
DOI:
https://doi.org/10.33448/rsd-v13i10.47131Keywords:
Labial frenum, Diastema, Pediatric Dentistry.Abstract
The upper labial frenum or frenulum consists mainly of a triangular fibrous or fibromuscular tissue, located in the midline between the upper central incisors. The frenulum can cause consequences for the patient, mainly highlighting the presence of the median diastema, generating dental disharmony and altering the smile, consequently affecting self-esteem and interfering with the patient's social life. Frenectomy, which consists of repositioning the hypertrophic labial frenulum, is the procedure indicated to correct this tissue structure. However, the objective of this study is to present a follow-up of the surgical approach of upper lip frenectomy in a child in the mixed dentition phase. Through clinical examination, the presence of a wide, voluminous upper labial frenulum, papilla ischemia at the time of lip traction and the presence of diastema between the incisors was observed. After the clinical examination, it was found that there was a need for surgical intervention to correct the upper labial frenulum. The proposed treatment is surgical repositioning of the brake. Therefore, the proposed treatment favored the preservation of the functional, anatomical and aesthetic characteristics of the upper labial frenulum.
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Ahn, J. H., Newton, T., & Campbell, C. (2022). Labial frenectomy: current clinical practice of orthodontists in the United Kingdom. Angle Orthod, 92(6), 780-786. https://doi.org/10.2319/011822-56.1
Alves, J. R. A., & Ferreira, R. B. (2021). Freio teto labial- da anatomia a cirurgia. Uniceplac, 3(2), 10-16. https://dspace.uniceplac.edu.br/handle/123456789/476
America´s Pediatric Dentists – AAPD. (2023). Policy on management of the frenulum in pediatric patients. The Reference Manual of Pediatric Dentistry, (pp. 71-76). https://www.aapd.org/globalassets/media/policies_guidelines/p_mgmt_frenulum.pdf
Baxter, R. T., Soroush Zaghi , S., & Lashley, A. P. (2022). Safety and efficacy of maxillary labial frenectomy in children: a retrospective comparative cohort study. Int Orthod, 20(2). https://doi.org/10.1016/j.ortho.2022.100630
Biradar, S. M., Patil, A. Y., Kotnoor, S. S., Bacha, S., Bijjaragi , S. C., & Kattimani , P. T. (2020). Assessment of Diverse Frenal Morphology in Primary, Mixed, and Permanent Dentition: A Prevalence Study. J Contemp Dent Pract, 21(5), 562-567. https://pubmed.ncbi.nlm.nih.gov/32690841/#full-view-affiliation-5
Bruder, C., Ferreira, M. C. D., Junior, K. F., Chelotti, A., & Long, S. M. (2015). Frenectomia labial pela técnica de reposicionamento cirúrgico proposta por Chelotti. Biblioteca Virtual e Saúde, 23(45/46), 11-18. https://www.metodista.br/revistas/revistasmetodista/index.php/Odonto/article/view/6086/5377
Chaubey, K. K., Arora, V. K., Thakur, R., & Narula, I. S. (2011). Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar. J Indian Soc Periodontol, 15(3), 265-269. https://doi.org/10.4103/0972-124X.85672
Costa, D. R., Carvalho, E. D. S., Bisneto, F. A. V., Duarte, M. H. S. T., Filho, J. M. C. V., & Dantas, R. F. (2020). Frenectomia a laser: uma revisão da literatura. Revista diálogos em saúde, 3(2), 10. https://periodicos.iesp.edu.br/index.php/dialogosemsaude/article/view/386
Delli, K., Livas, C., Sculean, A., Katsaros, C., & Bornstein, M. M. (2013). Facts and myths regarding the maxillary midline frenum and its treat- ment: a systematic review of the literature. Quintessence Int, 2(44), 177-187. https://doi.org/10.3290/j.qi.a28925
Delmondes, F. S., Gutierrez, G. M., Imparato, J. C. P., & Raggio., D. P. (2021). Freio labial superior: Quando e como intervir?. Research, Society and Development, 10(2). http://dx.doi.org/10.33448/rsd-v10i2.12608
Devishree , Gujjari, S. K., & Shubhashin. P. V. (2012). Frenectomy: A Review with the Reports of Surgical Techniques. Journal of Clinical and Diagnostic Research, 6(9), 1587 - 1592. https://doi.org/10.7860/JCDR/2012/4089.2572
Dioguardi, M., Ballini , A., Quarta , C., Caroprese, M., Maci, M., Spirito , F., Caloro, G. A., Alovisi, M., Basile , E., & Muzio, L. L. (2023). Labial Frenectomy using Laser: A Scoping Review. Int J Dent, 2023 https://doi.org/10.1155/2023/7321735
Gkantidis, N., Kolokitha, O., & Topouzelis, N. (2018). Management of maxillary midline diastema with emphasis on etiology. Eur J Paediatr Dent, 4(32), 265-272. https://doi.org/10.17796/jcpd.32.4.j087t33221771387
Graber, T. M. (1966). Orthodontics: Principles and Practice (2nd ed.). Saunders.
Inchingolo , A. M., Malcangi , G., Ferrara, I., Viapiano, F., Netti, A., Buongiorno, S., Latini, G., Azzollini , D., De Leonardis, N., Ruvo, E. d., Mancini, A., Rapone , B., Di Venere, D., Patano , A., Avantario , P., Tartaglia, G. M., Lorusso, F., Scarano , A., Sauro, S.,... Dipalma, G. D. (2023). Laser Surgical Approach of Upper Labial Frenulum: A Systematic Review. Int J Environ Res Public Health, 20(2), 1302. https://doi.org/ 10.3390/ijerph20021302
Júnior, R. M., Gueiros, L. A., Silva, I. H., Carvalho, A. d. A., & Leão, J. C. (2013). Labial frenectomy with Nd:YAG laser and conventional surgery: a comparative study. Lasers Med Sci, 30(2), 851-856. https://doi.org/10.1007/s10103-013-1461-8
Kienle, G. S., & Kiene, H. (2011). Como escrever um relato. Arte Médica Ampliada, (2), 34-37. https://saude.ufpr.br/cometica/wp-content/uploads/sites/7/2021/04/como-escrever-um-relato-de-caso.pdf
Kinney, R., Burris, R. C., Moffat, R., & Almpani, K. (2024). Assessment and Management of Maxillary Labial Frenulum A Scoping Review. Diagnostics, 14(16), 1710. https://doi.org/10.3390/diagnostics14161710
Macedo, M. P., Castro, B. S., Penido, S. M. M. O., & Penido, C. V. S. R. (2012). Frenectomia labial superior em paciente portador de aparelho ortodôntico: relato de caso clínico. RFO, 17, 332-335. http://revodonto.bvsalud.org/pdf/rfo/v17n3/a15v17n3.pdf
Mirko, P., Miroslav, S., & Lubor, M. (1974). Significance of the labial frenum attachment in periodontal disease in man. Part 1. classification and epidemiology of the labial frenum attachment,. Journal of Periodontology, 45(12). https://doi.org/10.1902/jop.1974.45.12.891
Oesterle, L. J., & Shellhart, W. C. (1999). Maxillary midline diastemas: a look at the causes. J Am Dent Assoc, 130(1), 85-94. https://jada.ada.org/article/S0002-8177(14)65677-4/abstract
Özener, H. O., Meseli, S. E., Sezgin , G., & Kuru, L. (2020). Clinical efficacy of conventional and diode laser-assisted frenectomy in patients with different abnormal frenulum insertions: a retrospective study. Photobiomodulation, Photomedicine, and Laser Surgery, 38(9), 565-570. https://doi.org/10.1089/photob.2020.4841
Pié-Sánchez, J., España-Tost, A., Arnabat-Domínguez, J., & Gay-Escoda, C. (2012). Comparative study of upper lip frenectomy with the CO2 laser versus the Er, Cr: YSGG laser. Med Oral Patol Oral Cir Bucal, 17(2), 228-32. https://doi.org/10.4317/medoral.17373
Rajani, E. R., Biswas, P. P., & Emmatty, R. (2018). Prevalence of variations in morphology and attachment of maxillary labial frenum in various skeletal patterns?a cross-sectional study. Journal of Indian Society of Periodontology, 22(3), 257-262. https://doi.org/10.4103/jisp.jisp_294_17
Rego, A. S. T. (2017). Frenectomia: momento ideal de intervenção cirúrgica (Publication No. 60) [Doctoral dissertation, Faculdade de Medicina Dentária Universidade do Porto]. https://repositorio-aberto.up.pt/bitstream/10216/107239/2/211725.pdf
Santana, A. C. M., Humildes, F. S. S., Cabral, A. M. S. G., Gutierrez, G. M, & Fontes, V. T. S. (2021). Frenectomia labial superior na dentição mista associada a diastema interincisivo: relato de caso. Revista Portuguesa de Estomatologia, Medicina Dentária e Cirurgia Maxilofacial, 4(62), 254-259. http://doi.org/10.24873/j.rpemd.2021.12.854
Santos, P. D., Osório, S. D. R. G., & Franzin, L. C. S. (2014). Diagnóstico e tratamento cirúrgico do freio labial anormal na dentição mista: relato de caso. Brazilian Journal Of Surgery And Clinical Research, 8(2), 41-46. https://www.mastereditora.com.br/periodico/20141001_074905.pdf
Shetty, H., Trajtenberg, C., Patel, C., & Streckfus, C. (2008). Maxillary frenectomy using a carbon dioxide laser in a pediatric patient:a case report. General Dentistry, 56(1), 60-63. https://pubmed.ncbi.nlm.nih.gov/18254562/
Souza, A. V., Santos, A. S., Dalló, F. D., Bez, L. C., Simões, P. W., Bez, L. V., Vanni, P. J. J., & Pires, P. D. S. (2015). Frenectomia labial maxilar: revisão bibliográfica e relato de caso. Revista de Odontologia da Universidade Cidade de São Paulo, 27(3), 82-90. https://publicacoes.unicid.edu.br/revistadaodontologia/article/view/248
Trigolo, L. A., & Rolim, V. C. L. d. B. (2022). Frenectomia labial superior em odontopediatria: revisão de literatura. Revista Ibero- Americana de Humanidades, Ciências e Educação- REASE, 10(8), 303-310. https://doi.org/10.51891/rease.v8i10.7172
Yoshida, W. B. (2007). Redação do relato de caso. J Vasc Bras, 6(2), 112-113. https://www.scielo.br/j/jvb/a/vnKt5ttNpdFMjf6dLcmnM4Q/?format=pdf
Zimermann, C. O., Matsuura, E., Matarazzo, F., & Franzin, L. C. D. S. (2017). Frenectomia labial em paciente infantil:relato de duas técnicas cirúrgicas. Revista UNINGÁ Review, 29(2), 23-27. https://revista.uninga.br/uningareviews/article/view/1963/1559
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