Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar

An aberrant frenum is postulated to create functional and aesthetic problems. Archer′s ′classical frenectomy′ is an extensive procedure including the excision of fibers, interdental papilla, and exposure of alveolar bone up to the palatine papilla. The resultant delayed healing, loss of interdental...

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Main Authors: K Krishna Chaubey, Vipin K Arora, Rajesh Thakur, Inderpreet S Narula
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Journal of Indian Society of Periodontology
Subjects:
Online Access:http://www.jisponline.com/article.asp?issn=0972-124X;year=2011;volume=15;issue=3;spage=265;epage=269;aulast=Chaubey
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author K Krishna Chaubey
Vipin K Arora
Rajesh Thakur
Inderpreet S Narula
author_facet K Krishna Chaubey
Vipin K Arora
Rajesh Thakur
Inderpreet S Narula
author_sort K Krishna Chaubey
collection DOAJ
description An aberrant frenum is postulated to create functional and aesthetic problems. Archer′s ′classical frenectomy′ is an extensive procedure including the excision of fibers, interdental papilla, and exposure of alveolar bone up to the palatine papilla. The resultant delayed healing, loss of interdental papilla, and abnormal scar led towards the conservative approaches like Edward′s frenectomy, frenum relocation by Z-plasty and free gingival graft; with their technical and aesthetic limitations. A better approach to make a primary closure in midline and to avoid anesthetic scar by creating a zone of attached gingiva, frenectomy is assisted with lateral pedicle graft. The interdental papilla is left surgically undisturbed and healing takes place by primary intention. Miller, in his study on 27 subjects, suggested that the newly created zone of attached gingiva might have bracing effect inhibiting reopening of diastema. A case series of this technique with its distinct advantages is presented.
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spelling doaj.art-d022924946464d7ca918976df2fb16352022-12-22T00:53:10ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2011-01-0115326526910.4103/0972-124X.85672Perio-esthetic surgery: Using LPF with frenectomy for prevention of scarK Krishna ChaubeyVipin K AroraRajesh ThakurInderpreet S NarulaAn aberrant frenum is postulated to create functional and aesthetic problems. Archer′s ′classical frenectomy′ is an extensive procedure including the excision of fibers, interdental papilla, and exposure of alveolar bone up to the palatine papilla. The resultant delayed healing, loss of interdental papilla, and abnormal scar led towards the conservative approaches like Edward′s frenectomy, frenum relocation by Z-plasty and free gingival graft; with their technical and aesthetic limitations. A better approach to make a primary closure in midline and to avoid anesthetic scar by creating a zone of attached gingiva, frenectomy is assisted with lateral pedicle graft. The interdental papilla is left surgically undisturbed and healing takes place by primary intention. Miller, in his study on 27 subjects, suggested that the newly created zone of attached gingiva might have bracing effect inhibiting reopening of diastema. A case series of this technique with its distinct advantages is presented.http://www.jisponline.com/article.asp?issn=0972-124X;year=2011;volume=15;issue=3;spage=265;epage=269;aulast=ChaubeyAberrant frenumfrenectomylateral pedicle graft
spellingShingle K Krishna Chaubey
Vipin K Arora
Rajesh Thakur
Inderpreet S Narula
Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar
Journal of Indian Society of Periodontology
Aberrant frenum
frenectomy
lateral pedicle graft
title Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar
title_full Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar
title_fullStr Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar
title_full_unstemmed Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar
title_short Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar
title_sort perio esthetic surgery using lpf with frenectomy for prevention of scar
topic Aberrant frenum
frenectomy
lateral pedicle graft
url http://www.jisponline.com/article.asp?issn=0972-124X;year=2011;volume=15;issue=3;spage=265;epage=269;aulast=Chaubey
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AT inderpreetsnarula perioestheticsurgeryusinglpfwithfrenectomyforpreventionofscar