Frenectomy

 Frenectomy

Frenectomy is defined as complete removal of frenum including its attachment to underlying bone and may be required in correction of an abnormal distema between maxillary central incisors. Carranza

Frenectomy Technique

• Step 1: After anesthetizing the area, engage the frenum with a hemostat.
• Step 2: Incise along the upper surface of the hemostat, simultaneously make a similar incision along the under surface of the hemostat.
• Step 3: Remove the triangular resected portion of the frenum along with hemostat. This expressed the fibrous connective tissue attachment to bone.
• Step 4: Make a horizontal incision to dissect and separate the fibers attached to bone.
• Step 5: If needed, extend the incisions laterally and suture labial mucosa to apical periosteum.
• Step 6: Clean the surgical field and pack with guaze sponges till bleeding stops.
• Step 7: Cover the area by dry aluminum foil and apply periodontal pack.
• Step 8: Remove the pack after 2 weeks and repack if needed.

Frenectomy Indications

• In cases, where frenal attachment is close to marginal gingiva.
• In cases, where aberrant frenal attachment close to the incisive papilla leads to midline diastema.
• In cases, where aberrant frenal attachment make toothbrushing difficult in that area.