Work

Mari's novel T shaped incision in frenotomy technique with bilateral pedicle flap- an aesthetic approach

Year: 2024

Type: article

Abstract: Background: Aberrant frenum attachments often lead to mucogingival deformities, culminating in both functional impairments and aesthetic concerns. Traditional frenectomy procedures are associated with extensive incisions and resultant wound defects. To address these challenges, a novel T-shaped incision technique has been developed. This method enhances accessibility for removing vestibular and frenal attachments while creating a tripod layer of flaps, thereby promoting primary closure and improved blood supply for healing by primary intention. Case management: This innovative technique is particularly suited for managing frenum variations such as bifid frenum, persistent tectolabial frenum, double frenum, and wider frenum. The procedure involves crafting two horizontal and two converging parallel incisions that form a "T" shape, facilitating effective fiber detachment. Bilateral pedicle flaps are then employed for primary closure, which concurrently enlarges the zone of attached gingiva. Conclusion: The T-shaped incision approach presents an advanced method for treating abnormal frenum attachments, ensuring efficient fiber separation and fostering healing by primary intention.

Source: Journal of Oral Biology and Craniofacial Research

DOI: 10.1016/j.jobcr.2024.09.008

Authors: K. Rudhra, Ranjith Mari, Anitha Balaji, Mohan Valiathan

Institution: Sree Balaji Dental College and Hospital

Language: English

Topic: Oral and Craniofacial Lesions

Subfield: Speech and Hearing

Field: Health Professions

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,800