Frenectomy with Paralleling Technique: A Case Report

Abstract

A frenum is a fold of tissue or muscle connecting the lips, cheek or tongue to the jaw bone. Clinically, papillary and papilla penetrating frenum are considered as pathological and have been found to be associated with loss of papilla, recession, diastema, difficulty in brushing, al alignment of teeth and psychological disturbances to individual. Frenectomy is the complete removal of the frenum, including its attachment of the underlying bone. There are two techniques for frenectomy. One of these is the conventional technique with scalpels and periodontal knives, and the other is using the soft tissue laser, both the techniques has certain disadvantages, conventional scalpel technique causes large rhomboidal wound area where primary closure is not possible in the lower part and healing takes place by secondary intension. It also causes more pain and discomfort to the patient when compared with the laser technique. On the other hand laser is a costly instrument, and the use require more precision and control, if the beam touches the bone surface it will cause necrosis of the bone.

The aim of this article is to report a case of paralleling technique frenectomy, along with literature review & its advantages over conventional technique frenectomy.