Chacón-Moscoso A, Baños-Lara R, De La Hoz PR

Language: Spanish
References: 30
Page: 1398-1403
PDF size: 200.07 Kb.

ABSTRACT

Patients with mixed dentition commonly present midline diastema, from which their physiological closure is expected upon eruption of the permanent lateral incisors and canines. One of the reasons the midline diastema is not eliminated relies on its association with the presence of a labial frenum, either with papillary or papillary penetrating insertion, which prevents the physiological closure of the diastema. Often, orthodontists are consulted to reduce this space; they address patients to remove the frenum, some prefer the surgical procedure to be performed before the orthodontic treatment and others, after the closing of the diastema. This review considers the description of histology of the frenum, the classifications according to the insertion site, its variations, and anomalies in its form, the indications for its elimination and situation on this matter about the right time to perform the frenectomy. Also, this review shows that literature is not conclusive about the ideal time to eliminate the frenum; there is a bias to remove it once the midline diastema is closed, although some clinical considerations will have to be taken to have a better clinical decision to perform the surgical procedure.

REFERENCES

1. Edwards John G. The diastema, the frenum, the frenectomy: A clinical study. Am J Orthod. 1977 May; 71(5): 489-508.

2. Delli K, Livas C, Sculean A, Katsaros C, Bornstein MM. Facts and myths regarding the maxillary midline frenum and its treatment: A systematic review of the literature. Quintessence Int 2013; 44: 177-87.

3. Ross RO, Brown FH, Houston GD. Histologic survey of the frena of the oral cavity. Quintessence Int 1990; 21: 233-37.

4. Edwards LF, Boucher CO. Anatomy of the mouth in relation to complete dentures. J Am Dent .Assoc 1942; 29: 331-45.

5. Mintz SM, Siegel MA, Seider PJ. An overview of oral frena and their association with multiple syndromic and nonsyndromic conditions. Oral Sur, Oral Med, Oral Pathl, Oral Radiol Endod. 2005; 99: 321-24.

6. Grantidis N, Kolokhita O, Topouzelis N. Management of maxillary midline diastema with emphasis on etiology. J Clin Pediatr Dent. 2008; 32(4): 265-72.

7. Mirko P, Miroslav S, Lubor M. Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol 1974; 45: 891-94.

8. Sewerin I. Prevalence of variations and anomalies of the upper labial frenum. Acta Odontol Scand 1971; 29: 487-96.

9. Barroso J, Sáez S, Bellet L. Indicación quirúrgica de los frenillos bucales: a propósito de un caso. Rev Oper Dent Endod. 2007; 5: 56.

10. Díaz M. Diastema medio interincisal y su relación con el frenillo labial superior: una revisión. Rev Estomatol Herediana. 2004. 14(1-2): 95-100.

11. Priyanka M, Sruthi R, Ramakrishnan T, Emmadi P, Ambalavanan N. An overview of frenal attachments. J Indian Soc Periodontol. Jan;17(1): 12-5. doi: 10.4103/0972-124X.107467

12. Devishree, Gujjari SK, Shubhashini PV. Frenectomy: A Review with the Reports of Surgical Techniques. J Clin Diagn Res. 2012 Nov; 6(9): 1587-92. doi: 10.7860/JCDR/2012/4089.2572

13. Koerner K. R, Tilt LLoyd V, Kenneth J, R. Atlas de cirugía oral menor. 1a ed. España; 1995. 174 p.

14. Huang WJ, Creath CJ. The midline diastema: a review of its etiology and treatment. Pediatr Dent 1995 May-Jun;17(3): 171-79.

15. Archer WH. Oral surgery for a dental prosthesis. In: Archer WH (ed). Oral and Maxillofacial surgery. Philadelphia: Saunders, 1975; 135-210.

16. Miller PD. Frenectomy, combined with a laterally positioned pedicle graft -functional and esthetic considerations. J Periodont 1985; 56:102-06.

17. Howe GL. The surgical aids to a denture construction. In: Geoffrey L Howe (ed). Minor oral surgery. London;Wright: p277.

18. Langdon JD, Patel MF. Reconstructive surgery orofacial flaps and skin grafting. In: Operative Maxillofacial Surgery. Chapman and Hall, London; 1998; 73.

19. Kruger GO. Acquired defects of the hard and soft tissues of the face. In: Gustav O Kruger (ed) Oral and maxillofacial surgery. St. Louis: Mosby, 487-88.

20. Cunha RF, Silva JZ, Faria MD. A clinical approach of ankyloglossia in babies: a report of two cases. J Clin Pediatr Dent 2008 Summer; 32(4): 277-81.

21. Verco, PJW. A case report and a clinical technique: argon beam electrosurgery for the tongue ties and maxillary frenectomies in infants and children. Eur Arch Paediatr Dent. 2007. 8(Suppl 1): 15. doi:10.1007/BF03262604.

22. Campbell PM, Moore JW, Matthews JL. Orthodontically corrected midline diastemas. A histologic study and surgical procedure. Am J Orthod 1975; 67: 139-58.

23. Ewen, S. J., Pasternak, R. Periodontal Surgery - An adjunct to orthodontic therapy, Periodontics 2: 162-71, 1964.

24. Suter VG, Heinzmann AE, Grossen J, Sculean A, Bornstein MM. Does the maxillary midline diastema close after frenectomy? Quintessence Int 2014; 45: 57-66. doi: 10.3290/j.qi.a30772

25. Zachrisson BU. Orthodontics and periodontics In: Lindhe J, 3rd ed. Clinical periodontology and implant dentistry. Munksgaard, Copenhagen, 741-93, 1997.

26. Stubley R. The influence of transseptal fibers on incisor position and diastema formation. Am J Orthod, 1976; 70: 645-62.

27. Dewel, B.F. The normal and the abormal labial frenum: clinical differentiation. J. Am. Dent. Assoc. 1946 Mar; 33: 318-29.

28. Henry SW, Levin MP, Tsaknis PJ. Histologic features of the superior labial frenum. J Periodontol. 1976 Jan;47(1): 25-8.

29. Gibbs, S.L. The superior labial frenum and its orthodontic considerations. NY State Dent J. 34: 550, 1968.

30. Bishara SE. Management of diastemas in orthodontics. Am. J. Orthod. 1972 Jan; 61(1): 55-63.