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Aberrant Frenum and Its Treatment PDF
Aberrant Frenum and Its Treatment PDF
A frenulum is a small frenum. There are several frena that are usually
present in a normal oral cavity, most notably the maxillary labial
frenum, the mandibular labial frenum, and the lingual frenum.
Swallowing dysfunction.
FREE-TONGUE:
The term free-tongue is defined as the length of tongue from the
insertion of lingual frenum from the base of the tongue to the tip
of the tongue.
Clinically acceptable, normal range of free-tongue is greater than
16 mm.
Ankyloglossia can be classified into 4 classes based
on Kotlow’s assessment (based on length of tongue from
insertion of lingual frenum at base of the tongue to the tip
of the tongue) as follows:
Miller’s technique
V-Y plasty
Z plasty
Laser frenectomy
The classical technique was introduced by
Archer(1961) and Kruger(1964).
Gauze sponges
Suture pliers
Scissors
Gauze sponges
Tissue forceps
Suture pliers
Scissors
ARMAMENTARIUM:
Hemostat
Scalpel blade no.15
Gauze sponges
4-0 black silk sutures
Suture pliers
Scissors
Periodontal dressing (Coe-pak)
This technique was employed in a case of a papilla type of
frenal attachment.
ARMAMENTARIUM:
No need of sutures.
1 Properly strip, cleave and initiate well the disposable fiber tip.
5 Continue until all vertical fibers are removed and you are at the
periosteum.
6 If necessary “score” the periosteum horizontally with a scalpel
blade or
periosteal elevator.
7 Hydrogen Peroxide or wet cotton pellet to remove tissue tags.
The patient should be instructed –
NOT to eat anything until the anesthesia wears off, as there are chances
of biting the lips, cheek or tongue.
Avoid extremely hot foods for the rest of the day and do NOT rinse out
your mouth, as these will often prolong the bleeding. If bleeding
continues, apply light pressure to the area with a moistened gauze for
20-30 minutes.
Follow a soft food diet, taking care to avoid the surgical area when
chewing. Chew on the opposite side and do NOT bite into food. Be sure to
maintain adequate nutrition and drink plenty of fluids. Do NOT use a
drinking straw, as the suction may dislodge the blood clot.
Avoid alcohol and smoking until after your post-operative
appointment. Smoking is not advised during the 7-14 days following
surgery.
Maintain normal oral hygiene measures in the areas of mouth not affected
by the surgery. In areas where there is dressing, lightly brush only the
biting surfaces of the teeth. Vigorous rinsing should be avoided!
Do NOT pull down the lip or cheek.
Frenum may not regularly draw close scrutiny on
routine dental examination.