Frenectomy should be done in high frenal
attachments and relief should be given on prominent mid palatal suture.
The patient had failed to report for further appointments for the past three months and this had resulted in the complete coverage of the miniimplant by the maxillary labial frenal attachment.
This case report showcased the importance of performing a simple yet significant surgical procedure to completely relieve the frenal muscle attachments to the level of periosteum to facilitate further orthodontic management for the patient.
A #15 blade was used to sever the frenal attachment by a transverse incision above and below the area held by the hemostat (fig.
However, after the loss of teeth, this frenal attachment interferes with denture stability.
In addition to creation of space between the maxillary central incisors, and thus creating an area for food impaction, the frenal tissues have been implicated with poor oral hygiene, due to difficulty in tooth brushing and the resultant inflammatory periodontal destruction.
Frenotomy: is a partial removal of the frenum and to relocate the frenal attachment so as to create an increased zone of attached gingiva between the gingival margin and the frenum.