Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum

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Archives of Dentistry and Oral Health V1 . I2 . 2018 13
Introduction
A frenum is a mucous membrane fold comprises of
        
        
 3    
    
      
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Archives of Dentistry and Oral Health
ISSN: 2638-4809
Volume 1, Issue 2, 2018, PP: 13-17
Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum
Kriti Mehrotra1, Satish Saswat Majhi1*, Triveni M.G2, D S Mehta2

2
saswatmajhi02@gmail.com
*Corresponding Author: Satish Saswat Majhi, Postgraduate student, Department of Periodontics, Bapuji Dental
College and Hospital, Davangere, Karnataka, India.
Abstract
An aberrant frenum causes aesthetic and functional problems such as gingival recession both due to interference
in the plaque control or due to a muscle pull, can cause midline diastema, which presents an aesthetic problem,
compromise the orthodontic treatment and may lead to recurrence after the treatment. Loss of sulcus depth
and ankyloglossia also lead to problems with speech articulation and swallowing. The management of such an
aberrant frenum is accomplished by performing a frenectomy.
The present case report shows the removal of the abnormal maxillary labial frenum in a 25-year-old female
patient through the Z-plasty technique.
Key words: Frenum, frenectomy, Z- plasty, hypertrophied frenum.

Archives of Dentistry and Oral Health V1 . I2 . 2018
14
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
     
 
      Several
    
     
     




     
        
       
      
       
 

3
Case Presentation

      
       
      
      
         
      

  
      

      

3
Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum
Fig-a Fig-b
Surgical Procedure
 

    
      
      
     
  





d 



        

       
 3 
      


 


Archives of Dentistry and Oral Health V1 . I2 . 2018 15
Post-Operative follow-up

Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum
Fig-e Fig-f
Fig-c Fig-d

Archives of Dentistry and Oral Health V1 . I2 . 2018
16
Discussion
     

       



        

 
      
       
     



 
for


     


 
     




       
tension and enable mobility

       



       
         


     

   2   
        

 


     


     


       


o


o  

  o       

        



Conclusion
     


      
       
      
        

Reference



  



     


       
      

Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum

Archives of Dentistry and Oral Health V1 . I2 . 2018 17


     
      


       




       

     
  
       



 
        

       

      
  

       
      
     
     

 
       

        

    

Z- Plasty: An Esthetic Approach for Maxillary Labial Frenum
Citation: Kriti Mehrotra, Satish Saswat Majhi, Triveni M.G, D S Mehta. Z- Plasty: An Esthetic Approach for
Maxillary Labial Frenum. Archives of Dentistry and Oral Health. 2018; 1(2): 13-17.
Copyright: © 2018 Kriti Mehrotra, Satish Saswat Majhi, Triveni M.G, D S Mehta. This is an open access
article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution,
and reproduction in any medium, provided the original work is properly cited.