Journal of Indian Society of Periodontology

CASE REPORT
Year
: 2011  |  Volume : 15  |  Issue : 3  |  Page : 265--269

Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar


K Krishna Chaubey, Vipin K Arora, Rajesh Thakur, Inderpreet S Narula 
 Department of Periodontics, Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh, India

Correspondence Address:
K Krishna Chaubey
Kothiwal Dental College and Research Centre, Moradabad, Uttar Pradesh
India

An aberrant frenum is postulated to create functional and aesthetic problems. Archer«SQ»s «SQ»classical frenectomy«SQ» is an extensive procedure including the excision of fibers, interdental papilla, and exposure of alveolar bone up to the palatine papilla. The resultant delayed healing, loss of interdental papilla, and abnormal scar led towards the conservative approaches like Edward«SQ»s frenectomy, frenum relocation by Z-plasty and free gingival graft; with their technical and aesthetic limitations. A better approach to make a primary closure in midline and to avoid anesthetic scar by creating a zone of attached gingiva, frenectomy is assisted with lateral pedicle graft. The interdental papilla is left surgically undisturbed and healing takes place by primary intention. Miller, in his study on 27 subjects, suggested that the newly created zone of attached gingiva might have bracing effect inhibiting reopening of diastema. A case series of this technique with its distinct advantages is presented.


How to cite this article:
Chaubey K K, Arora VK, Thakur R, Narula IS. Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar.J Indian Soc Periodontol 2011;15:265-269


How to cite this URL:
Chaubey K K, Arora VK, Thakur R, Narula IS. Perio-esthetic surgery: Using LPF with frenectomy for prevention of scar. J Indian Soc Periodontol [serial online] 2011 [cited 2020 Dec 3 ];15:265-269
Available from: https://www.jisponline.com/article.asp?issn=0972-124X;year=2011;volume=15;issue=3;spage=265;epage=269;aulast=Chaubey;type=0