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Early creeping attachment after frenectomy: a case report
1United States Army Dental Activity, Fort Lewis, Washington, USA.
General Dentistry
|February 24, 2001
Summary
Abnormal frenula can cause gum recession and tooth gaps. A simple frenectomy procedure led to creeping attachment, successfully treating recession and avoiding further surgery.
Area of Science:
- Dentistry
- Periodontology
- Oral Surgery
Background:
- Abnormal labial frenula can lead to gingival margin recession, diastema formation, and restricted lip/tongue mobility.
- Traditional frenectomy is effective for aberrant frenula, but mucogingival procedures are often necessary for resulting defects.
Observation:
- A case presentation identified an aberrant frenum linked to recession on a mandibular left central incisor.
- A staged surgical approach was planned, beginning with a simple frenectomy and followed by a connective tissue graft for root coverage.
Findings:
- Following frenectomy, significant healing occurred within four weeks.
- A 1.0 mm creeping attachment was observed, resolving the need for the planned secondary corrective surgery.
Implications:
- Early intervention with frenectomy may promote natural tissue healing and creeping attachment.
- This approach can potentially prevent the need for more complex mucogingival surgeries, offering a simpler treatment pathway.
