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Maxillary labial fraenectomy: indications and technique
Mohit Mittal1, Alison M Murray, P Jonathan Sandler
1Royal Derby Hospital, Derby.
Dental Update
|June 15, 2011
Summary
Labial fraenectomy aids orthodontic treatment by addressing maxillary midline diastema. Proper timing and surgical technique are crucial for effective elimination of the labial frenum.
Area of Science:
- Oral and Maxillofacial Surgery
- Orthodontics
Background:
- Labial fraenectomy is a surgical procedure indicated in various clinical scenarios.
- It is often performed to facilitate orthodontic closure of a maxillary midline diastema.
Purpose of the Study:
- To present the indications for labial fraenectomy.
- To discuss the appropriate timing of this procedure in relation to orthodontic treatment.
Main Methods:
- Review of clinical situations requiring labial fraenectomy.
- Discussion on the timing of the surgical intervention (before, during, or after orthodontic closure).
Main Results:
- Accurate diagnosis of the labial frenum is essential for success.
- Meticulous surgical technique ensures complete elimination of the frenum.
Conclusions:
- Effective and efficient surgical techniques for maxillary labial fraenectomy are valuable clinical tools.
- The timing of labial fraenectomy should be individualized based on the specific clinical case.

