Frenectomy with semilunar coronally repositioned flap: A single stage approach - simple solution for complex problem

Area of Science:

• Dentistry
• Periodontology
• Oral Surgery

Background:

• Gingival recession involves the apical displacement of the gingival margin relative to the cementoenamel junction.
• Aberrant frenum attachment is a contributing factor to gingival recession due to tension on marginal tissues.
• Conventional treatment requires a two-stage procedure: frenectomy followed by a recession coverage procedure.

Observation:

• This case report details a novel technique for treating gingival recession in the maxillary central incisor region.
• The presented method involves simultaneous frenectomy and coronal repositioning of the gingiva for root coverage.
• The technique aims to enhance predictability, minimize patient discomfort, and reduce the number of surgical interventions.

Findings:

• A single-stage surgical approach effectively addressed aberrant frenum attachment and achieved root coverage.
• The combined procedure offers clinical advantages over traditional two-stage treatments.
• Patient esthetic demands, including tissue color and blend, were considered in the treatment approach.

Implications:

• This single-stage technique offers a more efficient and patient-friendly alternative for managing gingival recession associated with aberrant frenum.
• The findings suggest potential for improved esthetic results and patient satisfaction.
• Further research can explore the long-term efficacy and broader applicability of this combined surgical approach in periodontology.