Year : 2020

Volume : Volume 11

Issue : Issue 3

Address for correspondence :
Dr. P. Samuel.
sameethefieldstriker09@gmail.com

Abstract

Background:  The aberrant frena may imperil the gingival health when they are attached too closely to the gingival margin by interfering in the plaque control or due to a muscle pull. In addition to this, the maxillary frenum leads to compromise the orthodontic result in the midline diastema cases causing a recurrence after the treatment. There are various conservative approaches with their technical and esthetics limitations.  Archer’s “classical frenectomy” is an extensive procedure with excision of fibers, interdental papilla, and the alveolar bone's exposure up to the palatine papilla with formation of unesthetic scarring. In millers technique a horizontal incision was given to raise a laterally positioned graft and sutured at midline. A better frenectomy approach was attempted by adding a cut back incision  to make a primary closure in the midline and avoid an unesthetic scar assisted with a lateral displaced flap.

Keywords: Frenectomy, Modified Miller’s Technique, Laterally Displaced Flap.