A frenum is an anatomic structure formed by mucous membrane folds and connective tissue and at times muscle fibres that attach the lips and cheeks to the alveolar mucosa, gingiva and the underlying periosteum. Although it is a normal structure, its presence has been associated with some unpleasant and even pathological situations. Maxillary labial frenum is capable of creating a diastema and subsequent gingival recession, thus affects aesthetics. Several methods to eliminate ectopic frenal attachments have been suggested in literature, including frenectomy and frenotomy. Frenectomy is done by complete elimination of the frenum and its attachments, while frenotomy achieves repositioning of a frenal attachment by incision. This case repot is based on the classical technique introduced by Archer 1961 & kruger 1964. This surgical approach was advocated in the midline diastema cases with an aberrant frenum to ensure the removal of the muscle fibres.
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2022: 6.012
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