PDF(Pubmed)
Abstract：
The mucous membrane fold, which facilitates the attachment of the gingiva, alveolar mucosa, and the periosteum surrounding the lips and cheek, is known as the frenum. The frenal attachment at the gingival or papillary level may comprise periodontal health due to difficulty with plaque adherence or muscle pull. The management of such aberrant frenal attachment becomes necessary to avoid the associated future problems, such as midline diastema and periodontal attachment loss, which might lead to aesthetic problems and tooth mobility. The treatment modalities involve frenectomy using Miller\'s technique, conventional technique, Z-plasty, and V-Y plasty types of frenectomy procedures. The patient\'s requirements, specific indications, and intended results determine the method. This case report illustrates the utilisation of the V-Y plasty technique for the frenectomy of a papillary-type labial frenal attachment in a 19-year-old female patient. V-Y plasty proved to be an efficient technique for removing the aberrant labial frenum attachment, and the results were highly satisfactory, with less scar formation. V-Y plasty is reliable for covering defects and elongating the frenum area, giving desired clinical outcomes.
摘要：
粘膜折叠，这有利于牙龈的附着，肺泡粘膜，嘴唇和脸颊周围的骨膜，被称为法系。由于牙菌斑粘附或肌肉牵拉的困难,在牙龈或乳头水平处的肾附着可包括牙周健康。为了避免相关的未来问题，有必要对这种异常的肾附件进行管理，如中线舒张和牙周附着丧失，这可能会导致美学问题和牙齿活动性。治疗方式包括使用米勒技术的全系切除术，常规技术,Z-成形术,和V-Y成形术类型的全系切除术。病人的要求，具体适应症,和预期结果确定方法。此病例报告说明了V-Y成形术技术在一名19岁女性患者中对乳头状型阴唇肾上腺附件的全切除术中的应用。V-Y成形术被证明是去除异常唇缘附件的有效技术，结果非常令人满意，疤痕形成较少。V-Y成形术对于覆盖缺损和延长系带区域是可靠的，提供所需的临床结果。
