PDF(Pubmed)
Abstract：
The frenum, a fold of mucous membrane, connects the lip and cheek to the alveolar mucosa, gingiva, and underlying periosteum. When the frenum is positioned excessively near the gingival margin, it has the potential to compromise gingival health, impeding plaque control efforts and inducing muscular stress. A frenectomy is a commonly employed corrective measure for anomalous frenum attachments. In a recent clinical case, a 21-year-old female patient was referred from the Department of Orthodontics to the Department of Periodontics due to a papillary-type aberrant labial frenum attachment and excessive gingival tissue surrounding the upper right and left central incisors. The patient underwent a frenectomy, gingivectomy, and gingivoplasty procedures under local anesthesia to address the abnormal frenum attachment and gingival overgrowth using a scalpel. This approach has been demonstrated to yield optimal outcomes in orthodontic therapy for patients exhibiting elevated frenum attachment and gingival overgrowth. Following the achievement of hemostasis, a periodontal pack was applied to facilitate healing and preserve the soft tissue.
摘要：
法团，粘膜的褶皱，将嘴唇和脸颊连接到肺泡粘膜，牙龈,和下面的骨膜。当系带过度靠近牙龈边缘时，它有可能损害牙龈健康，阻碍斑块控制努力并诱导肌肉压力。系带切除术是用于异常系带附着的常用纠正措施。在最近的一个临床病例中,一名21岁的女性患者因乳头型异常唇系附着和右上和左上中切牙周围过多的牙龈组织而从正畸科转诊至牙周病科。病人接受了全系切除术,牙龈切除术,以及在局部麻醉下进行的牙龈成形术，以使用手术刀解决异常的系带附着和牙龈过度生长。已证明这种方法可在正畸治疗中对表现出增强的系带附着和牙龈过度生长的患者产生最佳效果。在实现止血后，应用牙周包以促进愈合和保护软组织。
