Early diagnosis and surgical treatment of the lower labial frenum in infancy: a case report.
The lower labial frenum attached to the free gingival margin can promote local tension, resulting in tissue ischemia, promoting the development of gingival recession, as well as complicating oral hygiene, resulting in a local biofilm accumulation and chronic inflammation. In such cases, periodontal surgery is recommended and the local anatomic characteristics will be improved as early as school age. In this case report, a 7 years old patient had the lower labial frenum repositioned. After this procedure, the suture of the mucosa to the periosteum was performed around the surgical wound to provide local healing by secondary intention. This case report suggests that early diagnosis and surgical treatment of the lower labial frenum in school age children is fundamental in eliminating etiological factors, reestablishing normal anatomic characteristics and preventing periodontal diseases.
Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, University of São Paulo, SP, Brazil. acvmello@usp.br
Anna Carolina Volpi
AC
Mello-Moura
Isabela Capparelli
IC
Cadioli
Maria Salete Narras Pires
MS
Corrêa
Célia Regina Martins Delgado
CR
Rodrigues
Ricardo
R
De Nardi Fonoff
D002648:Child; D005891:Gingivitis / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007742:Labial Frenum / Q000601:surgery*; D008297:Male; D014727:Vestibuloplasty / Q000379:methods