title: Paralleling technique for frenectomy and oral hygiene evaluation after frenectomy.
abstract: BACKGROUND
  High frenum attachment is a very common problem in the population. Various conventional techniques are available which has certain disadvantages; in addition to that high frenum also hinders oral hygiene maintenance. This study aims to evaluate patient's response to two different frenectomy technique, and oral hygiene maintenance before and after frenectomy.
  
  
  METHODS
  Twenty patients with high labial frenum were randomly selected from the outpatient department. Patients were divided into two groups according to the technique used. Each group contained ten patients. One group was treated by "conventional scalpel technique" and other group by "new paralleling technique". To evaluate patients response, visual analogue scale for pain and speech were taken at first postoperative day, 1-week and 1-month. In other part of the study the oral hygiene maintenance was evaluated by using plaque and gingival bleeding index at baseline before frenectomy, 1-week and 1-month after frenectomy.
  
  
  RESULTS
  Results showed that new paralleling technique for frenectomy causes less postoperative discomfort and also there was significant improvement in the oral hygiene maintenance by the patient after frenectomy.
  
  
  CONCLUSIONS
  High maxillary frenum causes hindrance in oral hygiene maintenance. Paralleling technique for frenectomy causes less discomfort to the patient during healing phase when compared with the conventional technique.
authors.affiliation: Department of Periodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India.
authors.forename: Shahabe Saquib
authors.initials: SS
authors.lastname: Abullais
authors.affiliation: Department of Periodontics, M.G.V Dental College and Hospital, Nasik, Maharashtra, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Dani
authors.affiliation: Department of Periodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Ningappa
authors.affiliation: Department of Endodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India.
authors.forename: Kapil
authors.initials: K
authors.lastname: Golvankar
authors.affiliation: Department of Periodontology and Implantology, Dr. D. Y. Patil Dental College and Hospital, Navi Mumbai, Maharashtra, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Chavan
authors.affiliation: Department of Oral Pathology, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Malgaonkar
authors.affiliation: Department of Periodontics, M.G.V Dental College and Hospital, Nasik, Maharashtra, India.
authors.forename: Anup
authors.initials: A
authors.lastname: Gore
keywords: Conventional scalpel technique; frenectomy; high frenum; oral hygiene; paralleling technique