Rudhra K, Mari Ranjith, Balaji Anitha, Valiathan Mohan
Sree Balaji Dental College and Hospital, India.
Sree Balaji Dental College and Hospital, Pallikaranai, India.
J Oral Biol Craniofac Res. 2024 Nov-Dec;14(6):782-784. doi: 10.1016/j.jobcr.2024.09.008. Epub 2024 Oct 22.
Aberrant frenum attachments often lead to mucogingival deformities, culminating in both functional impairments and aesthetic concerns. Traditional frenectomy procedures are associated with extensive incisions and resultant wound defects. To address these challenges, a novel T-shaped incision technique has been developed. This method enhances accessibility for removing vestibular and frenal attachments while creating a tripod layer of flaps, thereby promoting primary closure and improved blood supply for healing by primary intention.
This innovative technique is particularly suited for managing frenum variations such as bifid frenum, persistent tectolabial frenum, double frenum, and wider frenum. The procedure involves crafting two horizontal and two converging parallel incisions that form a "T" shape, facilitating effective fiber detachment. Bilateral pedicle flaps are then employed for primary closure, which concurrently enlarges the zone of attached gingiva.
The T-shaped incision approach presents an advanced method for treating abnormal frenum attachments, ensuring efficient fiber separation and fostering healing by primary intention.
异常的系带附着常常导致黏膜牙龈畸形，最终造成功能障碍和美观问题。传统的系带切除术需要广泛的切口并导致伤口缺损。为应对这些挑战，一种新型的T形切口技术被开发出来。该方法在移除前庭和系带附着时提高了可达性，同时形成一个三角瓣层，从而促进一期缝合，并改善一期愈合的血供。
这种创新技术特别适用于处理诸如双叉系带、持续性上唇系带、双系带以及较宽系带等系带变异情况。该手术包括制作两条水平切口和两条相互汇聚的平行切口，形成一个“T”形，便于有效分离纤维。然后采用双侧带蒂瓣进行一期缝合，这同时扩大了附着龈区域。
T形切口方法是一种治疗异常系带附着的先进方法，可确保有效分离纤维并促进一期愈合。
