Sayegh Wadie, Khalil Ali, Sleman Nadim
Oral and Maxillofacial Surgery Department, Tishreen University Hospital, Latakia, Syria.
Professor and Head of Oral and Maxillofacial Surgery Department, Tishreen University, Latakia, Syria.
Ann Med Surg (Lond). 2025 Mar 5;87(3):1324-1333. doi: 10.1097/MS9.0000000000003073. eCollection 2025 Mar.
Cosmetic concerns among patients have led to an increased demand for dental treatments aimed at achieving a perfect smile. One of the main cosmetic issues in adults is the gap between the upper incisors, known as diastema, and the upper lip frenulum is often a contributing factor to this condition. Therefore, it is imaportant to focus on this aspect.
To explore a new technique for cutting the upper lip frenulum in patients with a gap between the central incisors while avoiding the negative effects of the traditional technique.
This randomized controlled clinical trial included 20 patients diagnosed with abnormal upper lip frenal attachment and diastema between the central incisors. The study compared the modified frenectomy technique with a papilla preservation flap against the traditional "Archer" technique. Each technique was performed on 10 patients, and outcomes such as scar formation, gingival inflammation, and post-surgical pain were evaluated.
The "modified frenectomy with papilla preservation flap" technique prevented scar formation in the papilla area between the upper incisors in nine cases, while scar formation occurred in seven cases using the traditional technique. There were no statistically significant differences in gingival inflammation post-surgery. Pain levels were lower with the modified technique: on the first day, the average pain score was 1.5 for the modified technique and 2.8 for the traditional technique. By the third day, the average pain was 4.3 for the modified technique and 6.9 for the traditional technique, with pain decreasing by the seventh day to an average of 0.7 for the modified technique and 1.6 for the traditional technique.
The modified frenectomy with a papilla protection flap effectively reduces scarring, enhances healing, and minimizes postoperative pain, offering a more comfortable and aesthetically better result than conventional methods.
患者对美容的关注导致对旨在实现完美笑容的牙科治疗的需求增加。成年人主要的美容问题之一是上切牙之间的间隙，即牙间隙，而上唇系带通常是导致这种情况的一个因素。因此，关注这一方面很重要。
探索一种在中切牙间有间隙的患者中切割上唇系带的新技术，同时避免传统技术的负面影响。
这项随机对照临床试验纳入了20例被诊断为上唇系带附着异常且中切牙间有牙间隙的患者。该研究将改良的保留乳头瓣系带切除术技术与传统的“阿彻”技术进行了比较。每种技术分别应用于10例患者，并对诸如瘢痕形成、牙龈炎症和术后疼痛等结果进行了评估。
“改良保留乳头瓣系带切除术”技术在9例患者中防止了上切牙之间乳头区域的瘢痕形成，而使用传统技术的7例患者出现了瘢痕形成。术后牙龈炎症无统计学显著差异。改良技术的疼痛程度较低：第一天，改良技术的平均疼痛评分为1.5，传统技术为2.8。到第三天，改良技术的平均疼痛评分为4.3，传统技术为6.9，到第七天疼痛减轻，改良技术平均为0.7，传统技术为1.6。
改良的保留乳头瓣系带切除术能有效减少瘢痕形成，促进愈合，并将术后疼痛降至最低，比传统方法提供了更舒适且美观效果更好的结果。
