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运用米勒技术改良系带切除术:基于病例的概述

Refining Frenectomy by Miller's Technique: A Case-Based Overview.

作者信息

Sahu Neha, Mishra Supriya, Gupta Vineeta, Kumbare Sonal L, Snehil Alka

机构信息

Department of Periodontology, Government Dental College, Raipur, Raipur, IND.

Department of Periodontics, Government Dental College, Raipur, Raipur, IND.

出版信息

Cureus. 2025 Jul 15;17(7):e87967. doi: 10.7759/cureus.87967. eCollection 2025 Jul.

Abstract

An aberrant labial frenum can lead to midline diastema and gingival recession, affecting both the aesthetic appearance and functional integrity of the oral cavity. Several treatment approaches are available for managing such frenum abnormalities. The traditional frenectomy method is a more invasive procedure that often results in visible scarring and the loss of the interdental papilla, compromising aesthetics. To address these limitations, Miller proposed a modified technique that combines frenectomy with a laterally displaced flap. This approach offers the advantage of healing by primary intention, significantly reducing the risk of scarring. This article presents a case report utilizing Miller's technique for frenectomy. This case report presents a detailed account of Miller's technique for a frenectomy procedure, including a follow-up conducted two weeks post-operation.

摘要

异常的唇系带可导致中线牙缝和牙龈退缩,影响口腔的美观外观和功能完整性。有几种治疗方法可用于处理此类系带异常。传统的系带切除术是一种侵入性更强的手术,常常会导致明显的瘢痕形成和龈乳头丧失,损害美观。为解决这些局限性,米勒提出了一种改良技术,即将系带切除术与侧向移位瓣相结合。这种方法具有一期愈合的优势,显著降低了瘢痕形成的风险。本文介绍了一例运用米勒技术进行系带切除术的病例报告。该病例报告详细描述了米勒技术用于系带切除手术的过程,包括术后两周的随访情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6065/12351419/31f690ef3c98/cureus-0017-00000087967-i01.jpg

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