Yilgör Nurettin Yusuf, Şimşek Derelioğlu Sera, Eser Tuna Pınar, Şengül Fatih, Aslan İnce Nazlı Nur
Oral Health Prev Dent. 2025 Sep 26;23:569-575. doi: 10.3290/j.ohpd.c_2277.
This study aimed to evaluate the distribution of maxillary labial frenum (MLF) attachment types and their potential association with the development of early childhood caries (ECC) in children aged 2 to 5 years who presented to our clinic for routine check-ups or treatment.
A total of 92 children aged 24-71 months (53 girls and 39 boys) were included in the study. Clinical oral examinations were performed, and MLF attachment types were recorded using Placek's classification. Standardised intraoral photographs were taken to document the anterior maxillary region and frenum attachments. Children were categorised into ECC and caries-free groups based on clinical findings. Statistical analyses were conducted using Statistical Package for the Social Sciences (SPSS) v26.
The mean age of the participants was 52.7 ± 11.7 months. In the ECC group, the mean dmft score was 9.8 ± 4.3. Although no statistically significant relationship was found between overall frenum attachment types and caries formation in the anterior maxillary region, papillary and mucosal attachment types were more common in children with anterior caries, while the gingival type was more prevalent in the caries-free group (P 0.05).
A statistically significant association was observed between certain MLF attachment types and anterior caries; however, the presence of caries in mucosal-type attachments - typically considered low-risk - suggests that other aetiological factors play a more prominent role in ECC development. Therefore, clinicians should focus on comprehensive caries risk assessment before considering surgical interventions such as frenectomy.
本研究旨在评估前来我院进行常规检查或治疗的2至5岁儿童上颌唇系带（MLF）附着类型的分布情况及其与幼儿龋（ECC）发生发展的潜在关联。
本研究共纳入92名年龄在24 - 71个月的儿童（53名女孩和39名男孩）。进行了临床口腔检查，并使用Placek分类法记录MLF附着类型。拍摄标准化口腔内照片以记录上颌前部区域和系带附着情况。根据临床检查结果将儿童分为ECC组和无龋组。使用社会科学统计软件包（SPSS）v26进行统计分析。
参与者的平均年龄为52.7±11.7个月。在ECC组中，平均dmft得分是9.8±4.3。虽然总体系带附着类型与上颌前部区域龋病形成之间未发现统计学上的显著关系，但乳头型和黏膜型附着在患有上颌前部龋齿的儿童中更为常见，而牙龈型在无龋组中更为普遍（P<0.05）。
观察到某些MLF附着类型与上颌前部龋齿之间存在统计学上的显著关联；然而，黏膜型附着（通常被认为是低风险）中存在龋齿表明其他病因因素在ECC发展中起更突出的作用。因此，临床医生在考虑诸如唇系带切除术等手术干预之前，应专注于全面的龋病风险评估。
