Surgical methods of managing the upper lip frenulum - a literature review
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1
PRIVATE DENTAL PRACTICE- AGNIESZKA ROLEK, WROCLAW, POLAND
2
DEPARTMENT OF CRANIO-MAXILLO-FACIAL SURGER, PROVINCIAL SPECIALIST HOSPITAL NAMED AFTER ST. BARBARA – TRAUMA CENTER, SOSNOWIEC, POLAND
These authors had equal contribution to this work
Submission date: 2024-05-13
Acceptance date: 2024-05-20
Publication date: 2024-07-24
Corresponding author
Agnieszka Rolek
dentistry, Prywatna Praktyka Stomatologiczna Agnieszka Rolek, Poland
Wiadomości Lekarskie 2024;77(6):1291-1293
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ABSTRACT
The upper lip frenulum with an overgrown structure or improper attachment is a common cause of hygienic, orthodontic, or prosthetic issues that prompt surgical intervention. The following article presents the surgical methods for the elimination of the overgrown frenulum, discussing and comparing them. Commonly used and described in the literature methods for surgical correction of the upper lip frenulum include frenulectomy, frenuloplasty, and laser excision of the frenulum. The article presents, discusses, and compares the methods of surgical correction of the upper lip frenulum, highlighting the advantages and disadvantages of each procedure. According to researchers, when comparing methods using a scalpel, Z-frenuloplasty is characterized by the lowest recurrence rate and consequently the highest effectiveness in eliminating the problem of an overgrown frenulum. The article also outlines several advantages of using laser methods (diode laser, CO2 laser), such as the elimination of bleeding, reduced postoperative pain reported by patients, and the lack of need for suturing the postoperative wound. [1,7,8] Each case depends on a thorough clinical examination of the patient, identifying the specific problem, making an accurate diagnosis, and ultimately adjusting the choice of one of the methods to the individual conditions and medical issue of the patient.