Expanding the frenectomy: Modifications of the conventional technique- Case report

• Author Details:   
• Ardra C K ^*
• Kavya V P
• Bindu R Nayar
• Koshi Philip

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Frenectomy, the removal of aberrant frenum, can be performed using various techniques to address issues like midline diastema, aesthetic and speech problems. Frenectomy techniques have undergone significant advancements, moving beyond conventional limitations to enhance precision, reduce complications, and improve patient outcomes. Modern approaches integrate laser technology, refined surgical methods, and evidence-based practices to address functional and aesthetic challenges more effectively. This case report demonstrates modifications of conventional scalpel methods such as Miller's technique, V-Y plasty and Z plasty. Multiple surgical approaches are available, each with unique merits and limitations. The conventional scalpel method is a traditional approach with potential for postoperative pain, scarring, and periodontal issues. Miller's Technique offers better aesthetics but limited applicability. V-Y Plasty and Z Plasty is complex, with variable aesthetic results, especially for thick frenum. Frenum can be excised through various modalities and techniques. appropriate selection of techniques based on clinical scenarios will provide functionally and aesthetically superior outcomes and patient satisfaction.