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KMID : 0358920040310040665
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Journal of the Korean Academy of Pedodontics
2004 Volume.31 No. 4 p.665 ~ p.670
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TREATMENT OF HEAVY MANDIBULAR BUCCAL FRENUM USING APICALLY POSITIONED PARTIAL-THICKNESS FLAP IN CHILD
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Lee Seong-Ryong
Oh You-Hyang
Lee Nan-Young
Lee Chang-Seep
Lee Sang-Ho
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Abstract
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The mandibular buccal frenum becomes a problem when its attachment is too close to the marginal gingival. Heavy buccal frenum mucogingivally results in insufficient attached gingiva, inadequate vestibular depth and also difficulty in eruption of mandibular premolar.
The aim of this study is to demonstrate the effectiveness of apically positioned partial-thickness flap as adequate mothod in order to remove heavy buccal frenum and expose impacted teeth. The author presents the case of a 12-year-old boy. He had problems that was prolonged eruption of #34, #35 due to high pull buccal frenum. After space regaining for normal eruption of #34, #35, we performed apically positioned partial-thickness flap on #34,35 area. As a results, we confirmed that eruption of #34, #35 has been processed normally. And vestibular depth, position of buccal frenum and width of attached gingival was within a normal range. Decrease in muscle pull, adequate width of attached gingiva and increased vestibular depth can be expected from this treatment.
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KEYWORD
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Apically positioned partial-thickness flap, Heavy buccal frenum
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