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The labial frenulum, also known as lip-tie, often attaches to the center of the upper lip and between the upper two front teeth. This can cause a large gap and gum recession by pulling the gums off the bone. A labial frenectomy removes the labial frenulum. Orthodontic patients often have this procedure done to assist with closing a front tooth gap.
Labial frenectomy (of the lip) is very common with patients undergoing denture treatment to get the proper fit of dentures or patients who have tissues attached to center of the upper lip and causing recession of gums or gap between the upper front teeth called central incisors.
Thick frenum attachment or close attachment to gum margin can contribute to increased plaque accumulation, persistent inflammation, muscular pull on gum and affect gum contour. [6] Usual sites for frenectomy are buccal regions of upper and lower incisors, upper canines and premolars. Frenectomy is rarely required for lingual sites. [6]
A gum lift (also known as a gingivectomy) is a cosmetic dental procedure that raises and sculpts the gum line. This procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or symmetrical teeth , thereby making the smile more aesthetically pleasing.
Gum grafting, also known as a gingival graft or periodontal plastic surgery, is a surgical procedure to reverse gum recession. Gum recession exposes the roots of teeth, [9] which can lead to sensitivity and put teeth at a higher risk of damage or disease [10] due to the loosening of their attachment within the gums and bones of the jaw.
This means there is a risk of temporary or permanent numbness or altered sensation to the lip +/- chin on the side the surgery is taking place. Therefore, in order to assess this risk and inform the patient, the position of the inferior alveolar nerve in relation to a lower wisdom tooth needs to be assessed radiographically prior to extraction.
Gingivectomy is the primary treatment method available in reducing the pocket depths of patients with periodontitis and suprabony pockets. [4] [5] In a retrospective comparison between different treatment approach to periodontitis management based on the initial and final gingival health, conventional gingivectomy was proven to be more successful in reducing pocket depths and inflammation ...
The procedure adapts according to the initial clinical state. For patients with a prolonged absence of teeth, the process typically follows a straightforward approach. Creating a navigation template entails making small incisions in the soft tissue at the implant sites instead of pulling back the gums, aiming to maintain gum volume.