Published date: Apr 25 2022

Journal Title: KnE Medicine

Issue title: The International Online Seminar Series on Periodontology in conjunction with Scientific Seminar

Pages: 144-150

DOI: 10.18502/kme.v2i1.10845

Sherly Endangsherlyendang@gmail.comPeriodontology Specialist Educational Program, Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Andi Adam MardianaPeriodontology Specialist Educational Program, Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Arni Irawaty DjaisPeriodontology Department Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

SP Sigit NardiatmoPeriodontology Specialist Educational Program, Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Sri Wahyu PutriPeriodontology Specialist Educational Program, Faculty of Dentistry, Hasanuddin University, Jl. Kandea No. 5, Baraya, Bontoala, Makassar, South Sulawesi, 90153, Indonesia

Background: Aberrant labial frenum can cause central diastema, gingival recession and affect aesthetic appearance. Several techniques are available for removing the attachment of an abnormal frenulum. Z-plasty is a surgical technique used for thick and wide hypertrophy frenum associated with central diastema and short vestibule.

Objective: To discuss the Z-plasty technique for aberrant labial frenum.

Case Report: A 23-year-old woman was referred to the Periodontia Department of Hasanuddin University Dental Hospital for a frenectomy. Intraoral examination showed a diastema on maxilla centralis incisive and a labial frenulum’s attachment extending to the palatine papilla. The frenectomy procedure was performed using the Z-plasty technique.

Results: Follow-up after one week and one month showed a good healing process with minimal scars and gingival color according to the surrounding tissue.

Conclusion: Z-plasty frenectomy can provide good aesthetic and functional results for removing the attachment of hypertrophy frenum.

Keywords: frenectomy, labial frenum, hypertrophy frenum, Z-plasty

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