Morselli, Paolo, Vecchiet, Federico, Marini, Ida (1999) Frenuloplasty by means of a triangular flap.Oral Surg Oral Med Oral Pathol Oral Radiol Endod 87(2): 142-144.Bagga, Sukhchain, Bhat, K Mahalinga, Bhat, G Subraya, Thomas, Betsy S (2006) Esthetic management of the upper labial frenum: a novel frenectomy technique Quintessence Int 37(10): 819-23.Devishree, Gujjari SK, Shubhashini PV (2012) Frenectomy: A review with the reports of surgical techniques.I.A comparison of three surgical methods. Int J Oral Surg 6(6): 328-33. PD Miller the father of periodontal plastic surgery 29-34. Heller J, Gabbay J, O'Hara C, Heller M, Bradley JP (2005) Improved ankyloglossia correction with four-flap Z-frenuloplasty.Rev Stomatol Chir Maxillofac 78(5):351-6 Huang WJ, Creath CJ (1995) The midline diastema: a review of its etiology and treatment. Pediatr Dent 17 (3): 171-9.This procedure can also be used to position a short frenulum more apically for better aesthetic and functional results.Ĭonclusion: The appropriate management of hypertrophic frenula can be challenging but with the use of the Z-Frenuloplasty technique, it has been shown that favorable results can be achieved with improved aesthetic and functional outcomes. The appearance of a scar is also improved with this technique as it helps to both relax and re - align the tissues. Results: Z-Frenuloplasty helps to release scar contracture and relieve soft tissue tension. In the case of maxillary diastema, the pre - maxilla scar tissue is excised and the site is left to granulate and heal. Incisions are made to raise flaps which are later repositioned in a 'Z-plasty' flap closure. Method: This technical note outlines the indications and procedure involved in performing a Z-Frenuloplasty. The aim of this article was to highlight the use of a novel surgical technique used for the treatment of hypertrophic frenula known as Z-Frenuloplasty. This may lead to problems with speech articulation and swallowing. Introduction: An abnormal frenulum can cause aesthetic and functional problems such as a midline diastema, localized gingival recession, loss of sulcus depth and ankyloglossia.
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