#incisiondesign

[cirugiaoraleimplantologia]

Excelent illustration by @theperioartist . . . Frenectomy: The frenum is a normal anatomical structure of the oral cavity but the position of its attachment may characterize it as abnormal, warranting removal. ⠀ ⠀ Clinical findings associated with an aberrant frenum include: ⠀ • midline diastema⠀ • gingival recession⠀ • inadequate attached gingiva⠀ • shallow vestibule ⠀ ⠀ Here are some common incision designs used for frenectomy via excision with a scalpel. ⠀ ⠀ ♦️ Diamond: This conventional incision design involves a diamond shaped excision of the frenum with blunt dissection to relieve the attachment. The margins of the surgical site are reapproximated in a linear fashion. ⠀ ⠀ 💤 Z- Plasty: This technique is commonly used for scar removal in plastic surgery. It is indicated for a thick frenum with low insertion. An elliptical excision of the frenum is performed, followed by the creation of two triangular flaps (~60 degree angle) with a “Z” shaped incision, which are transposed to reorient the tissue and achieve primary closure. ⠀ ⠀ ✌️🤘VY-Plasty: This V-shaped incision is highly useful for a broad frenum attachment. In this case, the superior margin of the wound is repositioned apically and sutured in a “Y” shape. ⠀ ⠀ Frenectomy can also be performed with electrosurgery and lasers. What methods do you find most effective? Do you see more or less recurrence with certain techniques? Please share your thoughts in the comments! ⠀ ⠀ 🎨 Original illustrations by @theperioartist⠀ ⠀⠀ ⠀ #sutures #sutures #sutureskills #frenectomy #incisiondesign #softtissuemanagement #perio #periodontics #periodontist #dentist #dentistry #dentalart #dentalstudent #dentalschool #resident #dentalart⠀ https://www.instagram.com/p/CO-7N6jFrJD/?igshid=1pcdk9b6gvvkv