Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)
- Volume 26 Issue 1
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- Pages.69-76
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- 1999
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- 1226-8496(pISSN)
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- 2288-3819(eISSN)
TREATMENT OF HEAVY MANDIBULAR BUCCAL FRENUM USING APICALLY POSITIONED FLAP UNDER DEEP SEDATION IN CHILDREN
소아환자의 깊은 진정요법 하에서 근단변위 판막술을 이용한 거대협소대의 치료
- Kim, Jong-Bin (Department of Pediatric Dentistry, School of Dentistry, Dankook University) ;
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Yoon, Hyung-Bae
(Department of Anesthesiology, School of Dentistry, Dankook University)
- Published : 1999.02.27
Abstract
The mandibular buccal frenum is defined as a fold of mucous membrane at the posterior labial vestibule and attaches the lips and the cheeks to the alveolar mucosa, gingiva, and underlying periosteum. The buccal frenum becomes a problem when its attachment is too close to the marginal gingiva. It may then pull on healthy gingiva, encourage plaque formation and interfere with tooth brushing. Especially, heavy buccal frenum mucogingivally results in insufficent attached gingiva, inadequate vestibular depth and high frenum attachment and also difficulty in eruption of mandibular premolar. Frenotomy, frenectomy and mucogingival surgery are used in treating heavy buccal frenum. Frenotomy with autogenous free gingival graft has been used popularly because of its stable result. But, it is difficult in younger children because of inadequate donor site, difficulty in making recipient site and behavior management. Frenotomy with apically positioned flap is considered as more efficient way for a very young child with heavy buccal frenum. Additionally, modified deep sedation with