대한장애인치과학회지 (The Journal of Korea Assosiation for Disability and Oral Health)

  • 제9권2호
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  • Pages.103-106
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  • 2013
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  • 1738-8813(pISSN)
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  • 2287-7142(eISSN)
대한장애인치과학회 (Korean Association for Disability and Oral Health)
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합지증 수술 병력이 있는 어린이에서 하악 거대 협소대의 외과적 처치

SURGICAL TREATMENT OF HEAVY MANDIBULAR LABIAL FRENUM IN PRE-SCHOOL CHILD WITH A HISTORY OF SYNDACTYLY SURGERY : A CASE REPORT

  • 박지원 (연세대학교 치과대학 소아치과학교실) ;
  • 정의원 (연세대학교 치과대학 구강과학연구소) ;
  • 송제선 (연세대학교 치과대학 소아치과학교실)
  • Park, Jiwon (Department of Pediatric Dentistry, College of Dentistry, Yonsei University) ;
  • Jung, Uiwon (Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Song, Je Seon (Department of Pediatric Dentistry, College of Dentistry, Yonsei University)
  • 투고 : 2013.11.02
  • 심사 : 2013.12.10
  • 발행 : 2013.12.31
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초록

본 증례에서는 하악 거대 협소대가 하악 양측 유측절치에 높게 위치하여 치은 퇴축과 유치 조기 상실 및 입술의 운동 제한을 야기한 경우로, 근단변위부분층 판막술을 동반한 협소대절제술을 시행하였다. 부착치은의 양은 인접치와 유사하게 회복되었고, 제거된 소대는 정상위치에 부착되어 있었고, 해당 부위의 영구치는 정상적으로 맹출하였다.

The lower labial frenum attached to the free gingival margin can promote local tension, resulting in tissue ischemia, promoting the development of gingival recession, as well as complicating oral hygiene, resulting in chronic inflammation. In this case, early diagnosis and surgical treatment is recommended. This is the case about surgical treatment of heavy mandibular labial frenum in pre-school child with a history of syndactyly surgery. A 5-year-old girl visited the clinic with the chief complaint of high labial frenum of the mandible. Hyperplastic lower labial frenum was attached to the free gingival margin on the primary mandibular lateral incisor area. After fifteen month follow-up, right after the eruption of the permanent lower right lateral incisor, 6 years old patient received lower labial frenectomy to prevent periodontal diseases in permanent teeth and to reestablish normal anatomic characteristics. After 2 years of follow-ups, there were no marked complications.

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참고문헌

  1. Henry SW, Levin MP, Tsaknis PJ: Histologic features of the superior labial frenum. J Periodontol 47:25-28, 1976. https://doi.org/10.1902/jop.1976.47.1.25
  2. Gottsegen R: Frenum position and vestibule depth in relation to gingival health. Oral Surgery, Oral Medicine, Oral Pathology 7:1069-1078, 1954. https://doi.org/10.1016/0030-4220(54)90216-9
  3. Mirko P, Miroslav S, Lubor M: Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment. J Periodontol 45:891-894, 1974. https://doi.org/10.1902/jop.1974.45.12.891
  4. Strahan JD: Relation of mucogingival junction to alveolar bone margin. Acad Rev Calif Acad Periodontol 13:23-28, 1965.
  5. Susami T, Kuroda T, Yoshimasu H, Suzuki R: Ellis-van Creveld syndrome: craniofacial morphology and multidisciplinary treatment. Cleft Palate Craniofac J 36:345-352, 1999. https://doi.org/10.1597/1545-1569(1999)036<0345:EVCSCM>2.3.CO;2
  6. Shotelersuk V, Tifft CJ, Vacha S, et al.: Discordance of oral-facial-digital syndrome type 1 in monozygotic twin girls. Am J Med Genet 86: 269-273, 1999. https://doi.org/10.1002/(SICI)1096-8628(19990917)86:3<269::AID-AJMG14>3.0.CO;2-G
  7. Ghosh S, Setty S, Sivakumar A, Pai KM: Report of a new syndrome: focus on differential diagnosis and review of Ellis-van Creveld, Curry-Hall, acrofacial dysostosis, and orofacial digital syndromes. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103:670-676, 2007. https://doi.org/10.1016/j.tripleo.2006.02.028
  8. Fowler EB, Breault LG: Early creeping attachment after frenectomy: a case report. Gen Dent 48:591-593, 2000.
  9. Vermette ME, Kokich VG, Kennedy DB: Uncovering labially impacted teeth: apically positioned flap and closed-eruption techniques. Angle Orthod 65:23-32; discussion 33, 1995.
  10. Carranza FA, Jr., Carraro JJ: Mucogingival techniques in periodontal surgery. J Periodontol 41:294-299, 1970. https://doi.org/10.1902/jop.1970.41.5.294