Lip frenuloplasty
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Contraindications
Surgery on the frenulum of the lower lip has a number of contraindications. These include:
- Chronic recurrent and acute diseases of the oral cavity (infections, frequent inflammation of the gums and mucous membrane)
- Osteomyelitis (inflammation of bone tissue)
- Poor blood clotting (hemophilia and other coagulopathies). Such conditions lead to serious bleeding during and after surgery
- Caries of anterior teeth (with complications)
- Oncological formations in the oral cavity
- Diseases of the nervous system (uncontrolled nervous disorders complicate both the operation and the rehabilitation process)
- Blood diseases (anemia, leukemia and other diseases affecting overall homeostasis and healing ability)
Systemic diseases of the body at the active stage are also a contraindication to intervention. Such pathologies include, in particular, diabetes mellitus in the stage of decompensation.
Types of labial frenuloplasty
There are three main types of lip frenulum correction:
- Frenotomy This procedure helps eliminate discomfort when chewing and correct the bite.
- Frenuloplasty During this operation, the edge of the film is transferred to a new location (usually slightly higher).
- Frenectomy This is the most radical method, involving resection (removal) of the wide frenulum of the upper lip. In this case, the interdental papilla and part of the mucous membrane are removed. Frenectomy is used for significant disorders that require extensive intervention.
Operation steps
Surgery to correct the labial frenulum begins with an assessment of the patient's condition. The surgeon conducts an examination, analyzes the indications for frenulum correction and clarifies the presence of concomitant diseases. The remaining stages look like this:
- Anesthesia. Local infiltration anesthesia is performed
- Making cuts on the frenulum. During frenotomy, a longitudinal incision is made to widen or lengthen the frenulum. In frenuloplasty, the incision is made in a Y or Z shape. For resection of the wide frenulum, a larger incision is made. This allows the surgeon to remove the film itself and adjacent tissue
- Delete. It is performed using a scalpel or laser. After removal, the specialist carefully treats the wound. This helps prevent infection and ensure proper healing
- Suturing the wound. Depending on the size and location of the wound, sutures are placed in such a way as to ensure its closure without tension
- Sutures. In order to minimize patient discomfort and simplify postoperative care, sutures are made using absorbable materials
After this, the specialist provides the patient with recommendations for oral care. This is necessary to prevent complications.
Answers to popular questions
Dental surgeons K+31 answered common questions about film trimming.
What are the risks associated with a labial frenulum defect?
A shortened frenulum leads to a number of problems. Firstly, it can provoke the formation of a diastema, which leads to the formation of gaps between the teeth.
Often the growth pushes back the gum, creating a gum pocket in which food debris accumulates. Against this background, the risk of inflammation and infections increases. This also affects the aesthetic appearance of the smile.
In infants, this defect makes it difficult to suck the breast, resulting in problems with feeding. Finally, the disorder leads to speech problems in adults - in particular, they have difficulty pronouncing certain sounds.
How is recovery after surgery going?
Recovery after classic surgery on the upper lip usually takes up to 5 days, and with laser correction - 1-2 days. You should visit a doctor 2-3 days after surgery to check healing.
After complete healing, it is recommended to perform myogymnastics. This will help strengthen the chewing and facial muscles.
How to avoid complications after surgery?
To do this, you must strictly follow your doctor's recommendations. In particular, you need to keep your mouth clean and avoid eating hard and hot foods.
If the oral cavity is not properly cared for, an inflammatory process develops. Against this background, scars form in 90% of cases.
It is also necessary to monitor the development of the jaw in children. If there are any signs of problems with speech or teeth, you should contact a specialist.
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Indications for labial frenuloplasty
Plasty of the fold of the lower lip (surgical correction of the tissue connecting the lip to the gum) is performed when the attachment to the lower gum is too close - less than 5 mm from the neck of the tooth. This can interfere with proper tooth growth and gum contour formation. Other indications:
The intervention can be carried out at any age. However, the optimal age is 5-8 years - it is at this time that the formation of a permanent bite occurs.