An Antique Approach to Frenectomy: Replenishing Functional Esthetics - A Case Report

Frenectomy is total eradication of the anomalous frenum along with its attachment from the underlying bone. Pretreatment frenums are prone for relapse after orthodontic treatment. To attenuate the relapse phenomenon frenectomies are performed post orthodontically. A diastema closure patient was referred to our department by an orthodontist for frenectomy six weeks prior to removal of the orthodontic appliance. There have been several methods suggested for removing these incorrect frenal attachments. Considering the disadvantages of the Archerrsquos classical frenectomy procedure we contemplated the technique of laterally displaced flap to balance the functional esthetics of the aberrant frenulum attachment post completion of the orthodontic treatment. The current paper discusses the management of the above mentioned case using Millers technique which combines the frenectomy with a lateral pedicle flap yielding good aesthetic results with minimal scar tissue formation resulting in improved healing.