Management of frenectomy anterior upper arch before orthodontic treatment

Abnormal labial frenum may affect gingival health and cause periodontal disease. Abnormalities of the frenum also cause diastema of central incisors and irritation of the periodontal tissues, interfering with the teeth cleaning process, movement of orthodontic tools, and the proper fit of the denture and affecting the aesthetics. This case report shows that frenectomy is an alternative treatment due to abnormal labial frenum, in this case, caused by central diastema on maxillary incisors teeth. A-19 years old female patient came with chief complaints of midline diastema that affect her smile. She wants to get orthodontic treatment after the frenectomy management. The frenum was clinically high and elongated to the palatal side. Scaling and root planing were done at the first appointment, continued with frenectomy using a conventional technique (classical frenectomy) a week after the control. The treatment result showed that the frenectomy attachment was repaired and can continue the orthodontic treatment.