Download PDF
CC BY-NC-ND 4.0 · European Journal of General Dentistry 2017; 6(01): 14-17
DOI: 10.4103/2278-9626.198601
Original Article

Assessment of maxillary labial frenum morphology in primary, mixed, and permanent dentitions in Wardha district

Nilima Thosar
Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College, Wardha, Maharashtra, India
,
Priti Murarka
Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College, Wardha, Maharashtra, India
,
Sudhindra Baliga
Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College, Wardha, Maharashtra, India
,
Nilesh Rathi
Department of Pedodontics and Preventive Dentistry, Sharad Pawar Dental College, Wardha, Maharashtra, India
› Author Affiliations
› Further Information
Also available at
  PDF Download Permissions and Reprints

Abstract

Background: Frenal attachments are folds of mucous membrane enclosed with muscle fibers that attach the lips to the alveolar mucosa and underlying periosteum. They mostly go unnoticed by the dentist during the oral examination of the patient. Objectives: The present study was conducted to evaluate maxillary labial frenum morphology in primary, mixed, and permanent dentitions among schoolchildren in Wardha district. Materials and Methods: Thousand healthy school children between 3 and 14 years of age were included in this study. The maxillary labial frenum was examined using direct visual method and classified according to Sewerin′s typology. The data obtained were analyzed statistically using Chi-square test. Results: Simple frenum (88.3%) was found to be the most common maxillary labial frenum. No sex-wise or dentition-wise differences were found in frenum morphology. Statistically significant difference was seen with persistent tectolabial labial frenum (P < 0.05). Conclusion: Simple frenum was found to be the most prevalent maxillary labial frenum morphology. Dentists should give due importance for frenum assessment during oral examination of children.

Keywords

Frenal morphology - maxillary labial frenum - schoolchildren


Publication History

Article published online:
01 November 2021

© 2017. European Journal of General Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Cohen ES. Atlas of Periodontal Surgery. Philadelphia: Lea and Febiger; 1988.
  • 2 Ceremello PJ. The superior labial frenum and the midline diastema and their relation to growth and development of the oral structures. Am J Orthod 1953;39:120-39.
  • 3 Haddad AE, Fonoff RD. Persistence tecto-labial frenum, its diagnosis and surgical treatment. J Bras Odontoped Dental Baby 2000;3:125-9.
  • 4 Mintz SM, Siegel MA, Seider PJ. An overview of oral frena and their association with multiple syndromic and nonsyndromic conditions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:321-4.
  • 5 Edwards JG. A clinical study: The diastema, the frenum, the frenectomy. Oral Health 1977;67:51-62.
  • 6 Minsk L. The frenectomy as an adjunct to periodontal treatment. Compend Contin Educ Dent 2002;23:424-6, 428.
  • 7 Edwards JG. The diastema, the frenum, the frenectomy: A clinical study. Am J Orthod 1977;71:489-508.
  • 8 Díaz-Pizán ME, Lagravère MO, Villena R. Midline diastema and frenum morphology in the primary dentition. J Dent Child (Chic) 2006;73:11-4.
  • 9 Townsend JA, Brannon RB, Cheramie T, Hagan J. Prevalence and variations of the median maxillary labial frenum in children, adolescents, and adults in a diverse population. Gen Dent 2013;61:57-60.
  • 10 Sewerin I. Prevalence of variations and anomalies of the upper labial frenum. Acta Odontol Scand 1971;29:487-96.
  • 11 Henry SW, Levin MP, Tsaknis PJ. Histologic features of the superior labial frenum. J Periodontol 1976;47:25-8.
  • 12 Vierci VR, Marin AP, Gini AM, Nicoli N, Papaluca E, Méndez J, et al. Malocclusions, gingivitis, upper labial frenum and diastemas in students of Itá (Paraguay). Rev Odontol Circ Odontol Parag 1974;20:79-87.
  • 13 Silva Filho OG, Freitas SF, Cavassan AO. Occlusion: School of Bauru. Prevalence of normal malocclusion in denture mixed school in the cida-des Bauru (Sao Paulo). Rev Assoc Paul Cir Dent 1989;43:287-90.
  • 14 Kakodkar PV, Patel TN, Patel SV, Patel SH. Clinical assessment of diverse frenum morphology in permanent dentition. Internet J Dent Sci 2009;7:2.
  • 15 dos Santos VI, Korytnicki D, Ando T, Lascala NT. Prevalence of different types of upper labial frenum in the deciduous dentition. Rev Fac Odontol Sao Paulo 1985;23:129-35.
  • 16 Lindsey D. The upper mid-line space and its relation to the labial fraenum in children and in adults. A statistical evaluation. Br Dent J 1977;143:327-32.
  • 17 Nagaveni NB, Umashankara KV. Morphology of maxillary labial frenum in primary, mixed, and permanent dentition of Indian children J Craniomaxillary Dis 2014;3:5-10.
  • 18 Dewel BF. The labial frenum, midline diastema, and palatine papilla: A clinical analysis. Dent Clin North Am 1966;Mar:175-84.