Fraenum resection
The fraenum resection (しょうたいせつじょじゅつ) is one of the methods classified in mucogingival surgery in tooth lap surgery treatment. I mainly list a fraenum resection in periodontal treatment and the prosthetic pre-treatment here. Refer to other items about the frenulum of tongue resection to be performed from the problems such as starting words for the infants period. A fraenum resection and the fraenum amputation separate you, and it is thought.
Table of contents
Summary
The fraenum includes muscular tissue and connective tissue about cheeks, a tongue, the fold in the upper lower lip in the oral cavity and contributes to the function of oral cavity function. The fraenum resection becomes the adaptation for a patient with the abnormality of a position, a form, the number of fraenums. In periodontal treatment, it is a method used for the cases that the lack of the attached gingiva and the lack of the plaque control occur because of the malposition of the fraenum. The fraenum amputation is different from a fraenum resection.
Cheeks fraenum resection
When the adhesion abnormality of the cheeks fraenum particularly high rank adhesion is accepted,
- Brushing is difficult
- Lack of the attached gingiva
- Increase of the cervix caries risk
- Gingival recession
- Exposure of the prosthesis margin
- Denture border blockade characteristics are not provided
- The bedsore-related ulcerated formation with the denture
A resection is performed from などの problems.
I hold the method in a local anesthesia bottom and, after incision line setting, cut it open in females. In the case of lower jaw, I am careful about the damage of the mental nerve. The depth of the incision varies according to a case and I move to the direction canceling the narrowness of the oral vestibule and sew up the flap which was formed after having exfoliated.
When I often serve as the expansion of the oral vestibule, and a wounded surface grows big, I may transplant the free gingiva. In addition, it is effective to use the graft for the dermis loss. I can prevent infection and a postoperative U-turn by a graft.
Frenulum of upper lip resection
Frenulum of upper lip high rank adhesion when is enlarged, midline, separating it may occur between maxillary both sides central incisors. The crack between the maxillary both sides central incisor disappears with the eruption of the lateral incisor if usual, but becomes a target of a resection and the correction treatment when it is not dissolved. What is used as a method
- Z formation method (E.Kruger,1971)
- VY type excision (E.Kruger,1971)
- Type V resection (J.J.Starshak,1980)
などがある.
When the method takes simple and easy type V excision for an example, I remove a fraenum surgically than a basis beginning part after local anesthesia and just sew up a wounded surface enacted in a lozenge. When I do not perform grafts, the recurrence is possible in 20-50%.
Allied item
References
- Person Sea Hiroaki, Hideki Ogiuchi "good fraenum excision" "the quintessence" 17,50-54,1,998
- For H.Rateitschak "ラタイチャークカラーアトラス periodontics" Japanese Academy of Clinical Periodontology reason, Nagamatsu Bookstore, 2,008 years, it is page 400
- Katsumi Ikeda supervision "standard periodontics" medicine study, 2000
- Tetsuo Kawamura "measures "dentistry journal" 25(6),982-986,1987 of the fraenum"
This article is taken from the Japanese Wikipedia Fraenum resection
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