ABSTRACT
The maxillary labial frenum is a normal anatomical structure in the oral cavity. An abnormal labial frenum causes localized gingival recession and midline diastema, both of which can interfere with oral hygiene procedures, and eventually affect esthetics. When the frenum maintains its high papillary attachment, frenectomy is the treatment of choice. Though this technique has undergone many modifications, the zone of attachment and esthetics in the anterior maxillary region have been neglected. This article highlights a new frenectomy technique that results in good esthetics, excellent color match, gain in attached gingiva, and healing by primary intention at the site of thick, extensive abnormal frena.
Subject(s)
Esthetics, Dental , Labial Frenum/surgery , Adult , Color , Diastema/etiology , Female , Follow-Up Studies , Gingiva/surgery , Gingival Recession/etiology , Humans , Hypertrophy , Labial Frenum/pathology , Lip/surgery , Male , Patient Care Planning , Periosteum/surgery , Surgical Flaps/surgery , Wound Healing/physiologyABSTRACT
Peripheral giant cell granuloma is a rare exophytic lesion that develops on the gingiva and alveolar ridge. Although the precise etiology of this lesion is unknown, it could represent a local reaction to trauma or irritation. Management requires a surgical excision of the lesion and elaborate recall due to possible recurrence. This report describes the clinical and histopathological features and management of a peripheral giant cell granuloma as it appeared in the maxillary anterior region of a 35-year-old female patient.
