Yokthan Ofier Siki and Shafira Kurnia (2019) Buccal Frenectomy as a Pre-prosthetic Periodontal Surgical Procedure: A Case Report. In: Proceeding The 4th Periodontic Seminar (Perios4). Program Pendidikan Dokter Gigi Spesialis Periodonsia FKG Unair, Hotel Bumi Surabaya, pp. 43-46. ISBN 978-602-73529-2-6

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Abstract

Preparation of the oral tissue for the better retention, stability and support of the denture prosthesis is an essential step undertaken. The alveolar ridges must be round, smooth without any extra tissue bands like high frenum attachments. These tissue bands may jeopardize the denture support causing failure of the prosthesis. To solve these issues, a combination of periodontal and phrosthodontic treatment is often needed. Therefore, removal of such high frenum becomes the important and unavoidable step to achieving successful prosthesis. In this presentation a 70- years- old, systemically healthy, non- smoking male presented with the complaint is loose of posterior maxillary teeth for several years ago. He was treated with periodontal phase I therapy. Before insertion of the removable partial denture Kennedy Class I in maxilla, the intraoral examination revealed the presence of a high frenum attachment extending from the alveolar ridge to the buccal vestibule in the right region of maxillary molar. As a consequence, this presented would make the dental prosthesis became unstable and reduce the retention. This calls for the management of the aberrant buccal frenal attachment by frenectomy as a periodontal plastic surgery procedure, depending upon its attachment and location.

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