Diastema size and type of upper lip midline frenulum attachment

Sękowska, Anna

doi:10.5603/fm.a2016.0079

Cited by 21 publications

(17 citation statements)

References 26 publications

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“…19,23 If the continuous band of maxillary labial frenum crosses in between the two maxillary central incisors, it causes midline diastema and is also reported to affect the growth of premaxillary region. 1,24,25 In this instance, the papillary and papillary penetrating frenum attachment are the only two considered as pathological. 15 In this study, very less number of the papillary type (6.2%) and papillary penetrating type (4.1%)…”

Section: Discussionmentioning

confidence: 99%

Variations in Maxillary Frenal Morphology in a Sample of Newari Children of Bhaktapur

Joshi

Pradhan

Neupane

et al. 2021

J Nepal Soc Perio Oral Implantology

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Introduction: Frenum attachments are fold of mucous membrane attaching the lips to alveolar mucosa and underlying periosteum. Aberrant location of attachment of maxillary labial frenum poses many clinical problems such as mucogingival problems and midline diastema. Objective: The study was performed to assess the variations in morphology of maxillary labial frenum in a sample of Newari children of Bhaktapur, Nepal. Methods: A descriptive cross-sectional study was performed enrolling 340 Newari children residing in Bhaktapur from August 14, 2020 to March 30, 2021. The study comprised both genders within age group of 6 to 16 years. The frenal attachment was recorded according to Mirko and Sewerin classification. The data was analysed with Statistical Package for the Social Sciences version 16 using descriptive statistics. Results: In total, 340 Newari children participated in this study. The mucosal type was observed in 204 (60%) of the participants followed by gingival type 101 (29.7%). More than 80% of the participants had simple frenum (283, 83.2%). The frenum with nodule was present in 25 (7.4%) and frenum with appendix in 22 (6.5%) of study participants. Frenum with appendix was mostly present in males 18 (10.1%) than females 4 (2.5%). Conclusion: Within the Newari children, the mucosal type of maxillary labial frenum was more prevalent followed by gingival type. The simple frenum was the most common type on basis of morphology.

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Section: Discussionmentioning

confidence: 99%

Variations in Maxillary Frenal Morphology in a Sample of Newari Children of Bhaktapur

Joshi

Pradhan

Neupane

et al. 2021

J Nepal Soc Perio Oral Implantology

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“…The results of the study of Laohapensang and Díaz-Pizán, similar to our present study, did not show any significant difference in sex with the prevalence of frenum. 18,19 Among the 639 children examined, 214 (33.5%) had high frenum and 425 (66.5%) had normal frenum, and the results showed that there was a significant relationship between high frenum and median diastema (p value = 0.014).…”

Section: Discussionmentioning

confidence: 98%

Studying Maxillary Labial Frenulum Types and Their Effect on Median Diastema in 3–6-year-old Children in Tehran Kindergartens

Seraj¹,

Shahrabi²,

Masoumi³

et al. 2019

World Journal of Dentistry

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Background: Diastema is one of the many esthetic abnormalities due to various causes. One of which is abnormal frenulum. Objective: The aim of this study is to determine the prevalence of different types of labial frenum and their effect on median diastema in 3-6-year-old children in Tehran kindergartens. Materials and methods: This study was a cross-sectional one that was performed on 639 children aged 3-6 years by referring to kindergartens. Studying these children included oral examination under normal light with a tongue depressor in upright position. By lifting the patient's lip and performing a blanching test, it was determined whether or not a person has normal frenulum. Information was also provided about the presence or absence of median diastema in upper jaw and the type of frenum adhesion. Also, the central teeth in maxilla were carefully examined in terms of spacing and caries. Data were analyzed by descriptive and analytic statistical methods. In the analytic part we used the binomial logistic regression test and also in the descriptive section of the frequency, tables and graphs are presented. Conclusion:In this research, a total of 639 children were studied, 341 of which were male and 298 were female. Among these 214 people (33.5%) had abnormal frenum and 425 people (66.5%) had normal frenum. Frenum adhesion site for 52.9% of the people was observed in attached gingiva and for 19.9% of people was observed in the mucogingival junction and for 18.8% of people was observed in the interdental papilla and for 8.5% of people the site of frenulum was in depth of the palatal papilla, and there was no significant difference between two sexes in terms of prevalence of different types of maxilla labial frenum. The results showed that there is a significant relationship between high frenum and maxillary median diastema and there is no significant relationship between age and high frenum.

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“…In these age ranges, gingival insertion was more prevalent in the former and mucosal insertion was more prevalent in the latter. They established there is a relationship between age and type of insertion since the growth and development of both the maxilla and the teeth cause the frenulum to undergo a migration in coronal-apical direction (14). This migration becomes stronger between 11 and 16 years due to the growth trend in the coronal direction of the alveolar ridge (15).…”

Section: Discussionmentioning

confidence: 99%

Tipos de inserción del frenillo labial superior asociado a diastemas en personas de 8 a 15 años del Cantón Mocha, Ecuador

Caluña¹,

Ceballos

2021

Univ Odontol

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Antecedentes: Los frenillos son estructuras a manera de pliegues de tejido conectivo que se insertan en el hueso maxilar superior. Esta estructura anatómica, que pasa muchas veces desapercibida durante el examen bucal, presenta variaciones de inserción que están asociadas a diastemas, problemas fonéticos, periodontales y ortodónticos. Objetivo: Identificar el tipo de inserción del frenillo labial superior asociado a la presencia de diastemas, en estudiantes de 8 a 15 años que acuden a la Unidad Educativa Vicente Anda Aguirre del Cantón Mocha, Ecuador. Métodos: Se realizó un estudio descriptivo de diseño observacional transversal, con una muestra de 300 niños de 8-15 años de edad, quienes cumplieron con los criterios de inclusión y exclusión. Se realizó examen clínico y registro fotográfico del frenillo labial superior para analizar las variables: tipo de inserción y presencia de diastemas en relación con la edad y el género. Mediante las pruebas de Chi cuadrado y regresión lineal se evaluó la asociación entre estas variables (p=0,05). Resultados: 44,67 % de los participantes presentaba frenillo labial superior con inserción gingival. La inserción papilar penetrante se halló en el 27,54 % y tuvo mayor relación con la presencia de diastema, siendo el de tipo leve el que se presentó con mayor frecuencia (66,67 %) independientemente del sexo. Conclusiones: La edad mostró estrecha relación con el sitio de inserción del frenillo, siendo su ubicación más coronal en edades tempranas. Por lo tanto, es un factor predisponente para la aparición de diastemas.

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Diastema size and type of upper lip midline frenulum attachment

Abstract: Patients with diastema have more often oversized upper lip frenulum attachment then patients without diastema. The most often type of frenulum in patients with diastema is papillary and papilla penetrating type. Type of upper lip frenulum attachment has an impact to the size of diastema.

Cited by 21 publications

References 26 publications

Variations in Maxillary Frenal Morphology in a Sample of Newari Children of Bhaktapur

Variations in Maxillary Frenal Morphology in a Sample of Newari Children of Bhaktapur

Studying Maxillary Labial Frenulum Types and Their Effect on Median Diastema in 3–6-year-old Children in Tehran Kindergartens

Tipos de inserción del frenillo labial superior asociado a diastemas en personas de 8 a 15 años del Cantón Mocha, Ecuador

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