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  • #9924 Reply

    djjafish
    Spectator

    your treatment looks great. i have yet to try a labial frenectomy without local. what topical anesthetic did you use?

    thanks

    dave
    kidsdds

    #9919 Reply

    Anonymous
    Guest
    QUOTE
    Quote: from djjafish on 2:54 pm on June 15, 2004
     what topical anesthetic did you use?

    kidsdds

    I use either EMLA or in this case it was a compounded mixture ( James Jesse’s formula) of Benzocaine,Lidocaine,and Tetracaine in Phenylephrine

    dave, give these a go with either of the above topicals or Ron K’s. You can do gingivectomies with the stuff.

    #9931 Reply

    BNelson
    Spectator

    Ron
    Nice job! I have been doing quite a few just as you are with only topical and no po problems or sensitivity. Usually I stick to the buccal only, but with a heavy frenum extending between the centrals, I learned from an orthodontist friend of mine to remove all the fibers between the teeth down to the bone. It is best to do that after ortho as sometimes the area scars and the teeth won’t stay together- sort of acts like a spring.

    #9923 Reply

    Anonymous
    Guest

    Preop
    pre.jpg

    11 month follow-up

    zk.jpg

    #9930 Reply

    whitertth
    Spectator

    My new technique for this which I will publish soon it after the procedure put some DRK BANDAGE in the wound….DRK BANDAGE is a zinc poly ox powder that has vitamin K and Tetracycline…Once that is there it forms kinda like a gel and over that we place GLUSTITCH which is a violet colored dental cyanoacylate. The glustitch retards the healing and falls off after a few days and prvents the eraly reattchment sometimes seen in these no suture frenectomies….Cool technique…..I am writing the articl.e as we speak

    #9938 Reply

    Glenn van As
    Spectator

    Looking forward to it , wonder if it will work with lingual tongue ties where reattachment happens more frequently than the upper.

    Neat stuff and send me the PDF afterwards and I will proof it for you.

    Cya

    Glenn

    #9927 Reply

    okperioimplant
    Spectator

    Just a tip. If you extend into the keratinized gingiva laterally a bit more then you will not get the peninsula of mucosal tissue between the keratinized. Also, if you go through the periosteum with a lateral scar the attachment will be at the level of the scar and thus no need for bandages or anything other than gauze for 30 minutes.

    #9939 Reply

    webpiter
    Spectator

    A labial frenectomy is a form of frenectomy performed on the lip.

    The labial frenulum often attaches to the center of the upper lip and between the upper two front teeth. This can cause a large gap and gum recession by pulling the gums off the bone. A labial frenectomy removes the labial frenulum. Orthodontic patients often have this procedure done to assist with closing a front tooth gap. When a denture patient’s lips move, the frenulum pulls and loosens the denture which can be uncomfortable. This surgery is often done to help dentures fit better.

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