Upper Labial Frenectomy in Pediatric Dentistry: When to Indicate?
The despite recommendations for performing frenectomy in childhood for aesthetic and functional reasons related to the upper labial frenulum, there is no consensus among healthcare professionals such as pediatric dentists, pediatricians, speech therapists, and others regarding the appropriate age or parameters to indicate this surgery in a child. The American Academy of Pediatric Dentistry recommends that frenectomy of the upper labial frenulum should be performed after the eruption of permanent canines. Therefore, it can be concluded that there is still a need for investment in multidisciplinary studies aimed at providing concrete guidelines on when to recommend frenectomy of the upper labial frenulum in pediatric dentistry.
In pediatric dentistry, upper labial frenectomy is indicated when the frenulum causes functional or esthetic issues, such as:
Timing is crucial; intervention is typically deferred until permanent teeth erupt or orthodontic evaluation is complete.
didn' t know that midline interdental diastema was an aesthetic issue...
nor a functionnal one...
Nurunnabi's answer was comprehensive and correct. Clinically, as early as possible, starting at age 5+ (if behavior and demeanor are acceptable) is best. Recommend use of soft tissue ErB/Yg or diode type lasers, rather than surgical dissection, if practitioner is trained.
The American Academy of Pediatric Dentistry – AAPD (2022), which is the American Academy of Pediatric Dentistry, conducted a literature review with the aim of establishing fundamental principles for creating a reference manual in pediatric dentistry: Policy on Management of the Frenulum in Pediatric Patients.Recommendations for performing frenectomy in childhood for aesthetic and functional reasons related to the upper labial frenulum, there is no consensus among healthcare professionals such as pediatric dentists, pediatricians, speech therapists, and others regarding the appropriate age or parameters to indicate this surgery in a child. The American Academy of Pediatric Dentistry recommends that frenectomy of the upper labial frenulum should be performed after the eruption of permanent canines. Therefore, it can be concluded that there is still a need for investment in multidisciplinary studies aimed at providing concrete guidelines on when to recommend frenectomy of the upper labial frenulum in pediatric dentistry.
AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Policy on Management of the Frenulum in Pediatric Patients. The Reference Manual of Pediatric Dentistry. Chicago, p. 80-5, 2022. Disponível em: https://encr.pw/IArX0. Acesso em: 15/12/2022.
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