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PubMedDate not supplied

The connective tissue graft with labial vestibular extension.

Because of its predictability and simplicity, the connective tissue graft has become the method of choice in most root coverage procedures. However, in cases with prominent frenum involvement and limited vestibular depth, this procedure can be difficult, if not impossible, to accomplish. Building upon a modification of the labial vestibular extension, described by Kazanjian in 1935, a technique is presented, whereby vestibular extension is accomplished in the same one-stage surgical procedure with a connective tissue graft. The learning objective of this article is to introduce this modification of the surgical technique to a larger segment of the clinical profession.

Connective Tissue↗
PubMed1995

Breastfeeding difficulties as a result of tight lingual and labial frena: a case report.

A breastfed baby with impending failure to thrive resisted assuming a wide-mouthed, flanged-lip position at breast. A lingual frenotomy was only partly successful in correcting his breastfeeding problems. Following a labial frenectomy, the baby was better able to flange his upper lip against the breast. He then began breastfeeding with full efficiency.

Breast Feeding↗
PubMed1996

[Autosomal chromosomes and anomalies of the oromaxillofacial area].

The study deals with genetic diseases due to anomalies in the number and structure of autosomal chromosomes associated with oro-facial malformations. Pertinent literature from 1980 and clinical cases for each defect were analyzed. By comparing clinical signs and symptoms with chromosome abnormalities it was possible to build an analytical diagram showing the prevalence of malformation exhibited by each anatomical oro-facial region (cranial, labial, palatal, nasal, ocular, dental, lingual region). A very high prevalence of malformation was assessed for lip-and-palate regions (78%). These region often shows "micro-signs" of cleft lip and/or palate (deep palatal vault, maxillary hypoplasia, congenitally missing upper central incisors) which may indicate the presence of a mildly expressed chromosome abnormality. The whole sample of autosomal chromosome abnormalities induce anomalies in structures lying along body and face mid-line. The phenotypic expression of such anomalies may be defective (cleft lip and/or palate), or excessive as well (excessive thickness of the lingual frenum, broadening of the nasal bridge).

Chromosome Aberrations↗
PubMed1998

Hyalinosis cutis et mucosae: gingival involvement.

Hyalinosis cutis et mucosae (lipoid proteinosis, Urbach-Wiethe disease) is a rare syndrome with autosomal recessive inheritance. The disease is characterized by diffuse deposition of a hyaline-like substance in the dermis, the submucosal connective tissue and various internal organs. The oral mucosa of affected people becomes nodular and thickened, with primary involvement of the labial, buccal and palatal mucosa, posterior tongue, and lingual frenulum. We report the case of a 66-year-old man with hyalinosis cutis et mucosae who presented with gingival hyperplasia due to diffuse deposition of hyaline-like material, and discuss the diagnostic significance of the microscopic findings of the gingival tissues. The present clinical features are also compared to those of the same patient at the age of 38 years.

Adult↗
PubMedDate not supplied

The free gingival graft combined with the frenectomy: a clinical review.

Abnormal labial frena are capable of retracting gingival margins, creating diastemas, and limiting lip movement. When these frena are present, the traditional frenectomy alone generally is successful. However, when the frenulum is extensive, the possibility of coronal reformation exists. Several procedures have combined the frenectomy with either a lateral pedicle flap, free papilla graft, or free gingival (mucosal) graft taken from the palate. Three case reports demonstrate the continued efficacy of the traditional palatal free gingival graft when the patient has an extensive frenulum or an area of minimal esthetic concern is involved.

Adult↗