CREATING ATTACHED GINGIVA IN POST FRENECTOMY DEFECTS USING INNOVATIVE FRENECTOMY TECHNIQUE: A CASE REPORT

Introduction: The frenum is a fold of tissue that regulates the movement of associated organs and can vary in type, size, and position with growth. While typically a normal structure, an aberrant frenum may cause functional and esthetic concerns, such as maxillary midline diastema, gingival recession, or restricted lip and tongue mobility. Aberrant frenum attachments can contribute to issues like reduced vestibular depth and compromised oral hygiene. Addressing these abnormalities is essential to prevent further complications and restore esthetics and function. Traditional frenectomy methods may result in complications such as scarring or recurrence. This case report evaluates the clinical outcomes of Bagga's technique, an innovative surgical approach utilizing bilateral attached gingiva with pedicles flaps suturing at the midline for wound closure. The procedure was performed on two patients aged 20 and 28 years respectively. Results: Postoperative findings were highly favorable, with no bleeding, swelling, or significant discomfort reported immediately after surgery or during follow-up visits. Tissue healing was optimal, and no recurrence was observed during a three-month follow-up period. None of the patients required antibiotics. Improvements in Oral HealthRelated Quality of Life (OHRQoL-UK) scores were observed for both the patients, with pre surgical score being 52/144 (Case 1) and 78/144 (Case 2) and post-op 03 months values to be 130/144 and 114/144respectively, reflecting substantial benefits in physical, social, and psychological wellbeing. Conclusion: Aberrant frenal attachments can negatively impact gingival health, impede diastema closure, and interfere with orthodontic treatment. While several surgical techniques are available, Bagga's technique is a dependable option, providing both functional and aesthetic outcomes when sufficient attached gingiva is present. This method minimizes scarring, ensures effective healing, and promotes long-term stability, making it a valuable solution for managing abnormal frena.