Association Between Maxillary Labial Frenum Attachment Types and Early Childhood Caries: A Cross-Sectional Study.

A statistically significant association was observed between certain MLF attachment types and anterior caries; however, the presence of caries in mucosal-type attachments - typically considered low-risk - suggests that other aetiological factors play a more prominent role in ECC development. Therefore, clinicians should focus on comprehensive caries risk assessment before considering surgical interventions such as frenectomy.