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Upper Anterior Labial Frenectomy

Surgical Procedure

Chief Complaint

Difficulty with upper full denture fit and poor food clearance due to tight upper anterior labial frenum.

Clinical Findings

  • Short, tight upper anterior labial frenum

  • Reduced labial extension of denture

  • Food trapping in the buccal sulcus

  • Soft tissue restriction affecting prosthesis stability

Treatment Plan

Frenectomy of the upper anterior labial frenum using 980 nm diode laser.

Pre-operative Assessment

Risks, benefits, and procedure explained.
Patient understood and consented.
Informed consent signed for frenectomy.

Anesthesia

Local anesthesia via infiltration.

Surgical Procedure

  • Patient cleaned and draped.

  • Frenum placed under tension and released using a 15C surgical blade.

  • Partial-thickness sharp dissection performed to separate alveolar gingiva.

  • 980 nm diode laser applied for final tissue contouring and hemostasis.

Post-operative Assessment

  • Hemostasis achieved.

  • Wound clean with satisfactory release.

  • Post-operative instructions provided.

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