Clinical Assessment of Maxillary Labial and Mandibular Lingual Frenum and Relationship between the Upper Midline Space and Maxillary Labial Frenum in 3-14 years School going Children of Chennai City.

Rajkumar, S (2013) Clinical Assessment of Maxillary Labial and Mandibular Lingual Frenum and Relationship between the Upper Midline Space and Maxillary Labial Frenum in 3-14 years School going Children of Chennai City. Masters thesis, Ragas Dental College & Hospital, Chennai.

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Abstract

BACKGROUND AND AIM: Frenum is a dynamic and changeable structure and subject to variations in shape, size and location at different stages of growth and development. Abnormal frenum causes variety of clinical problems such as speech and deglutition changes which may have influence on growth and development. The clinician should consider frenal assessment during routine clinical examination and treatment planning. The aim of the present study was to clinically assess the maxillary labial and mandibular lingual frenum and relationship between the midline diastema and maxillary labial frenum in 3-14 years school going children of Chennai city. METHODOLOGY: A total of 951 children were clinically examined for the maxillary and mandibular labial frenum attachments and maxillary labial frenum morphology and midline diastema. All the findings were recorded in the proforma and data was analyzed statistically. RESULTS: The simple frenum (n=822) morphology and mucosal level (602) of frenum attachment was the most prevalent type of maxillary labial frenum, N-1 type (870) of frenum is the most prevalent lingual frenum. The level of gingival insertion moves apically with age. Persistence of papillary type of frenal attachment causes midline diastema. No association between frenum morphology and midline diastema, frenum attachment and morphology was noticed. CONCLUSION: It can be concluded that the frenum attachment level in children shift to a more apical position with increasing age. The persistence of the papillary type of attachment in the permanent dentition is associated with diastema. Whereas no association between morphology and attachment, morphology and diastema. The dentist should give due importance for the labial and lingual attachment levels and midline diastema during routine clinical examination and should have a thorough knowledge about when to intervene with the abnormal frenum and correct treatment planning.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Labial frenum ; Lingual frenum ; Midline diastema.
Subjects: DENTAL > Paedodontics and Preventive Dentistry
Depositing User: Subramani R
Date Deposited: 12 Nov 2017 07:48
Last Modified: 12 Nov 2017 07:48
URI: http://repository-tnmgrmu.ac.in/id/eprint/3901

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