Management of Abnormal Frenulum and Gingival Enlargement in One Visit

Abstract

Gingival enlargement or excessive gingival growth, is a common occurrence in  gingival disease, characterized by an increase in the size of the gingiva. Inflammatory gingival enlargement or inflammatory gingival enlargement is an inflammatory response to local irritation related to the gingiva. The most frequently performed treatment for gingival enlargement is gingivectomy. A high frenulum makes it easier for the gingival margin to be pulled so that plaque is easily trapped in the sulcus which results in periodontal disease and can be corrected with a frenectomy procedure. A 22-year-old female patient came to RSGM UMY complaining that her upper front gums had become enlarged so she was lacking self-confidence. Intraoral objective examination revealed enlarged gingiva on the interdental papillae of the maxillary anterior teeth (12, 13, and 21) which were rounded, light red in color with the surrounding gingiva, and had a smooth surface. There is a high frenulum with a height of 8 mm. A blanching test was carried out to examine the frenulum and the results were positive (+).Gingivectomy can be performed with a conventional scalpel, electrosurgery, chemosurgery, and laser. Conventional gingivectomy surgery performed with a small scalpel has been considered the most common method due to its ease of use, accuracy, and minimal tissue damage. Frenectomy can also be performed using various methods, such as using a scalpel, electrosurgery, or laser. Gingivectomy and frenectomy surgical procedures are effective in managing enlarged gingiva with a high frenulum