Assessment and Management of Maxillary Labial Frenum-A Scoping Review.

frenectomy frenotomy lip tie maxillary frenum upper lip frenum

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
06 Aug 2024
Historique:
received: 27 06 2024
revised: 28 07 2024
accepted: 02 08 2024
medline: 31 8 2024
pubmed: 31 8 2024
entrez: 29 8 2024
Statut: epublish

Résumé

The maxillary labial frenum (MLF) is a soft tissue fold connecting the upper lip to the alveolar process. Abnormal attachment can cause periodontal, functional, and esthetic problems. Differential diagnosis is important and can prevent unnecessary interventions. This study aims to summarize the current evidence on the assessment and management of abnormal MLF. A thorough review of the literature was conducted. Five online databases were searched for relevant peer-reviewed human studies. Article screening and data extraction were performed independently by two reviewers using predefined inclusion/exclusion criteria. Information about article type, study design, participants' characteristics, interventions, and outcomes was extracted and synthesized. 52 articles met the review criteria. MLF is a dynamic structure characterized by a wide normal morphological variation. MLF assessment in infants has not been standardized. Studies in pre-adolescents reported a change in the thickness and position of the MLF observed over time, resulting in a lower prevalence of abnormal MLF morphology. Studies in adolescents and adults reported variable differential diagnosis criteria. Lasers appear as the most advantageous frenectomy modality. There is a need for more objective MLF diagnostic protocols and treatment guidelines, which could prevent unnecessary surgical interventions.

Sections du résumé

BACKGROUND BACKGROUND
The maxillary labial frenum (MLF) is a soft tissue fold connecting the upper lip to the alveolar process. Abnormal attachment can cause periodontal, functional, and esthetic problems. Differential diagnosis is important and can prevent unnecessary interventions. This study aims to summarize the current evidence on the assessment and management of abnormal MLF.
METHODS METHODS
A thorough review of the literature was conducted. Five online databases were searched for relevant peer-reviewed human studies. Article screening and data extraction were performed independently by two reviewers using predefined inclusion/exclusion criteria. Information about article type, study design, participants' characteristics, interventions, and outcomes was extracted and synthesized.
RESULTS RESULTS
52 articles met the review criteria. MLF is a dynamic structure characterized by a wide normal morphological variation. MLF assessment in infants has not been standardized. Studies in pre-adolescents reported a change in the thickness and position of the MLF observed over time, resulting in a lower prevalence of abnormal MLF morphology. Studies in adolescents and adults reported variable differential diagnosis criteria. Lasers appear as the most advantageous frenectomy modality.
CONCLUSIONS CONCLUSIONS
There is a need for more objective MLF diagnostic protocols and treatment guidelines, which could prevent unnecessary surgical interventions.

Identifiants

pubmed: 39202198
pii: diagnostics14161710
doi: 10.3390/diagnostics14161710
pmc: PMC11352991
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Ryan Kinney (R)

College of Dental Medicine, Roseman University of Health Sciences, 10920 S River Front Pkwy, South Jordan, UT 84095, USA.

Richard C Burris (RC)

College of Dental Medicine, Roseman University of Health Sciences, 10920 S River Front Pkwy, South Jordan, UT 84095, USA.

Ryan Moffat (R)

College of Dental Medicine, Roseman University of Health Sciences, 10920 S River Front Pkwy, South Jordan, UT 84095, USA.

Konstantinia Almpani (K)

College of Dental Medicine, Roseman University of Health Sciences, 10920 S River Front Pkwy, South Jordan, UT 84095, USA.

Classifications MeSH