Management of the Maxillary Labial Frenum
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This study examined the maxillary labial frenum (MLF) and its clinical implications, focusing on its anatomy, developmental changes, and management strategies. The MLF functions as a connective tissue linking the upper lip to the alveolar ridge, facilitating essential processes such as speech production, food consumption, and the maintenance of proper dental alignment. Abnormal development or attachment can result in midline diastema, speech difficulties, and breastfeeding challenges. During growth, the MLF typically migrates from the alveolar crest in infancy to the mucogingival junction by adulthood; however, in some cases, this migration fails, leading to persistent diastema or other oral health concerns. The timing of frenectomy remains unclear. Certain experts advocate for early intervention to facilitate orthodontic treatment, while others recommend postponing surgical procedures until orthodontic efforts are completed, as the majority of diastemas close naturally with the eruption of permanent canines. In instances where diastema persists, frenectomy may be necessary to prevent relapse. Restrictive frenum attachments have been linked to breastfeeding difficulties; however, feeding outcomes can also be influenced by factors such as maternal technique and infant feeding patterns. This review highlights the need for individualized assessment and treatment planning, balancing surgical intervention with natural development, to ensure the best outcomes for each patient.
Abstract
This study examined the maxillary labial frenum (MLF) and its clinical implications, focusing on its anatomy, developmental changes, and management strategies. The MLF functions as a connective tissue linking the upper lip to the alveolar ridge, facilitating essential processes such as speech production, food consumption, and the maintenance of proper dental alignment. Abnormal development or attachment can result in midline diastema, speech difficulties, and breastfeeding challenges. During growth, the MLF typically migrates from the alveolar crest in infancy to the mucogingival junction by adulthood; however, in some cases, this migration fails, leading to persistent diastema or other oral health concerns. The timing of frenectomy remains unclear. Certain experts advocate for early intervention to facilitate orthodontic treatment, while others recommend postponing surgical procedures until orthodontic efforts are completed, as the majority of diastemas close naturally with the eruption of permanent canines. In instances where diastema persists, frenectomy may be necessary to prevent relapse. Restrictive frenum attachments have been linked to breastfeeding difficulties; however, feeding outcomes can also be influenced by factors such as maternal technique and infant feeding patterns. This review highlights the need for individualized assessment and treatment planning, balancing surgical intervention with natural development, to ensure the best outcomes for each patient.
참고문헌 (30)
- Priyanka M, "An overview of frenal attachments", J Indian Soc Periodontol, 17, pp.12~15 (2013)
- Mintz SM, "An overview of oral frena and their association with multiple syndromic and nonsyndromic conditions", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 99, pp.321~324 (2005)
- Henry SW, "Histologic features of the superior labial frenum", J Periodontol, 47, pp.25~28 (1976)
- Edwards JG, "The diastema, the frenum, the frenectomy : a clinical study", Am J Orthod, 71, pp.489~508 (1977)
- Walsh J, "Ankyloglossia and Lingual Frenotomy : National Trends in Inpatient Diagnosis and Management in the United States, 1997-2012", Otolaryngol Head Neck Surg, 156, pp.735~740 (2017)
- Delli K, "Facts and myths regarding the maxillary midline frenum and its treatment : a systematic review of the literature", Quintessence Int, 44, pp.177~187 (2013)
- Gkantidis N, "Management of maxillary midline diastema with emphasis on etiology", J Clin Pediatr Dent, 32, pp.265~272 (2008)
- Baxter RT, "Safety and efficacy of maxillary labial frenectomy in children : A retrospective comparative cohort study", Int Orthod, 20, pp.100630~ (2022)
- Tadros S, "Association between superior labial frenum and maxillary midline diastema-a systematic review", Int J Pediatr Otorhinolaryngol, 156, pp.111063~ (2022)
- "Policy on Management of the Frenulum in Pediatric Patients"[URL]
- Iwanaga J, "What is a superior labial frenulum? An anatomical and histological study", Clin Anat, 36, pp.161~169 (2023)
- Sadeghi EM, "Histologic analysis of the hyperplastic maxillary anterior frenum", J Oral Maxillofac Surg, 42, pp.765~770 (1984)
- Gartner LP, "The superior labial frenum : a histologic observation", Quintessence Int, 22, pp.443~445 (1991)
- Boutsi EA, "Maxillary labial frenum attachment in children", Int J Paediatr Dent, 21, pp.284~288 (2011)
- Webb AN, "The effect of tongue-tie division on breastfeeding and speech articulation : a systematic review", Int J Pediatr Otorhinolaryngol, 77, pp.635~646 (2013)
- Díaz-Pizán ME, "Midline diastema and frenum morphology in the primary dentition", J Dent Child, 73, pp.11~14 (2006)
- Taylor JE, "Clinical observations relating to the normal and abnormal frenum labii superioris", Am J Orthod Oral Surg, 25, pp.646~650 (1939)
- Kotlow LA, "Diagnosing and Understanding the Maxillary Lip-tie(Superior Labial, the Maxillary Labial Frenum)as it Relates to Breastfeeding", J Hum Lact, 29, pp.458~464 (2013)
- Mirko P, "Significance of the labial frenum attachment in periodontal disease in man. Part I. Classification and epidemiology of the labial frenum attachment", J Periodontol, 45, pp.891~894 (1974)
- Bergese F, "Research on the development of the labial frenum in children of age 9-12", Minerva Stomatol, 15, pp.672~676 (1966)
- Santa Maria C, "The Superior Labial Frenulum in Newborns:What Is Normal?", Glob Pediatr Health, 4, pp.2333794X17718896~ (2017)
- Kramer PF, "Maxillary Labial Frenum in Preschool Children : Variations, Anomalies and Associated Factors", J Clin Pediatr Dent, 46, pp.51~57 (2022)
- Gottsegen R, "Frenum position and vestibule depth in relation to gingival health", Oral Surg Oral Med Oral Pathol, 7, pp.1069~1078 (1954)
- Naimer SA, "Significance of the tethered maxillary frenulum : a questionnaire-based observational cohort study", Clin Exp Pediatr, 64, pp.130~135 (2021)
- Devishree, "Frenectomy : a review with the reports of surgical techniques", J Clin Diagn Res, 6, pp.1587~1592 (2012)
- Suter VGA, "Ankyloglossia : facts and myths in diagnosis and treatment", J Periodontol, 80, pp.1204~1219 (2009)
- Pransky SM, "Breastfeeding difficulties and oral cavity anomalies : The influence of posterior ankyloglossia and upper-lip ties", Int J Pediatr Otorhinolaryngol, 79, pp.1714~1717 (2015)
- Ghaheri BA, "Breastfeeding improvement following tongue-tie and lip-tie release : A prospective cohort study", Laryngoscope, 127, pp.1217~1223 (2017)
- Siegel SA, "Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula(Tongue and Lip Tie)", Int J Clin Pediatr, 5, pp.6~8 (2016)
- Shah S, "Upper Lip Tie : Anatomy, Effect on Breastfeeding, and Correlation With Ankyloglossia", Laryngoscope, 131, pp.E1701~E1706 (2021)