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ORIGINAL ARTICLE
Year : 2014? |? Volume : 3? |? Issue : 1? |? Page : 5-10

Morphology of maxillary labial frenum in primary, mixed, and permanent dentition of Indian children


1?Department of Pedodontics and Preventive Dentistry, College of Dental Sciences, Karnataka, India
2?Department of Oral and Maxillofacial Surgery, Bapuji Dental College and Hospital, Davangere, Karnataka, India

Correspondence Address:
Nandanahosur Basavanthappa Nagaveni
Departments of Pedodontics and Preventive dentistry, College of Dental Sciences, Davangere, Karnataka - 577 004
India
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DOI: 10.4103/2278-9588.130430

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Background: Maxillary Labial frenum is a soft tissue structure that may exhibit the most diverse types. Objective: To estimate the incidence of different morphologic types of maxillary labial frenum in primary, mixed, and permanent dentitions of Indian children. Materials and Methods: A study was conducted involving 3000 Indian children. The 3000 children were divided into three groups (primary, mixed, and permanent dentition) according to the dentition of the patients with each group containing 1000 children. The maxillary labial frenum was examined and classified according to Sewerin's frenum typology using direct visual method. The data obtained was subjected to statistical analysis. Results: The most prevalent frenum types observed in all the threee groups (primary, mixed, and permanent dentition) were the simple frenum followed by persistent tectolabial frenum and frenum with nodule. The prevalence of simple frenum was found to be increased with age, while the persistent tectolabial frenum decreased proportionally. There was no statistically significant gender difference found with respect to the frenum morphology in all three groups. Conclusion: Simple frenum is the most prevalent morphologic type recorded in all the three groups studied, followed by persistent tectolabial frenum. The prevalence of simple frenum was found to increase with age, whereas the persistent tectolabial frenum decreased gradually. Dentists should give due importance for frenum assessment during oral examination of children to avoid misdiagnosis of normal variations as abnormal frenum.


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