Loading…

Z-plasty surgery combined with orthodontic-prosthodontic approach in the rehabilitation of aberrant frenum with congenitally multiple agenesis: A case report

Orthodontists often encounter a clinical challenge while dealing with a big space of anterior teeth. Aberrant frenum with congenitally multiple agenesis is a complex case that requires an interdisciplinary approach. The purpose of this paper is to describe the well-synchronized periodontal surgery,...

Full description

Saved in:
Bibliographic Details
Published in:International journal of surgery case reports 2024-08, Vol.121, p.109986, Article 109986
Main Authors: Hermanegara, Nabila Amalia, Chairunnisa, Afina Zahra, Suparwitri, Sri, Alhasyimi, Ananto Ali, Aditama, Pramudya, Farmasyanti, Cendrawasih Andusyana
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c284t-77c30684e1ef83fd0169188825e485de129e226cb245004ced8866de30b3a9c93
container_end_page
container_issue
container_start_page 109986
container_title International journal of surgery case reports
container_volume 121
creator Hermanegara, Nabila Amalia
Chairunnisa, Afina Zahra
Suparwitri, Sri
Alhasyimi, Ananto Ali
Aditama, Pramudya
Farmasyanti, Cendrawasih Andusyana
description Orthodontists often encounter a clinical challenge while dealing with a big space of anterior teeth. Aberrant frenum with congenitally multiple agenesis is a complex case that requires an interdisciplinary approach. The purpose of this paper is to describe the well-synchronized periodontal surgery, orthodontic, and prosthodontic treatment of an aberrant frenum cases with congenitally multiple agenesis. A female patient, aged 20, presented with complaints of misaligned, spaced teeth, and several missing teeth. A Class III malocclusion type 1 with a high and hypertrophied maxillary labial frenum was found and diagnosed. A positive blanch test, diastemata, as well as persistent teeth 53, 71, and 81, were detected. Panoramic radiographs confirmed the teeth's agenesis. Orthodontic treatment was performed using the straightwire technique to close the spaces. The frenulum was corrected by a frenectomy utilizing the Z-plasty surgical procedure. Subsequently, prosthodontic treatment involved the fabrication of lucitone dentures to close the remaining space. This case alerted periodontists, orthodontists, and prosthodontists that collaboration is essential to intervene in such specific congenital anomalies. An interdisciplinary effort should focus on eliminating the etiology of malocclusion, considering periodontal factors, maintaining dental arch integrity, addressing biomechanical elements, designing appropriate prostheses, ensuring better retention of tooth position, and achieving aesthetic appearance. The Z-plasty frenectomy surgery treatment resulted in successful and rapid healing after the operation, with no occurrence of hypertrophic scar formation. The final outcome of orthodontic-prosthodontic treatment was also pleasing for both the patient's aesthetic and functional requirements and the operator's satisfaction. •Managing a case of aberrant frenum with congenitally multiple agenesis is a clinical challenge.•The Z-Plasty frenectomy surgery treatment led to a successful and speedy recovery, with no hypertrophic scar development.•Excellent treatment planning contributed to an acceptable, aesthetically pleasing, structural, and functional outcome.
doi_str_mv 10.1016/j.ijscr.2024.109986
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3076287323</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S2210261224007673</els_id><sourcerecordid>3076287323</sourcerecordid><originalsourceid>FETCH-LOGICAL-c284t-77c30684e1ef83fd0169188825e485de129e226cb245004ced8866de30b3a9c93</originalsourceid><addsrcrecordid>eNp9UU1P3DAQtSpQQcAvqFT5yCVbf2S9DlIPCLWl0kq9lAsXy3EmxCvHTm0HtD-m_7VeAqgnfBnP6M17M_MQ-kTJihIqvuxWdpdMXDHC6lJpGik-oFPGKKmYoOzov_8JukhpR8rjTArGPqITLhshZb0-RX_vq8nplPc4zfEB4h6bMLbWQ4efbB5wiHkIXfDZmmqKIb1lWE8l12bA1uM8AI4w6NY6m3W2wePQY91CjNpn3Efw87gQmuAfwBeUc3s8zi7byQHWpQbJpit8jY1OB7apSJ-j4167BBcv8Qzdff_2--a22v768fPmelsZJutcbTaGEyFroNBL3nflQA2VUrI11HLdAWUNMCZMy-o1IbWBTkohOuCk5boxDT9DlwtvWenPDCmr0SYDzmkPYU6Kk41gcsMZL1C-QE25RorQqynaUce9okQdrFE79WyNOlijFmtK1-cXgbkdoXvreTWiAL4uAChrPlqIKhkLvoxqI5isumDfFfgH_mWkHw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3076287323</pqid></control><display><type>article</type><title>Z-plasty surgery combined with orthodontic-prosthodontic approach in the rehabilitation of aberrant frenum with congenitally multiple agenesis: A case report</title><source>PubMed Central Free</source><source>Elsevier ScienceDirect Journals</source><creator>Hermanegara, Nabila Amalia ; Chairunnisa, Afina Zahra ; Suparwitri, Sri ; Alhasyimi, Ananto Ali ; Aditama, Pramudya ; Farmasyanti, Cendrawasih Andusyana</creator><creatorcontrib>Hermanegara, Nabila Amalia ; Chairunnisa, Afina Zahra ; Suparwitri, Sri ; Alhasyimi, Ananto Ali ; Aditama, Pramudya ; Farmasyanti, Cendrawasih Andusyana</creatorcontrib><description>Orthodontists often encounter a clinical challenge while dealing with a big space of anterior teeth. Aberrant frenum with congenitally multiple agenesis is a complex case that requires an interdisciplinary approach. The purpose of this paper is to describe the well-synchronized periodontal surgery, orthodontic, and prosthodontic treatment of an aberrant frenum cases with congenitally multiple agenesis. A female patient, aged 20, presented with complaints of misaligned, spaced teeth, and several missing teeth. A Class III malocclusion type 1 with a high and hypertrophied maxillary labial frenum was found and diagnosed. A positive blanch test, diastemata, as well as persistent teeth 53, 71, and 81, were detected. Panoramic radiographs confirmed the teeth's agenesis. Orthodontic treatment was performed using the straightwire technique to close the spaces. The frenulum was corrected by a frenectomy utilizing the Z-plasty surgical procedure. Subsequently, prosthodontic treatment involved the fabrication of lucitone dentures to close the remaining space. This case alerted periodontists, orthodontists, and prosthodontists that collaboration is essential to intervene in such specific congenital anomalies. An interdisciplinary effort should focus on eliminating the etiology of malocclusion, considering periodontal factors, maintaining dental arch integrity, addressing biomechanical elements, designing appropriate prostheses, ensuring better retention of tooth position, and achieving aesthetic appearance. The Z-plasty frenectomy surgery treatment resulted in successful and rapid healing after the operation, with no occurrence of hypertrophic scar formation. The final outcome of orthodontic-prosthodontic treatment was also pleasing for both the patient's aesthetic and functional requirements and the operator's satisfaction. •Managing a case of aberrant frenum with congenitally multiple agenesis is a clinical challenge.•The Z-Plasty frenectomy surgery treatment led to a successful and speedy recovery, with no hypertrophic scar development.•Excellent treatment planning contributed to an acceptable, aesthetically pleasing, structural, and functional outcome.</description><identifier>ISSN: 2210-2612</identifier><identifier>EISSN: 2210-2612</identifier><identifier>DOI: 10.1016/j.ijscr.2024.109986</identifier><identifier>PMID: 38968845</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Aberrant frenum ; Diastemata ; Interdisciplinary ; Multiple agenesis ; Z-plasty surgery</subject><ispartof>International journal of surgery case reports, 2024-08, Vol.121, p.109986, Article 109986</ispartof><rights>2024 The Authors</rights><rights>Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c284t-77c30684e1ef83fd0169188825e485de129e226cb245004ced8866de30b3a9c93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2210261224007673$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3549,27924,27925,45780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38968845$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hermanegara, Nabila Amalia</creatorcontrib><creatorcontrib>Chairunnisa, Afina Zahra</creatorcontrib><creatorcontrib>Suparwitri, Sri</creatorcontrib><creatorcontrib>Alhasyimi, Ananto Ali</creatorcontrib><creatorcontrib>Aditama, Pramudya</creatorcontrib><creatorcontrib>Farmasyanti, Cendrawasih Andusyana</creatorcontrib><title>Z-plasty surgery combined with orthodontic-prosthodontic approach in the rehabilitation of aberrant frenum with congenitally multiple agenesis: A case report</title><title>International journal of surgery case reports</title><addtitle>Int J Surg Case Rep</addtitle><description>Orthodontists often encounter a clinical challenge while dealing with a big space of anterior teeth. Aberrant frenum with congenitally multiple agenesis is a complex case that requires an interdisciplinary approach. The purpose of this paper is to describe the well-synchronized periodontal surgery, orthodontic, and prosthodontic treatment of an aberrant frenum cases with congenitally multiple agenesis. A female patient, aged 20, presented with complaints of misaligned, spaced teeth, and several missing teeth. A Class III malocclusion type 1 with a high and hypertrophied maxillary labial frenum was found and diagnosed. A positive blanch test, diastemata, as well as persistent teeth 53, 71, and 81, were detected. Panoramic radiographs confirmed the teeth's agenesis. Orthodontic treatment was performed using the straightwire technique to close the spaces. The frenulum was corrected by a frenectomy utilizing the Z-plasty surgical procedure. Subsequently, prosthodontic treatment involved the fabrication of lucitone dentures to close the remaining space. This case alerted periodontists, orthodontists, and prosthodontists that collaboration is essential to intervene in such specific congenital anomalies. An interdisciplinary effort should focus on eliminating the etiology of malocclusion, considering periodontal factors, maintaining dental arch integrity, addressing biomechanical elements, designing appropriate prostheses, ensuring better retention of tooth position, and achieving aesthetic appearance. The Z-plasty frenectomy surgery treatment resulted in successful and rapid healing after the operation, with no occurrence of hypertrophic scar formation. The final outcome of orthodontic-prosthodontic treatment was also pleasing for both the patient's aesthetic and functional requirements and the operator's satisfaction. •Managing a case of aberrant frenum with congenitally multiple agenesis is a clinical challenge.•The Z-Plasty frenectomy surgery treatment led to a successful and speedy recovery, with no hypertrophic scar development.•Excellent treatment planning contributed to an acceptable, aesthetically pleasing, structural, and functional outcome.</description><subject>Aberrant frenum</subject><subject>Diastemata</subject><subject>Interdisciplinary</subject><subject>Multiple agenesis</subject><subject>Z-plasty surgery</subject><issn>2210-2612</issn><issn>2210-2612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UU1P3DAQtSpQQcAvqFT5yCVbf2S9DlIPCLWl0kq9lAsXy3EmxCvHTm0HtD-m_7VeAqgnfBnP6M17M_MQ-kTJihIqvuxWdpdMXDHC6lJpGik-oFPGKKmYoOzov_8JukhpR8rjTArGPqITLhshZb0-RX_vq8nplPc4zfEB4h6bMLbWQ4efbB5wiHkIXfDZmmqKIb1lWE8l12bA1uM8AI4w6NY6m3W2wePQY91CjNpn3Efw87gQmuAfwBeUc3s8zi7byQHWpQbJpit8jY1OB7apSJ-j4167BBcv8Qzdff_2--a22v768fPmelsZJutcbTaGEyFroNBL3nflQA2VUrI11HLdAWUNMCZMy-o1IbWBTkohOuCk5boxDT9DlwtvWenPDCmr0SYDzmkPYU6Kk41gcsMZL1C-QE25RorQqynaUce9okQdrFE79WyNOlijFmtK1-cXgbkdoXvreTWiAL4uAChrPlqIKhkLvoxqI5isumDfFfgH_mWkHw</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Hermanegara, Nabila Amalia</creator><creator>Chairunnisa, Afina Zahra</creator><creator>Suparwitri, Sri</creator><creator>Alhasyimi, Ananto Ali</creator><creator>Aditama, Pramudya</creator><creator>Farmasyanti, Cendrawasih Andusyana</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202408</creationdate><title>Z-plasty surgery combined with orthodontic-prosthodontic approach in the rehabilitation of aberrant frenum with congenitally multiple agenesis: A case report</title><author>Hermanegara, Nabila Amalia ; Chairunnisa, Afina Zahra ; Suparwitri, Sri ; Alhasyimi, Ananto Ali ; Aditama, Pramudya ; Farmasyanti, Cendrawasih Andusyana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c284t-77c30684e1ef83fd0169188825e485de129e226cb245004ced8866de30b3a9c93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aberrant frenum</topic><topic>Diastemata</topic><topic>Interdisciplinary</topic><topic>Multiple agenesis</topic><topic>Z-plasty surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hermanegara, Nabila Amalia</creatorcontrib><creatorcontrib>Chairunnisa, Afina Zahra</creatorcontrib><creatorcontrib>Suparwitri, Sri</creatorcontrib><creatorcontrib>Alhasyimi, Ananto Ali</creatorcontrib><creatorcontrib>Aditama, Pramudya</creatorcontrib><creatorcontrib>Farmasyanti, Cendrawasih Andusyana</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of surgery case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hermanegara, Nabila Amalia</au><au>Chairunnisa, Afina Zahra</au><au>Suparwitri, Sri</au><au>Alhasyimi, Ananto Ali</au><au>Aditama, Pramudya</au><au>Farmasyanti, Cendrawasih Andusyana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Z-plasty surgery combined with orthodontic-prosthodontic approach in the rehabilitation of aberrant frenum with congenitally multiple agenesis: A case report</atitle><jtitle>International journal of surgery case reports</jtitle><addtitle>Int J Surg Case Rep</addtitle><date>2024-08</date><risdate>2024</risdate><volume>121</volume><spage>109986</spage><pages>109986-</pages><artnum>109986</artnum><issn>2210-2612</issn><eissn>2210-2612</eissn><abstract>Orthodontists often encounter a clinical challenge while dealing with a big space of anterior teeth. Aberrant frenum with congenitally multiple agenesis is a complex case that requires an interdisciplinary approach. The purpose of this paper is to describe the well-synchronized periodontal surgery, orthodontic, and prosthodontic treatment of an aberrant frenum cases with congenitally multiple agenesis. A female patient, aged 20, presented with complaints of misaligned, spaced teeth, and several missing teeth. A Class III malocclusion type 1 with a high and hypertrophied maxillary labial frenum was found and diagnosed. A positive blanch test, diastemata, as well as persistent teeth 53, 71, and 81, were detected. Panoramic radiographs confirmed the teeth's agenesis. Orthodontic treatment was performed using the straightwire technique to close the spaces. The frenulum was corrected by a frenectomy utilizing the Z-plasty surgical procedure. Subsequently, prosthodontic treatment involved the fabrication of lucitone dentures to close the remaining space. This case alerted periodontists, orthodontists, and prosthodontists that collaboration is essential to intervene in such specific congenital anomalies. An interdisciplinary effort should focus on eliminating the etiology of malocclusion, considering periodontal factors, maintaining dental arch integrity, addressing biomechanical elements, designing appropriate prostheses, ensuring better retention of tooth position, and achieving aesthetic appearance. The Z-plasty frenectomy surgery treatment resulted in successful and rapid healing after the operation, with no occurrence of hypertrophic scar formation. The final outcome of orthodontic-prosthodontic treatment was also pleasing for both the patient's aesthetic and functional requirements and the operator's satisfaction. •Managing a case of aberrant frenum with congenitally multiple agenesis is a clinical challenge.•The Z-Plasty frenectomy surgery treatment led to a successful and speedy recovery, with no hypertrophic scar development.•Excellent treatment planning contributed to an acceptable, aesthetically pleasing, structural, and functional outcome.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>38968845</pmid><doi>10.1016/j.ijscr.2024.109986</doi><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2210-2612
ispartof International journal of surgery case reports, 2024-08, Vol.121, p.109986, Article 109986
issn 2210-2612
2210-2612
language eng
recordid cdi_proquest_miscellaneous_3076287323
source PubMed Central Free; Elsevier ScienceDirect Journals
subjects Aberrant frenum
Diastemata
Interdisciplinary
Multiple agenesis
Z-plasty surgery
title Z-plasty surgery combined with orthodontic-prosthodontic approach in the rehabilitation of aberrant frenum with congenitally multiple agenesis: A case report
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T06%3A25%3A01IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Z-plasty%20surgery%20combined%20with%20orthodontic-prosthodontic%20approach%20in%20the%20rehabilitation%20of%20aberrant%20frenum%20with%20congenitally%20multiple%20agenesis:%20A%20case%20report&rft.jtitle=International%20journal%20of%20surgery%20case%20reports&rft.au=Hermanegara,%20Nabila%20Amalia&rft.date=2024-08&rft.volume=121&rft.spage=109986&rft.pages=109986-&rft.artnum=109986&rft.issn=2210-2612&rft.eissn=2210-2612&rft_id=info:doi/10.1016/j.ijscr.2024.109986&rft_dat=%3Cproquest_cross%3E3076287323%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c284t-77c30684e1ef83fd0169188825e485de129e226cb245004ced8866de30b3a9c93%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3076287323&rft_id=info:pmid/38968845&rfr_iscdi=true