World Journal of Dentistry

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VOLUME 10 , ISSUE 2 ( March-April, 2019 ) > List of Articles

ORIGINAL RESEARCH

Studying Maxillary Labial Frenulum Types and Their Effect on Median Diastema in 3–6-year-old Children in Tehran Kindergartens

Bahman Seraj, Mahdi Shahrabi, Samaneh Masoumi, Razieh Jabbarian, Amir A Manesh, Maryam B Fini

Keywords : Diastema, Maxillary labial frenum, Preschool children

Citation Information : Seraj B, Shahrabi M, Masoumi S, Jabbarian R, Manesh AA, Fini MB. Studying Maxillary Labial Frenulum Types and Their Effect on Median Diastema in 3–6-year-old Children in Tehran Kindergartens. World J Dent 2019; 10 (2):93-97.

DOI: 10.5005/jp-journals-10015-1611

License: CC BY-NC 4.0

Published Online: 01-04-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Background: Diastema is one of the many esthetic abnormalities due to various causes. One of which is abnormal frenulum. Objective: The aim of this study is to determine the prevalence of different types of labial frenum and their effect on median diastema in 3–6-year-old children in Tehran kindergartens. Materials and methods: This study was a cross-sectional one that was performed on 639 children aged 3–6 years by referring to kindergartens. Studying these children included oral examination under normal light with a tongue depressor in upright position. By lifting the patient\'s lip and performing a blanching test, it was determined whether or not a person has normal frenulum. Information was also provided about the presence or absence of median diastema in upper jaw and the type of frenum adhesion. Also, the central teeth in maxilla were carefully examined in terms of spacing and caries. Data were analyzed by descriptive and analytic statistical methods. In the analytic part we used the binomial logistic regression test and also in the descriptive section of the frequency, tables and graphs are presented. Conclusion: In this research, a total of 639 children were studied, 341 of which were male and 298 were female. Among these 214 people (33.5%) had abnormal frenum and 425 people (66.5%) had normal frenum. Frenum adhesion site for 52.9% of the people was observed in attached gingiva and for 19.9% of people was observed in the mucogingival junction and for 18.8% of people was observed in the interdental papilla and for 8.5% of people the site of frenulum was in depth of the palatal papilla, and there was no significant difference between two sexes in terms of prevalence of different types of maxilla labial frenum. The results showed that there is a significant relationship between high frenum and maxillary median diastema and there is no significant relationship between age and high frenum.


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  1. Mayers RE. Handbook of orthodontics for the student and general practitioner. 3rd ed. Chicago: Ann Arbor; 1934.
  2. Cohen MM. Minor tooth movement in growing child. 3rd ed. Philadelphia: Sunders company; 1977.
  3. Oesterle LJ, Shellhart WC. Maxillary midline diastemas: a look at the causes. J Am Dent Assoc 1999;130(1):85-94.
  4. Koora K, Muthu MS, Rathna PV. Spontaneous closure of midline diastema following frenectomy. J Indian Soc Pedod Prev Dent 2007; 25(1):23-26.
  5. Sanin C, Sekiguchi T, Savara BS. A clinical method for the prediction of closure of the central diastema. ASDC J Dent Child 1969;36(6):415- 418.
  6. Graber TM. Orthodontic principles and practice. 3rd ed. Philadelphia: WB Saunders Co; 1972.
  7. Hirschfeld L, Geiger A. Minor tooth movement in general practice. 3rd ed. St. Louis: Mosby; 1974.
  8. Popovich F, Thompson GW. Maxillary diastema: indications for treatment. Am J Orthod 1979;75(4):399-404.
  9. Houston WJB. A textbook of orthodontics. 2nd ed. Oxford London: Wright; 1994.
  10. Hitchcock HP. Orthodontics for undergraduate. 6th ed. Philadelphia: Lea and Febiger; 1974.
  11. Moullas AT. Maxillary midline diastema: a contemporary review. Hell Orthod Rev 2005;8(2):93-103.
  12. Andrews LF. The six keys to normal occlusion. Am J Orthod 1972; 62(3):296-309.
  13. Broadbent BH. Ontogenic development of occlusion. Angle Orthod 1941;11(4):223-241.
  14. Lakhani N, Vandana KL. Diastema and Frenum–An Insight. Saudi J Oral Dent Res 2016;1(3):96-101
  15. Komori S, Matsumoto K, Matsuo K, et al. Clinical Study of Laser Treatment for Frenectomyof Pediatric Patients. Int J Clin Pediatr Dent 2017;10(3):272-277.
  16. Santa Maria C, Aby J, et al. The superior labial frenulum in newborns: What is normal? Glob Pediatr Health 2017;4:2333794X17718896.
  17. Laohapensang M, Nakarerngrit C, Petsongkram B, et al. The Association between the Midline Diastemas and the Superior labial frenum. J Med Assoc Thai 2017;100(3):90.
  18. Rajani ER, Biswas PP, Emmatty R. Prevalence of variations in morphology and attachment of maxillary labial frenum in various skeletal patterns–A cross-sectional study. J Indian Soc Periodontol 2018;22(3):257.
  19. Sêkowska A, Chałas R. Diastema size and type of upper lip midline frenulum attachment. Folia Morphol 2017;76(3):501-505.
  20. Sagar S, Heraldsherlin J, Moses S. Morphological variation of abnormal maxillary labial frenum in South Indian population. Int J Pharm Sci Res 2016;7:2142-2146.
  21. Boutsi EA, Tatakis DN. Maxillary labial frenum attachment in children. Int J Pediatr Dent 2011;21(4):284-288.
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