Frenectomy: Management By Electrosurgery - A Report Of Two Cases

  • Clarence Pascoal Dias Senior Resident, Department of Periodontics, Goa Dental College and Hospital
  • Dr. Shrish Vallabh Kamat Private Practitioner
Keywords: Labial frenectomy, lingual frenectomy, ankyloglossia, electrosurgery, perioesthetic surgery


The frenum is defined as a mucous membrane fold which attaches the lip and the cheek to the alveolar mucosa, the gingiva, and the underlying periosteum. The frenum may hamper the gingival health if it is attached too closely to the gingival margin. The management of such an aberrant frenum is by performing a frenectomy/frenotomy. While performing frenectomy, conventional scalpel techniques have their own traditional drawbacks. To overcome them newer techniques like electrosurgery and lasers are increasingly used in routine periodontal practice. The present article is a report of two cases of frenectomy; first case is management of an aberrant maxillary labial frenum causing midline diastema and second case is management of an aberrant lingual frenum leading to complete ankyloglossia; both using electrosurgery. Electrosurgery has been defined as the intentional passage of high-frequency waveforms or currents through the tissues of the body to achieve a controllable surgical effect. Electrosurgery is a continuously evolving field with active research into various new applications.


Download data is not yet available.


Jhaveri H. The Aberrant Frenum. In: Dr. Hiral Jhaveri (ed), Dr. PD Miller the father of periodontal plastic surgery 2006; 29-34.

Huang WJ, Creath CJ. The midline diastema: a review on its etiology and treatment. Pediatric Dentistry 1995; 17:171–9.

Shah S, Rathwa V, Shah M, Dav D. Frenectomy Using Electrocautery: A Case Series. Adv Hum Biol 2013; 3(2):26-30.

Priyanka M, Sruthi R, Ramkrishnan T, Emmadi P, Ambalavanan N. An overview of frenal attachments. J Indian Soc Periodontol 2013; 17: 12-5.

Kotlow LA. Oral diagnosis of abnormal frenum attachment in neonates and infants: evaluation and treatment of maxillary frenum using the Erbium YAG Laser. J Pediatr Dent Care 2004c; 10:11-4.

Mintz SM, Siegel MA, Seider PJ. An overview of oral frena and their association with multiple syndromes and nonsyndromic conditions. Oral Surg Oral Med Oral Pathol Oral Radiol Endo 2005; 99:321-4.

Olivi G, Signore A, Olivi M, Genovese MD.Lingual Frenectomy: functional evaluation and new therapeutical Approach. European Journal of Pediatric Dentistry 2012; 13(2):101-6.

Tanya, Lele P, Patil P. Ankyloglossia: Treatment With Surgical Lasers – A Case Report. IOSR Journal of Dental and Medical Sciences 2014; 13:61-64.

Kloars T. Familial ankyloglossia(tongue tie). IntJ Pediatr Otorhinolaryng 2007; 71:1321-4.

Placek M, Miroslav S, Mrklas L. Significance of the labial frenal attachment in periodontal disease in man. Part 1; Classification and epidemiology of the labial frenum attachment. J Periodontol 1974;45:891- 4.

Kotlow LA. Ankyloglossia (tongue-tie): A diagnostic and treatment quandary. Quintessence Int 1999;30:259-62.

Devishree, Gujjari SK, Shubhashini PV. Frenectomy: a review with the reports of surgical techniques. J Clin Diag Res 2012; 6(9):1587-92.

Yalamanchili PS, Davanapelly P, Surapaneni H. Electrosurgical applications in Dentistry. Sch. J App Med Sci 2013; 1(5):530-4.

Dibart S, Karima M. Labial frenectomy alone or in combination with a free gingival autograft. In: Serge Dibart, Mamdouth Karima (eds) Practical Periodontal Plastic Surgery. Germany: Blackwell Munksgaard: p53.

Bhullar A, Verma S, Bhullar SK. A comparison of Frenectomy using Electrocautery and Scalpel Techniques. International Journal of Research in Health and Allied Sciences 2018; 4(4):42-5.

Cunha RF, Silva JZ, Faria MD. A clinical approach of ankyloglossia in babies: a report of two cases. J Clin Pediatr Dent 2008; 32:277-82.

Reddy NR, Marudhappan Y, Devi R, Narang S. Clipping the (tongue) tie. J Indian Soc Periodontol 2014; 18(3): 395–8.

Bhairavi K, Jaiswal P, Dhadse P, Bhongade ML, Agarwal A, Singh B, Soni T. Journal Of Applied Dental and Medical Sciences 2018; 4(1):176-80.

Van GA . The diode laser as an electrosurgery replacement. C.E. article electrosurgery, 2013, 6-13.

Liboon J, Funkhouser W, Terris DJ. A Comparison of Mucosal Incisions Made by Scalpel, CO2 Laser, Electrocautery, and Constant Voltage Electrocautery. Otolaryngol Head Neck Surg 1997; 116(3):379-85.

DOI: 10.26838/MEDRECH.2020.7.6.458
Published: 2020-11-21
How to Cite
Dias C, Kamat SV. Frenectomy: Management By Electrosurgery - A Report Of Two Cases. Med. res. chronicles [Internet]. 2020Nov.21 [cited 2024Jun.20];7(6):312-21. Available from:
Case Report