An overview of frenal attachments
Journal name: Journal of Indian Society of Periodontology
Original article title: An overview of frenal attachments
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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M. Priyanka, R. Sruthi, T. Ramakrishnan, Pamela Emmadi, N. Ambalavanan
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: An overview of frenal attachments
Year: 2013 | Doi: 10.4103/0972-124X.107467
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Frenal attachments are thin mucosal folds that connect the lips to the alveolar mucosa and underlying periosteum, serving primarily to stabilize the upper and lower lips and the tongue. Despite their importance, these structures often receive little attention during routine dental examinations. However, abnormal frenal attachments can serve as indicators of various syndromic and non-syndromic conditions. This paper discusses different frenal attachments and their associations with specific health conditions, emphasizing the need for dental professionals to assess these anatomical features for potential diagnostic implications.
Abnormal Frenal Attachments as Diagnostic Indicators
Abnormal or aberrant frenal attachments can be identified through visual inspection and clinical examination techniques, such as applying tension to reveal movement or ischemia in the surrounding tissues. Clinically significant frenal types, particularly papillary and papilla-penetrating frena, have been linked to various dental and periodontal issues, including loss of dental papilla, recession, denture retention problems, and malalignment of teeth. Certain syndromes, such as Ehlers-Danlos syndrome, Hollyprosencephaly, and Ellis-van Creveld syndrome, exhibit specific frenal abnormalities ranging from hypoplasia to the complete absence of frena. This connection underscores the relevance of careful observation of frenal attachments in facilitating the timely diagnosis of disorders that may otherwise go unnoticed.
Conclusion
While frenal attachments may not typically attract attention during dental assessments, they can function as valuable diagnostic tools for a range of syndromic and nonsyndromic conditions. Dental professionals should be encouraged to evaluate these anatomical structures more closely to identify potential abnormalities that may signal underlying health issues. Fortunately, available surgical techniques for correcting aberrant frenal attachments can effectively address associated complications, emphasizing the importance of integrating this knowledge into routine dental practice.
FAQ section (important questions/answers):
What are frenal attachments and their primary function in the mouth?
Frenal attachments are thin folds of mucous membrane connecting lips and gums. Their main function is to stabilize the upper and lower lips and tongue, although their role in mastication is still debated.
What types of frenal attachments can be classified in the oral cavity?
Frenal attachments can be classified as mucosal, gingival, papillary, and papilla penetrating, depending on the extension of their fibers. Each has specific anatomical features and implications for oral health.
How can abnormal frena be clinically identified during dental examinations?
Abnormal frena can be identified visually or by applying tension, observing movements, or ischemic blanching. Certain pathological frenal types are linked to various dental issues, including recession and diastema.
Which syndromes are associated with abnormal frenal attachments?
Syndromes such as Ehlers-Danlos, Ellis-van Creveld, holoprosencephaly, and oro-facial-digital syndrome showcase specific frenal abnormalities that can aid in clinical diagnosis.
What surgical techniques can be used for abnormal frenal attachment removal?
Effective techniques include simple excision, Z-plasty, and localized vestibuloplasty. The choice depends on the width and nature of the frenal attachment.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “An overview of frenal attachments”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Incision:
An incision is a surgical cut made to access tissues or organs for treatment. In the context of frenal attachment removal, incisions are crucial for effectively excising abnormal tissue. Surgical techniques such as simple excision or Z-plasty involve precise incisions to ensure proper healing and minimize complications, highlighting their importance in clinical procedures.
2) Nostril:
Nostrils are the external openings of the nasal cavity, facilitating breathing and sense of smell. In the context of syndromic conditions like holoprosencephaly, abnormalities in the nostril's formation can occur. This emphasizes the significance of anatomical structures in diagnosing syndromes and understanding their varied manifestations in the human body.
3) Genetic disorder:
A genetic disorder refers to a health condition caused by abnormalities in an individual’s DNA. Various syndromes discussed, such as Ehlers-Danlos or Ellis-van Creveld syndrome, exemplify how genetic factors underlie specific frenal attachments. Recognition of these disorders is vital for accurate diagnosis and appropriate management in clinical settings.
4) Accumulation (Accumulating, Accumulate):
Accumulation refers to the gathering or clustering of substances, such as plaque in dental contexts. Aberrant frenal attachments can contribute to plaque accumulation around teeth, leading to periodontal issues. Understanding the role of accumulation in dental health highlights the importance of monitoring frenal attachments for preventing oral diseases.
5) Disease:
A disease is a pathological condition characterized by specific signs and symptoms. In the context of oral health, diseases can arise from structural issues such as abnormal frenal attachments, potentially affecting overall well-being. Recognizing these connections allows for targeted interventions and improved health outcomes through proper dental care.
6) Hair:
Hair pertains to the protein filament that grows from follicles in the skin. In certain syndromic conditions, such as Ellis-van Creveld syndrome, hair anomalies can occur alongside oral manifestations. Understanding the interplay between hair conditions and dental health can help in diagnosing and managing multifaceted genetic disorders.
7) Male:
Male denotes the sex typically characterized by XY chromosomes, influencing various physiological traits. In conditions like infantile hypertrophic pyloric stenosis, there is a significant male predominance. Recognition of sex-based patterns in syndromes aids in understanding risk factors and tailoring interventions in both dental and broader health contexts.
Other Science Concepts:
Discover the significance of concepts within the article: ‘An overview of frenal attachments’. Further sources in the context of Science might help you critically compare this page with similair documents:
Oral Examination, Surgical technique, Dental examination, Holoprosencephaly.