Refining Frenectomy by Miller’s Technique: A Case-Based Overview
Neha Sahu, Supriya Mishra, Vineeta Gupta, Sonal L Kumbare, Alka Snehil

TL;DR
This paper presents a case report on a modified frenectomy technique that reduces scarring and improves healing.
Contribution
The paper introduces a modified frenectomy technique combining a laterally displaced flap to improve healing and aesthetics.
Findings
Miller’s technique reduces scarring and preserves the interdental papilla.
The case report demonstrates successful healing with primary intention two weeks post-operation.
Abstract
An aberrant labial frenum can lead to midline diastema and gingival recession, affecting both the aesthetic appearance and functional integrity of the oral cavity. Several treatment approaches are available for managing such frenum abnormalities. The traditional frenectomy method is a more invasive procedure that often results in visible scarring and the loss of the interdental papilla, compromising aesthetics. To address these limitations, Miller proposed a modified technique that combines frenectomy with a laterally displaced flap. This approach offers the advantage of healing by primary intention, significantly reducing the risk of scarring. This article presents a case report utilizing Miller’s technique for frenectomy. This case report presents a detailed account of Miller’s technique for a frenectomy procedure, including a follow-up conducted two weeks post-operation.
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Taxonomy
TopicsOral and Craniofacial Lesions · Reconstructive Facial Surgery Techniques · Head and Neck Anomalies
