Frenectomy as a Multidisciplinary Prostho--Perio Management Approach for Partial Denture: A Case Report

Background: The frenulum is defined as a thin membrane attached to the alveolar mucosa and periosteum which limits lip movement. The attachment of frenulum may influence prosthetic construction in denture making. Objective: To describe frenectomy in prostho–perio cases for the manufacture of partial dentures. Case Report: A 38-year-old woman presented to the Prosthodontic Department of Hasanuddin University Dental and Oral Hospital for an artificial tooth implant. The patient was referred to the periodontic department by a prosthodontist for frenectomy. Intraoral examination showed a high frenulum from the alveolar crest to the labial mucosa of the upper jaw. The patient had no history of hypersensitivity and was diagnosed with gingival frenal attachment. Surgical excision was performed, and frenulum tissue was excised, which was followed by irrigation and suturing. Results: The control period of one week post treatment showed good outcomes when the patient was referred to the prosthodontist. Conclusion: Frenectomy helps in preparing denture placement in high frenulum cases. Keywords: frenulum, frenectomy, prospective surger

Socket Preservation Using Bovine Bone Graft and Pericardium Membrane: A Case Report

Background: Tooth extraction is followed by a resorption of the bone in the buccal or facial portion, up to 50% in the first six months after the extraction. Bone loss mainly results from damage to the periodontal bone ligament complex. Socket preservation is a surgical procedure aimed to maintain an alveolar ridge after extraction, eliminating or minimizing the need for future augmentation in implant-prosthetic rehabilitation. Socket preservation techniques use some regenerative material such as bone graft and membrane. Objective: To discuss socket preservation procedures using bovine bone graft and pericardium membrane. Method: A 48-year-old woman presented to the Dental and Oral Hospital of Hasanuddin University to have tooth 47, which was mobile and extruded, extracted. Patient had no systemic disease and did not use any drugs. Clinical and radiograph examinations showed bone resorption in the surrounding edentulous area. The patient wanted to wear prosthesis but the bone resorption showed that socket preservation was needed to maintain the alveolar ridge high. The case was diagnosed as chronic periodontitis. Atraumatic extraction was done and bovine bone graft was placed in the socket, followed by the placement of pericardium membrane. Soft tissue healing was clinically evaluated. Results: Control period after one week showed apparent uneventful clinical healing in the socket. Patient was satisfied with the treatment. Conclusion: The socket preservation procedure is an effective treatment for maintaining the alveolar ridge high from excessive resorption, especially for prosthesis treatment. Keywords: alveolar ridge, bone bovine, pericardium membrane, socket preservatio