Case report: A-short period management of female adolescent with Papilary Penetrating (PP) frenulum attachment

Background:  A space between the anterior teeth and midline diastema is really important for aesthetic concerns in adolescents. Midline diastema may be related to high frenal attachment. Frenectomy is a treatment option for high frenal attachment. The entire removal of the frenum may be followed by orthodontic treatment.

Case Presentation: A female 16-year-old patient complained of feeling embarrassed because of a gap in her front teeth. A frenectomy with orthodontic treatment is used to correct midline diastema. A frenectomy procedure uses conventional technique. The Straight Wire Technique (SWT) technique for orthodontic treatment. Midline diastema is complete correction at the 3rd control.

Conclusion: Frenectomy before orthodontic treatment, followed by a medium-anchored Straight Wire Technique (SWT) with an elastromic chain or power chain, can be an alternative technique with a short duration.