Creeping Attachment Observed in RT2 following Labial Frenectomy: A Case Report

Abstract

Introduction: Aberrant frenal attachment and shallow vestibule in the anterior mandible facilitates plaque accumulation, inflammation, and root exposure of the mandibular central incisors, especially where the “pull syndrome” is noted. Case Report: A 22 years old systemically healthy female patient complained of slight mobility and increased spacing in relation to lower front teeth. Clinical examination revealed Cairo recession type 2 (RT2) gingival recession in relation to mandibular central incisors and hyperplastic frenum with fan shaped attachment to gingival margin of mandibular central incisors. Frenectomy was performed using conventional surgical technique. After 14 days of surgery 0.5 mm of creeping attachment as well as reduction in recession width at apical level of recession was observed in relation to mandibular central incisors. The achieved clinical results remained stable till 6 months of follow-up. Conclusion: This case report suggests that frenectomy using conventional surgical technique may yield acceptable clinical outcomes and esthetics in RT2 gingival recession.