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Attachment and mophology of maxillary labial frenum in a group of Trung Tu school pupils aged 8-10 years old

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Ngoc Vo Truong Nhu, Tung Doan Thanh, Lam Tran Huong 

ABSTRACT

An abnormal maxillary labial frenum can lead directly and indirectly to many dental consequences of all levels. However, during the oral examination of the patient the dentist gives very little attention for frenum examination, for assessing its attachment and morphology.

Objectives

To determine the prevalence of the various types of maxillary labial frenum attachment and the incidence of different morphologic types of maxillary labial frenum in Vietnamese pupils between 8 and 10 years of age.

Methods

Children (aged 8-10) from Trung Tu Elementary School, Hanoi, Vietnam were clinically examined for attachment location and morphology of maxillary labial frenum using direct visual method under natural light and were conducted by five investigators. Descriptive statistics were determined based on the collected data. Chi-square test was used to analyze the sex-wise difference with respect to the frenum types at 5% level of significance.

Results

The most common type of attachment was the gingival type (56.0%), followed by mucosal type (22.0%), papillary type (18.7%) were less common; the least common type of attachment was the papillary penetrating type (3.3%). Frenum attachment did not differ by gender (p=0.52). Maxillary labial frenum has diverse morphology. The most prevalent frenum type was simple frenum (72.6%) followed by frenum with nodule (14.5%) and then frenum with appendix (6.2%); none with two or more frenum variations. There was no significant difference in the frenum morphology between the two genders (p>0.05).

Conclusions

The most common attachment location of maxillary frenum was gingival attachment and the most prevalent morphology was the simple frenum. Genders are not associated with attachment type of maxillary labial frenum.

Keywords

Maxillary labial frenum, children, Trung Tu elementary school

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