Application of Longitudinal Incision beside Upper Lip Frenulum in Extraction of Deeply Embedded Mesiodens

doi:10.13701/j.cnki.kqyxyj.2023.01.008

Abstract

Abstract: Objective: To explore the key points of the longitudinal incision beside upper lip frenulum in extraction of deeply embedded mesiodens, and to analyze its complications and clinical application value. Methods: A total of 35 patients with deeply embedded mesiodens were treated with longitudinal incision beside upper lip frenulum. The effects and complications of the treatment were analyzed. Results: The mesiodens of the 35 patients were successfully extracted. No permanent complications were observed in all of the cases. However, temporary complications were noted: superficial mucosa was torn in 3 cases, central incisor discomfort in 3 case, slight numbness of lips in 2 cases, and incision infection in 2 case. There was no change in the height of the upper lip, the height of the nose tip, and the shape of the nostrils. Conclusion: The application of longitudinal incision beside upper lip frenulum can help to extract the deeply embedded mesiodens without changing the nasolabial shape.

Key words: frenulum, supernumerary tooth, minimally invasive extraction tooth, depressor septi nasi

FU Shuai, LI Ming, CUI Qingying, WANG Lidong, MA Wen, PENG Canbang, ZHANG Changbin, WU Yong. Application of Longitudinal Incision beside Upper Lip Frenulum in Extraction of Deeply Embedded Mesiodens[J]. Journal of Oral Science Research, 2023, 39(1): 42-45.

References

[1] Anthony A, Mel M. Cone beam computed tomography review and classification of mesiodens: Report of a case in the nasal fossa and nasal septum [J]. Quintessence Int, 2018, 49(5):413-417.
[2] Rajab LD, Hamdan MA. Supernumerary teeth: review of the literature and a survey of 152 cases [J]. Int J Paediatr Dent, 2002, 12(4):244-254.
[3] Halenur A, Sumeryra A, Ahmet A. Radiographic characteristics of mesiodens in a non-syndromic pediatric population in the Black Sea region [J]. J Investig Clin Dent, 2019, 10(1):e12377.
[4] Santosh P, Yaspal P, Sumita K. Frequency of mesiodens in the pediatric population in North India: A radiographic study [J]. J Clin Exp Dent, 2013, 5(5):e223-e226.
[5] Carlos DO, Sergio ND, Bruno CJ, et al. A survey of 460 supernumerary teeth in Brazilian children and adolescents [J]. Int J Paediatr Dent, 2008, 18(2):98-106.
[6] Lee JY. Dentigerous cyst associated with a supernumerary tooth [J]. Ear Nose Throat J, 2020, 99(1):32-33.
[7] Jung YH, Kim JY, Cho BH. The effects of impacted premaxillary supernumerary teeth on permanent incisors [J]. Imaging Sci Dent, 2016, 46(4):251-258.
[8] Kim Y, Jeong T, Kim J, et al. Effects of mesiodens on adjacent permanent teeth: a retrospective study in Korean children based on cone-beam computed tomography [J]. Int J Paediatr Dent, 2018, 28(2):161-169.
[9] 崔庆赢,陈思宇,付帅,等.鼻底入路拔除上颌中切牙区高位埋伏多生牙[J].口腔医学研究,2019,35(7):686-689.
[10] Gurler G, Delilbasi C, Delilbasi E. Investigation of impacted supernumerary teeth: a cone beam computed tomograph (cbct) study [J]. J Istanb Univ Fac Dent, 2017, 51(3):18-24.
[11] 范永晶,王姝.160例多生牙锥形束CT回顾性分析[J].实用口腔医学杂志,2022,38(5):613-617.
[12] Goksel S, Agirgol E, Karabas HC, et al. Evaluation of prevalence and positions of mesiodens using cone-beam computed tomography [J]. J Oral Maxillofac Res, 2018, 9(4):e1.
[13] Asaumi JI, Shibata Y, Yanagi Y, et al. Radiographic examination of mesiodens and their associated complications [J]. Dentomaxillofac Radiol, 2004, 33(2):125-127.
[14] 李秀芬,刘济远,华成舸,等.上颌前份埋伏多生牙的临床处理及效果观察[J].国际口腔医学杂志,2014,41(5):510-513.
[15] 许志杰,杨蕊,杜国勇,等.两种微动力系统在上颌埋伏多生牙拔除术中应用的比较[J].中华口腔医学研究杂志(电子版),2018,12(4):221-226.
[16] 郝新河.上颌前部埋伏多生牙的定位及手术进路[J].上海口腔医学,2003,12(5):394-395.
[17] Uraz A, Cetiner FD, Cula S, et al. Patient perceptions and clinical efficacy of labial frenectomies using diode laser versus conventional techniques [J]. J Stomatol Oral Maxillofac Surg, 2018, 119(3):182-186.
[18] Hall BK, Precious DS. Cleft lip, nose, and palate: the nasal septum as the pacemaker for midfacial growth [J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2013, 115(4):442-447.
[19] Oh SH, Choi S, Kim DW, et al. Intranasal approach for manipulating the depressor septi nasi [J]. J Craniofac Surg, 2012, 23(2):367-369.
[20] Becker DG, Weinberger MS, Greene BA, et al. Clinical study of alar anatomy and surgery of the alar base [J]. Arch Otolaryngol Head Neck Surg, 1997, 123(8):789-795.
[21] Ducut EG, Han SK, Kim SB, et al. Factors affecting nostril shape in Asian noses [J]. Plast Reconstr Surg, 2006, 118(7):1613-1621.
[22] Pearlman SJ. Surgical treatment of the nasolabial angle in balanced rhinoplasty [J]. Facial Plast Surg, 2006, 22(1):28-35.
[23] Rohrich RJ, Hoxworth RE, Thornton JF, et al. The pyriform ligament [J]. Plast Reconstr Surg, 2008, 121(1):277-281.
[24] 樊果,吴杨.上颌正中高位埋伏多生牙微创拔除术1例[J].口腔医学研究,2022,38(5):484-486.
[25] 孙宇琪,孙睿,赵吉宏.突向鼻腔的埋伏多生牙微创化拔除术1例[J].口腔医学研究,2022,38(1):92-94.