Clinical Trial Details
— Status: Recruiting
Administrative data
NCT number |
NCT06331325 |
Other study ID # |
724 |
Secondary ID |
|
Status |
Recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
March 20, 2024 |
Est. completion date |
September 30, 2024 |
Study information
Verified date |
March 2024 |
Source |
October University for Modern Sciences and Arts |
Contact |
Nada Zazou, PHD |
Phone |
+201224016945 |
Email |
drzazou[@]hotmail.com |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
The goal of this randomized clinical trial is to compare frenotomy to frenectomy surgical
techniques in the management of high frenum attachment in adults. The main questions it aims
to answer are:
- Does Frenotomy procedure have a lower relapse rate compared to frenectomy?
- Does Frenotomy procedure result in fewer postoperative complications? Participants will
be divided into two groups. The intervention group will involve frenotomy procedure for
participants and will be compared to the traditional frenectomy procedure in the
comparator group. The level of the frenum will be measured at baseline and after 6
months. Pain scores will be recorded by the participants during the first week.
Description:
Frenum is a triangular thin folded mucus membrane with underlying connective tissue and
muscular fibers that attaches the lips and cheeks with alveolar mucosa enhancing the
stability of the lip (Newman et al., 2020).
High frenum attachment can have numerous negative effects when highly attached close to the
gingival margin including gingival recession, papilla loss, and obliteration of the sulcus,
which might enhance plaque accumulation indirectly by hindering tooth brushing. It may also
be responsible for midline diastema (Miller, 1985).
According to Mirko et al. (1974), there are four different types of labial frenal
attachments: mucosal, gingival, papillary, and papilla piercing. The mucosal form is the most
common and predominates in the mandible (JaĆczuk & Banach, 1980).
Frenectomy procedure involves the complete removal of the frenum along with its attachment to
the underlying bone. Frenotomy procedure is the incision and relocation of the frenal
attachments to a more apical level (Dibart & Karima, 2008). However, this procedure is not
well-documented in the literature and little is known about its expected relapse rates.
The rationale for conducting the research:
The traditional frenectomy procedure as described by Archer (1961) and Kruger (1964) could be
considered invasive and may lead to scarring, delayed healing, and loss of the interdental
papilla due to bone exposure and complete removal of fibers which may have negative esthetic
outcome in addition to the frequent relapse rate (Devishree et al., 2012). A systematic
review (Delli et al., 2013) discussed some complications that may arise when performing
frenectomy procedure such as scar formation, postoperative pain, and swelling. Thus,
frenectomy is considered a radical procedure with potential complications.
In contrast, frenotomy could be introduced as a more conservative procedure that can achieve
the same outcomes with lower postoperative complications and scar formation. To the best of
our knowledge, no studies are comparing both techniques in terms of relapse rate and
postoperative pain.
Thus, the rationale of our study is to evaluate the clinical effectiveness of frenotomy
procedure and its effect on frenum relapse and postoperative pain compared to the
conventional frenectomy procedure.