Escolar Documentos
Profissional Documentos
Cultura Documentos
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
PATOFISIOLOGI PERLEKATAN
FRENULUM
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
ANATOMI
Sumber : Netter. F. H, Interactive Atlas of Human Anatomy, Ciba Medical education, 1995.
PERLEKATAN FRENULUM
ABNORMAL DAN HIPERTROFI ?
Gangguan estetika, diastema
Resesi
Sulit berbicara
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
HIPERTROFI FRENULUM LABIALIS;
ANKYLOGOSSIA
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
FRENEKTOMI
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
INDIKASI
Mucogingival problem
Oral Hygiene optimalization
Esthetic problem
Orthodontic problem
High frenulum attachment with gingival recession
Midline diastema after canine erupt
Short lingual frenulum
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
PEMERIKSAAN KLINIS
BLANCH
TEST
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
FRENULUM LABIALIS
Frenulum labialis terlalu tinggi
Diastema
Mengurangi estetika ketika seseorang tersenyum
Stabilisasi dan terutama retensi gigi tiruan
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
FRENULUM LINGUALIS
Frenulum lingual abnormal: jaringan ikat fibrous, serat
superior otot genioglosus
Mengganggu kestabilan pemakaian protesa
Ankyloglossia (karena frenulum labialis yang terlalu
pendek)
Kesulitan breastfeeding pada bayi, kesulitan bicara
pada orang dewasa (t, d, s, z) karena keterbatasan
gerak lidah
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
TEKNIK PEMBEDAHAN
FRENEKTOMI
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
PROSEDUR LABIAL FRENEKTOMI
Tahan frenum
dengan hemostat
Incisi elips di sekitar
daerah frenum ke
periosteum
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
PROSEDUR LABIAL FRENEKTOMI
Jaringan fibrous
frenum diseksi
sampai periosteum
Aproksimasi tepi luka
Suturing
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
Z PLASTY
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
PROSEDUR LINGUAL FRENEKTOMI
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
PROSEDUR LINGUAL FRENEKTOMI
Sumber : Fragiskos. Oral and Maxillofacial Surgery. 6 th ed. Preprosthetic surgery. St Louis Toronto. Mosby. 2007
LINGUAL FRENEKTOMI TANPA
HEMOSTAT
Elevasi lidah dengan
bantuan jahitan dan
retraksi frenum
Insisi konvergen dari
frenum
Suturing
Sumber : Dr M.L.V. Prabhuji, Prof Dr S.S. Madhu Preetha, Dr Ameya : Frenectomy review, Comparison of conventional
techniques with diode laser. Dep of Periodontics Krishnadevaraya College of Dental Science, India. 2010.
KONTRA INDIKASI
Sumber : Dr M.L.V. Prabhuji, Prof Dr S.S. Madhu Preetha, Dr Ameya : Frenectomy review, Comparison of conventional
techniques with diode laser. Dep of Periodontics Krishnadevaraya College of Dental Science, India. 2010.
PROSEDUR FRENEKTOMI
TEKNIK LASER
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
KOMPLIKASI FRENEKTOMI
Sumber : Peterson. Contemporary Oral and Maxillofacial Surgery. 4 th ed. Basic preprosthetic surgery. St. Louis. Mosby.
KESIMPULAN