Frnectomy

drsnehapoeghal1 Comment

❇️ Frenectomy: The frenum is a normal anatomical structure of the oral cavity but the position of its attachment may characterize it as abnormal, warranting removal.

❇️Clinical findings associated with an aberrant frenum include:

  • midline diastema
  • gingival recession
  • inadequate attached gingiva
  • shallow vestibule

💠Here are some common incision designs used for frenectomy via excision with a scalpel.

✳️ Diamond: This conventional incision design involves a diamond shaped excision of the frenum with blunt dissection to relieve the attachment. The margins of the surgical site are reapproximated in a linear fashion.

✳️ZPlasty: This technique is commonly used for scar removal in plastic surgery. It is indicated for a thick frenum with low insertion. An elliptical excision of the frenum is performed, followed by the creation of two triangular flaps (~60 degree angle) with a “Z” shaped incision, which are transposed to reorient the tissue and achieve primary closure.

✳️VY-Plasty: This V-shaped incision is highly useful for a broad frenum attachment. In this case, the superior margin of the wound is repositioned apically and sutured in a “Y” shape.

– by Dr.Sneha poeghal (BDS) from Mallareddy institute of dental sciences.👩‍⚕️

Reference books- carranza

The black fungus

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❇️We have been hearing some terrible stories of Black Fungus and how it is spreading and causing an epidemic. This is scary. This has to be stopped and it can only be done by self care.

❇️The cause for the development of black fungus is largely attributed to the unhygienic usage of masks, yes you read that right. Each person has bacteria and virus within themselves that don’t cause any harm. There is enough evidence that the Covid recovered patients when use unhygienic masks, let the bacteria develop and grow into a fungus when it meets moisture in the mask. This gets inhaled again and thus becomes fatal.

🦷What are categorized as unhygienic masks: 1. Reusage of one time use masks 2. Sharing masks

❇️Let’s wake up now before things get worse. Let’s follow these simple steps to contain the epidemic in its initial phase.

  1. Reusable masks to be washed and sun dried after each use
  2. One time use masks to be disposed in a safe way
  3. Stop sharing masks
  4. Avoid prolonged usage of masks by reaching home as soon as you can or taking a fresh breather when it’s safe to do so.

– by Dr. Sneha poeghal BDS from Malla Reddy institute of dental sciences ,hyd.

FLOSS IT THE RIGHT WAY

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Flossing is an integral part of our daily oral hygiene routine. It helps in removing food particles from the areas where toothbrush cannot reach, such as the gum line between the teeth. If food particles and bacteria accumulate in such areas, it eventually leads to gum problems and early gum recession.

Majority of the people brush their teeth regularly but they don’t floss them. To prevent plaque accumulation over the teeth and it between them, it is important to follow a proper flossing technique.

As per the ADA recommendations, the correct steps to be followed while flossing are as follows-

  • Break off 18-24 inches of dental floss from the pack.
  • To hold the floss correctly, wind most of the floss on your middle fingers, leaving only 1-2 inches of floss for your teeth.
  • Position the floss between your two teeth and move it up and down, making sure that it touches the sides of both the teeth. Make sure not to move it towards the gums as it may cause trauma to the gums.
  • As the floss reaches the gums, bend it over the tooth to form a C- curve so that the floss it now able to access the space between the tooth and the gums. Move the floss back and forth to thoroughly clean this area.
  • Bend the floss towards the front and back surface of the tooth to clean both the surfaces. Use your thumb to direct the floss between the upper anterior teeth.
  • Gently remove the floss from between the teeth and proceed to the other teeth, making sure to use the clean section of the floss while switching from one tooth to another. Make sure to snap while removing the floss to prevent any injury to the tooth and the gums.

It is recommended that you floss first before brushing your teeth, as flossing loosens the debris and bacteria between the teeth, which can then be easily removed by brushing.

Take about 10-15 minutes daily to floss your teeth, for a healthy and naturally white smile.

DR. DEVYANI ALLEN

BDS, FRCD

CHOOSING THE RIGHT TOOTHBRUSH

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Toothbrushing comprises the most important part of our daily oral hygiene regime. Thus, it becomes very important for us to choose a toothbrush which is comfortable to use as well as functionally efficient.

Nowadays, the market is flooded with different types of brushes, be it manual or electric. This evolvement in the variety of toothbrushes has made it difficult for us to decide upon which toothbrush is best for us.

Here are few practical tips which can help you make the correct choice for your healthy whites-

  • The brush you choose should have soft bristles as hard-bristled brushes can cause your gums to recede. This can further cause increased dental sensitivity issues.
  • A small headed brush is more beneficial as it can easily fit in your mouth can access at least 2 teeth at a time (ADA recommendation 1’’ long and 0.5’’ wide)
  • The filaments of the brush should be round-ended to prevent any trauma to the gums.
  • A compact, angled arrangement of short and long filaments to access the interdental areas and sulcus.
  • A comfortable handle, preferably the one with indentations to prevent slippage from the hand while brushing.

Irrespective of the brush you choose, it is important that you follow the correct brushing technique and brush for atleast 2 minutes to increase the lifespan of your whites.

If you are using a manual brush, it is important to replace it once every 3 months or whenever the brush shows any signs of wear and tear.

So, next time when you are in the supermarket checking out the vast variety of brushes, try to look out for these few things in your brush and you will be able to make the correct choice.

DR. DEVYANI ALLEN

BDS, FRCD