BY PLACEK et al

MUCOSAL GINGIVAL

PAPILLARY

PAPILLA PENETRATING

BY SEWERIN

SIMPLE

PERSISTENT WITH TECTOLABIAL

SIMPLE WITH APPENDIX

SIMPLE WITH NODULE

DOUBLE

WITH NICHUM

BIFID

BY KOTLOW
CLASS 1

CLASS 2

CLASS 3

CLASS 4

CLASSICAL FRENECTOMY

PRE OP PAPILLA

FRENUM HELD WITH HEMOSTAT

FRENUM EXCISED

SUTURES PLACED

1 MONTH POST OP

MILLERS TECHNIQUE

Pre Op Papilla

Resected frenum site

Vertical incision mesial to lateral incisor & undermining of pedicle

Displacement & suturing of pedicle at midline

1 week Post Op

Z - PLASTY

V Y PLASTY

Pre Op Papilla

Frenum held with hemostat

frenum incised by Vshaped incision

V-shaped incision sutured in the form of Y

1 month post operative