Esthetics and Patient Level Evaluation of Fixed Orthodontic Treatment Conducted before and After Surgical Frenectomy Procedure for Midline Diastema Cases: An Original Research Study

Abstract

Background & Aim: This study was aimed to evaluate the esthetic and patient related factors in fixed orthodontic treatment conducted before and after surgical frenectomy for midline diastema cases.

Materials and Methods: Total 40 patients including both male and female selected by systematic sampling. Written and signed informed consent was obtained from all patients. Group 1 has 20 patients wherein frenectomy was attempted after the space closure. Group 2 has 20 patients wherein frenectomy was attempted before the space closure. The overall esthetic (smile) and patient factors (satisfaction, comfort, social acceptance) was noted in terms of Satisfactory, Non-satisfactory andQuestionable statuses after 2 months, 4 months timings. Results thus obtained was compiled and sent for basic statistical analysis. P value less than 0.05 was considered as significant (p< 0.05).

Statistical Analysis and Results: All statistical evaluation was completed using statistical software SPSS. Maximum 15 patients were noticed in the age range of 14-15 years. P value was highly significant here (0.01). In Group 1after 2 months, maximum 17 patients were found to be satisfied with over all factors. 2 patients were not satisfied and 1 patient was Questionable. P value was highly significant for all 17 satisfied patients. In Group 1after 4 months, 16 patients were found to be satisfied with over all factors. ANOVA Assessments done Between 2 Groups, Within 2 Groups and Cumulative revealed highly significant difference and p value (0.001).

Conclusion: Within the limitations of the study it has been concluded that surgical frenectomy conducted after Orthodontics space closure is a feasible option and provide maximum esthetics and patient satisfaction. Surgical frenectomy conducted before space closure could not present optimal results.