Abstract
Objective: Describe a case of superior interincisal diastema which frenectomy was performed to remove the lip frenulum and the intertrophic hypertrophic tissue for subsequent orthodontic traction and restoration of smile harmony and occlusion. Case details: A 24-year-old male patient was referred by the orthodontist for evaluation and management of upper lip frenectomy. The patient reported that he used a pacifier until the age of six years, and he had difficulty in cleaning the upper central incisors, as well as limitation in the movement of the upper lip and dissatisfaction with the aesthetics of his smile, mainly due to the presence of the diastema between the incisors superiors. Clinical examination revealed a low insertion of the upper labial frenum and the presence of fibrous interincisal tissue extending from the vestibular interpapillary region to the anterior region of the palate. The proposal treatment for this case was perform an upper lip frenectomy, then allowing for posterior upper lip repositioning and complete removal of hypertrophic interincisal tissues. Final considerations: The removal of the upper lip frenulum followed by the traction of the teeth by means of orthodontic treatment is a simple procedure, easy to perform and with predictable results proven in the literature.