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Case Reports in Dentistry
Volume 2014, Article ID 168192, 3 pages
Case Report

Surgery Management of Rare Hypertrophic Frenum in an Infant

1Pediatric Dentistry, Positivo University, Curitiba, PR, Brazil
2Federal University of Pernambuco, Avenida Professor Moraes Rego, No. 1235, Cidade Universitária, 50670-901 Recife, PE, Brazil
3Post-Graduation Program, Positivo University, PR, Brazil
4Masters Program in Clinical Dentistry, Pediatric Dentistry, Positivo University, Rua Pedro Viriato Parigot de Souza, No. 5300, Campo Comprido, 81280-330 Curitiba, PR, Brazil

Received 21 March 2014; Accepted 10 July 2014; Published 10 August 2014

Academic Editor: Alberto C. B. Delbem

Copyright © 2014 Sheila de Carvalho Stroppa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


To report a rare case of a lateral frenum hypertrophy in an infant, this paper describes the case of a girl who came to a first dental appointment when she was 4 months old. A hypertrophic lateral frenum in the upper left canine region was detected. A great depression in the gingival rodet separated the anterior maxillary segment from the posterior one and also decreased the lip mobility in this region. A frenectomy was performed when the patient was 11 months old and the clinical follow-up was done up to the age of 30 months. There was normalization in the vestibular insertion of the lateral frenum, lip mobility, physiological development of the maxilla, and eruption of the upper incisors, canines, and first primary molars. Infants should go to a dental examination precociously in order to detect possible congenital and development alterations.