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Fraenal attachments are thin folds of muscle that attach the lips to the alveolar mucosa, and aberrant fraena have been associated with gingival recession and diastema. These aberrant fraena are detected by applying tension to see the blanching produced due to ischemia in the region. A fraenectomy is a surgical procedure used to correct an aberrant fraenum. This case report highlights an alternative fraenectomy technique used to achieve primary midline closure and avoid scar formation. A 22-year old female was referred by her orthodontist to undergo an upper labial fraenectomy during orthodontic treatment. This patient was treated using Archer’s classical fraenectomy technique with a bilateral pedicle graft. A bilateral pedicle graft may help to achieve primary closure, thus avoiding scar formation after a fraenectomy.

Esthetic Frenectomy Using Bilateral Pedicle Approach