MANAGEMENT OF MIDLINE DIASTEMA IN A 13-YEAR-OLD MALE WITH LABIAL FRENECTOMY FOLLOWED BY 2 BY 4 MECHANO-THERAPY: A CASE REPORT

Abstract

Background: A high labial frenum is a common developmental variation that may cause midline diastema, aesthetic concerns, and orthodontic complications. Early identification and combined surgical–orthodontic management can prevent long-term sequelae.

Case Presentation: A 13-year-old male presented with a midline diastema due to a thick, aberrant labial frenum. Following clinical and radiographic evaluation, a frenectomy was performed under local anaesthesia. A fixed orthodontic 2 by 4 mechano-therapy was then employed to achieve space closure and alignment. The patient showed excellent aesthetic and functional improvement, with stable results at follow-up.

Conclusion: This case highlights the importance of timely intervention with a multidisciplinary approach, combining frenectomy and orthodontic mechanics to achieve optimal aesthetic and functional outcomes in adolescents.