{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:20:34Z","timestamp":1787775634770,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2021,4,1]],"date-time":"2021-04-01T00:00:00Z","timestamp":1617235200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is a controversy in the literature concerning the indications for frenectomy to treat interincisal diastema. Aims and Objectives: The aim of this study was to evaluate the spontaneous closure of the interincisal diastema in patients submitted to upper labial frenectomy (ULF) during the mixed dentition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Records from patients treated between 2009 and 2014 in the course of Pediatric Dentistry Surgery at Fundecto\u2013USP were evaluated to select those that were submitted to ULF during the mixed dentition using the Chelotti technique. Initial clinic characteristics and radiographic data related to the abnormal upper labial frenum were collected. The patients were called for a return visit to evaluate the diastema closure. The prevalence of children with diastema reduction after the frenectomy was determined by descriptive analysis. Logistic regression was used to evaluate the association between exposure factors and diastema reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>From 449 eligible records, 53 were selected and 25 were in a return visit. It was not possible to find association between the exposure factors and diastema closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There is no relation between the time of surgery intervention and diastema closure. However, the intervention during the mixed dentition led to a partial diastema reduction in 80% of the cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jisppd.jisppd_397_20","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T16:12:09Z","timestamp":1627488729000},"page":"159-163","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Longitudinal evaluation of diastema closure in patients submitted to labial frenectomy in different phases of the mixed dentition: A historical cohort"],"prefix":"10.4103","volume":"39","author":[{"given":"M.A","family":"Pereira Rafael","sequence":"first","affiliation":[{"name":"Associate Professor, School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marangonn Jr","family":"Helv\u00e9cio","sequence":"additional","affiliation":[{"name":"Associate Professor, School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K Tamara","family":"Tamara","sequence":"additional","affiliation":[{"name":"Associate Professor, School of Dentistry, Ibirapuera University, S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.F","family":"Alencar Cassio","sequence":"additional","affiliation":[{"name":"Associate Professor, Foundation for Scientific and Technological Development of Dentistry (FUNDECTO), S\u00e3o Paulo, S\u00e3o Paulo-, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moura-Netto","family":"Cacio","sequence":"additional","affiliation":[{"name":"Professor, Universidade Cat\u00f3lica Portuguesa, Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine, Viseu, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V Mello-Moura","family":"Anna Carolina","sequence":"additional","affiliation":[{"name":"Professor, Universidade Cat\u00f3lica Portuguesa, Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine, Viseu, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7,30]]},"reference":[{"key":"R1-20260302","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1038\/sj.bdj.2018.656","article-title":"Oral surgery: Labial frenectomy: Indications and practical implications","volume":"225","author":"Naini","year":"2018","journal-title":"Br Dent J"},{"key":"R2-20260302","first-page":"10","article-title":"The applications of diode and Er:YAG lasers in labial frenectomy in infant patients","volume":"72","author":"Gontijo","year":"2005","journal-title":"J Dent Child 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report","volume":"27","author":"Cavalcanti","year":"2009","journal-title":"Rev Inst Ci\u00eanc Sa\u00fade"},{"key":"R8-20260302","first-page":"819","article-title":"Esthetic management of the upper labial frenum: A novel frenectomy technique","volume":"37","author":"Bagga","year":"2006","journal-title":"Quintessence Int"},{"key":"R9-20260302","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1007\/s10103-013-1461-8","article-title":"Labial frenectomy with Nd:YAG laser and conventional surgery: A comparative study","volume":"30","author":"Medeiros J\u00fanior","year":"2015","journal-title":"Lasers Med Sci"},{"key":"R10-20260302","first-page":"141","article-title":"The maxillary labial fraenum \u2013 A controversy of oral surgeons vs. orthodontists","volume":"16","author":"Lioliou","year":"2012","journal-title":"Balkan J Stomatol"},{"key":"R11-20260302","first-page":"27","article-title":"Etiology and treatment of midline diastema: A review of literature","volume":"5","author":"Hussain","year":"2013","journal-title":"Pak Orthod J"},{"key":"R12-20260302","first-page":"177","article-title":"Facts and myths regarding the maxillary midline frenum and its treatment: A systematic review of the literature","volume":"44","author":"Delli","year":"2013","journal-title":"Quintessence Int"},{"key":"R13-20260302","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/S0140-6736(02)07500-1","article-title":"Cohort studies: Marching towards outcomes","volume":"359","author":"Grimes","year":"2002","journal-title":"Lancet"},{"key":"R14-20260302","first-page":"581","article-title":"The superior labial frenum and its influence on orthodontics and periodontics: Literature review","volume":"45","author":"Kelman","year":"1991","journal-title":"Rev Assoc Paul Cir Dent"},{"key":"R15-20260302","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1097\/EDE.0b013e3181577511","article-title":"Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) - Explanation and elaboration","volume":"18","author":"Vandenbroucke","year":"2007","journal-title":"Epidemiology"},{"key":"R16-20260302","first-page":"301","article-title":"Labial frenectomy: Presentation of a new technique","volume":"1","author":"Dermeral da Fonseca","year":"1970","journal-title":"Rev Fed Odontol Ecuat"},{"key":"R17-20260302","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1002\/lsm.1111","article-title":"Residual heat deposition in dental enamel during IR laser ablation at 2.79, 2.94, 9.6, and 10.6 \u03bcm","volume":"29","author":"Fried","year":"2001","journal-title":"Lasers Surg Med"},{"key":"R18-20260302","doi-asserted-by":"crossref","first-page":"23","DOI":"10.4103\/0970-4388.31985","article-title":"Spontaneous closure of midline diastema following frenectomy","volume":"25","author":"Koora","year":"2007","journal-title":"J Indian Soc Pedod Prev Dent"},{"key":"R19-20260302","first-page":"57","article-title":"Does the maxillary midline diastema close after frenectomy?","volume":"45","author":"Suter","year":"2014","journal-title":"Quintessence Int"}],"container-title":["Journal of Indian Society of Pedodontics and Preventive 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