INBDE (Integrated National Board Dental Examination) Practice Exam

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What is the recommended order of treatment with a diastema and high frenum attachment?

Frenectomy then close space
Close space then frenectomy
Close space and frenectomy at the same time
Frenectomy only

The correct answer is: Close space then frenectomy

The recommended order of treatment for a diastema (gap between teeth) and high frenum attachment is to close the space between the teeth first and then perform a frenectomy (removal of frenum). This is because closing the space first will help to stabilize the teeth and prevent relapse after the frenectomy is performed. Performing a frenectomy alone may not completely close the gap and could potentially cause the space to reopen. Additionally, performing both procedures simultaneously may result in tension between the tissue and could lead to complications during healing. Therefore, the best option is to close the space between the teeth and then perform the frenectomy for optimal results.