Frenectomy

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What is a frenectomy?

A frenum is a small fold of tissue that connects the lips or cheeks to the gums. You may notice it most easily between the front teeth. In some cases, a frenum may attach too closely to the gumline or be unusually thick, creating tension on the gums.

An abnormal frenum attachment can contribute to gum recession or, in some cases, make it difficult for the front teeth to come together properly, which may contribute to a space between the teeth.

A frenectomy is a minor surgical procedure that releases or removes the excess frenum tissue to reduce tension and allow the gums and teeth to function more naturally.

A frenectomy may also be recommended before or during orthodontic treatment. When appropriate, removing an abnormal frenum can help improve the stability of orthodontic results and may be performed alone or in combination with a gum graft.

Signs you may need treatment

Gum Recession From Pulling

Gap Between Front Teeth

Orthodontic Issues

Difficulty With Hygiene

What to expect

1

Diagnose

We examine the frenum attachment. If pulling is seen on the gum, or the frenum is too large to allow teeth to come together, or when orthodontic treatment is planned and removal of an abnormal frenum can increase stability and improve success, we recommend a frenectomy.

2

Treat

A frenectomy is a simple surgical procedure to release a band of tissue in the mouth. The frenum is surgically released from the gum. It can be done with a soft tissue laser or dental scalpel. Laser eliminates need for stitches, reduces bleeding and allows faster recovery. The procedure typically takes only 10-15 minutes and is done under local anesthetic.

3

Restore

When orthodontic treatment is planned or initiated, the removal of an abnormal frenum, with or without a gingival graft, can increase stability and improve success of the final orthodontic result. Recovery is generally straightforward and quick – most discomfort fades in first few days and full healing occurs within 2 to 4 weeks.

Common questions

What is a frenum and why would it need removal?
A frenum is a naturally occurring muscle attachment connecting the inner lip with the gum. If it is attached high (closer to biting surface) and pulls on the gum margin, it can cause recession. If it is excessively large, it can prevent front teeth from coming together causing a gap.
It is a simple surgical procedure where the frenum is released from the gum. It can be performed with a soft tissue laser or scalpel under local anesthesia. It typically takes 10-15 minutes, patients can resume normal activities shortly after, and it usually requires minimal or no stitches with laser.
Sometimes. When orthodontic treatment is planned, removal of an abnormal frenum with or without a gingival graft can increase stability and improve final result, especially if there is already a lack of attached gingiva and recession has occurred due to the pull.
Recovery is quick and relatively pain-free. Most patients feel only mild soreness after. Proper aftercare includes good oral hygiene and soft foods. Most discomfort fades within first few days, and full healing usually occurs within 3 to 4 weeks, with tissue fully closed.
Yes. An abnormal frenum can prevent teeth from coming together and cause a gap, and its pull can affect stability. Removing it during or before orthodontic treatment can improve success and long-term stability of your orthodontic result.