Frenectomy

A frenum is a naturally occurring muscle attachment, normally seen between the front teeth (either upper or lower). It connects the inner aspect of the lip with the gum. A lack of attached gingiva, in conjunction with a high (closer to the biting surface) frenum attachment, which exaggerates the pull on the gum margin, can result in recession. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap between the front teeth. If pulling is seen or the frenum is too large to allow the teeth to come together, the frenum is surgically released from the gum with a frenectomy. A frenectomy is simply the surgical removal of a frenum.

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.

Signs a Frenum May Be Causing Problems

• Gum recession on one or two front teeth where the lip attaches
• The gum edge moves or turns pale when you pull your lip outward
• A gap between the front teeth that won’t stay closed
• Your orthodontist or dentist has recommended releasing the frenum before or during braces

What to Expect

A frenectomy is a short procedure done in our West Columbia office with local anesthesia. Dr. Mize releases the frenum from the gum so it no longer pulls on the gum line or holds the front teeth apart. If the gum has already receded, he may combine the frenectomy with a gum graft to rebuild a stable band of attached gum.

Most patients have mild soreness for a few days. Soft foods, gentle brushing near the area, and any rinse Dr. Mize prescribes help it heal comfortably.