A frenum is a piece of tissue in the mouth that extends from the lips and the cheek to the gums. (You can probably detect one of your frenums by placing your tongue in the space between your upper lip and your upper front teeth.). Sometimes a frenum can prevent teeth from staying in place after they have been orthodontically moved together, or can inhibit the movement of the movement of teeth. In some areas of the mouth the frenum can actually pull the gum away from the teeth and cause recession. Dr. Edwards may recommend a soft tissue graft in this type of case. Other times frenectomies are recommended are for denture patients whose frenum inhibits a good denture fit.
Lingual frenectomy is the removal of the lingual frenum. The lingual frenum attaches the tongue to the floor of the mouth and if it is to short it will cause a tongue-tied patient. Labial frenectomy is the removal of the frenum between the maxillae or mandibular central teeth.
Procedure
This is an in-office procedure where the frenum is released. Dissolvable sutures are placed that will dissolve within one week. For children and adolescents, oftentimes nitrous oxide ("laughing gas") is employed to help reduce the patient's anxiety. The frenectomy site will be sore for 24-48 hours, and medications will help alleviate any discomfort. The site will usually be observed a week later to ensure proper healing.
