The muscles of the cheeks and lips are attached to the gums and tissue of the mouth by a piece of soft tissue called a frenum. Sometimes a frenum can be attached too high on the gums causing either recession or spaces between teeth.In addition, there is another frenum under the tongue. If this frenum is attached too close to the end of the tongue it can adversely affect swallowing and speech. This is referred to as being tongue-tied

What is Frenectomy

A Frenectomy is a simple procedure where either part or all of the frenum in question is removed in order to return a healthy balance to the mouth. 

Sometimes a frenum can be attached too high on the gums causing either recession or spaces between teeth. The procedure to remove this is  called labial frenectomy and involves the removal of tissue attachment between the two front teeth as the gap between the teeth can again pushed apart by the frenum, even after it being initially corrected via a different procedure.  
The frenum can be attached in such a way that it prevents the baby teeth from coming through.
A lingual frenectomy removes the fold of tissue under the tongue. Some people have a large frenum that limits tongue movement and can interfere with speech.
Some older children or teenagers may notice that the frenum under their tongue becomes stuck between their front teeth, or that they can't stick their tongue out as far as their friends can..
Intraoral photographs ofprominent maxillary labial frenum.

Why Frenectomy

A prominent frenum in young children is of concern for Parents, Pedodontists because of its appearance and because it may be associated with a diastema between the central incisors. Though midline diastema may be normal in deciduous dentition or in permanent dentition before the eruption of the canine teeth.
When a labial frenum is indeed contributing factor of the diastema, the band usually crosses the alveolus and inserts into the incisive papilla. When the lip is stretched the papilla blenches.

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  • Dr.Ritz

    Dr.Ritz 08 - July - 2012, at 22:13 PM

  • Pallavi ,i think u should reconsult ur dentist for frenectomy on your 6 and 1/2years old daughter as we usually wait till the age of 11 years till upper canines erupt , for this procedure as sometimes when canine erupt they automatically close the space between the front teeth.But still if dentist suggests u frenectomy due to other reasons then there are as such no after effects and the healing takes about 15 to 20 days.There is swelling, bruising and tenderness. There are several precautions to be taken after the frenectomy procedure. The operated region will take some weeks to heal completely While brushing your teeth and flossing take care to see you do not apply too much pressure around the specific region Rinse the operated area gently with salt water in order to keep it free of food particles and bad odor

  • pallavi

    pallavi 08 - July - 2012, at 08:35 AM

  • my daughter is 6 and1/2 years old she will get her labial frenectomy done by surgical exiscision .Is there any after long will it take to heal.what precaution needs to be taken after the procedure

  • Dr.Ritz

    Dr.Ritz 05 - May - 2012, at 05:27 AM

  • Shaheen, it is normal for swelling to be there after surgery. Infact its good as it is an indication of healing process going on. To cope up with swelling, use ice packs for at least 12 hours after surgery. It will reduce swelling and will also act as a soothening agent. After that you can apply towel dipped in warm water from outside for 20 minutes on/off. Depending upon the immune system, it usually takes 4 to 6 days for complete healing...

  • shaheen

    shaheen 05 - May - 2012, at 05:17 AM

  • I had my frenectomy done yesterdy but the swelling is still there. Is it normal and how much time will it take to subside. Actually i am having my exam next week and what are the pracautionary measures to be taken? Thanks

  • dr ritz

    dr ritz 08 - December - 2011, at 02:56 AM

  • Swati, If your child is having trouble in eating, swallowing or speaking, then lingual frenectomy can be done and upper labial frenectomy should be done in babies only if it is causing pain. Whether to perform frenectomy or not is a decision which is made after careful evaluation. Recovery after frenectomy is fast and complete healing occurs in few days. Frenectomy can be done with lasers or surgical excision can be done. You can discuss the procedure with your dentist.

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