A Labial 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. An abnormally attached frenum may contribute to recession and periodontal problems. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap (diastema) between the front teeth. The frenum can be 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.
A Lingual Frenum is a naturally occurring attachment of the tongue tip and the floor of the mouth. Occasionally, this attachment can be short, attached close to the tongue tip or high on the inner gums limiting the movement of the tongue (tongue tie). Removal of an abnormal frenum can improve function in certain patients.
Typically for younger children, sedation may be required. In older children and adults, the procedure can be done with local anesthesia with or without sedation.