Frenectomies and Periodontal Health

By Marc P. Stanard, DDS, Periodontist

. https://wdcperioimplant.com

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Frenectomies and Periodontal Health

When a Small Fold Of Tissue Creates a Bigger Problem

A small band of tissue inside the mouth can sometimes have a surprisingly significant effect on periodontal health. Known as a frenum, this fold of connective tissue helps attach the lips and cheeks to the gums. Most people never have a problem with their frena, but when one is unusually prominent, tight, or positioned too close to the teeth, it can contribute to problems involving the gums and surrounding tissues.

A frenectomy is a relatively minor surgical procedure that releases or removes problematic frenum tissue. In periodontics, the procedure may be recommended when the attachment places excessive tension on the gingiva or interferes with maintaining healthy periodontal tissues.

When the Frenum Affects the Gums

One concern is a frenum that attaches too close to the margin of the gums. Movement of the lip can repeatedly pull on this tissue, potentially contributing to gum recession or making an existing area of recession more difficult to stabilize.

An abnormal frenum attachment can also make effective brushing more challenging or uncomfortable in the affected area. When plaque is not adequately removed, inflammation may develop and further compromise periodontal health.

In certain patients, frenectomy may be performed in conjunction with gum grafting. Releasing the tension created by the frenum can help create a more favorable environment for the grafted tissue and improve long-term stability.

The Orthodontic Connection

Frena can also play a role in orthodontic treatment. A prominent frenum between the upper front teeth may be associated with a persistent space, known as a diastema. When appropriate, a periodontist and orthodontist may coordinate treatment to determine whether frenectomy should be incorporated into the overall treatment plan.

Timing is important. A visible frenum or gap between the teeth does not automatically mean surgery is necessary. The position of the teeth, periodontal tissues, age of the patient, and orthodontic treatment plan must all be considered.

A Small Procedure With a Specific Purpose

Frenectomy is not routinely necessary simply because a frenum is prominent. Treatment should be based on whether the tissue is contributing to a functional or periodontal problem.

A comprehensive periodontal evaluation can determine whether abnormal tissue tension is affecting gum health and whether treatment is appropriate. When properly indicated, releasing a problematic frenum can help protect vulnerable gum tissue, complement other periodontal procedures, and create healthier conditions for maintaining the teeth over the long term.