What Is a Frenum — and When Does It Cause Problems?
A frenum (or frenulum) is a small fold of tissue that connects the lips or cheeks to the gums. Most people have one connecting the upper lip to the gum above the front teeth (the labial frenum). In many cases, these attachments are completely normal and cause no issues.
However, when a frenum is too thick, too tight, or attached too low on the gum, it can create real clinical problems. A high labial frenum can pull on the gum tissue, contributing to gum recession around the front teeth and creating a gap (diastema) between the two upper front teeth that cannot be closed with orthodontics alone.
In children, a problematic frenum can interfere with proper tooth eruption and orthodontic treatment. In adults, it is a common cause of localized gum recession, persistent gaps between teeth, and difficulty with denture stability. A frenectomy — the simple surgical removal or repositioning of the frenum — is a quick, highly effective procedure that resolves these issues permanently.
How We Treat It
A frenectomy is a straightforward outpatient procedure performed under local anesthesia. It is typically completed in under 15 minutes, with minimal discomfort and a rapid recovery. Most patients return to normal activity the same day.
- 1
Local Anesthesia
The area is thoroughly numbed with local anesthetic so the procedure is completely pain-free. Most patients are surprised at how comfortable the experience is.
- 2
Frenum Release or Removal
The frenum is precisely released or excised using a scalpel.
- 3
Closure
If sutures are needed, fine resorbable sutures are placed and dissolve on their own. No removal appointment is necessary.
- 4
Healing
The tissue heals quickly — typically within 1–2 weeks. Post-operative discomfort is minimal and well-managed with over-the-counter pain relief.
Benefits of a Frenectomy
- Eliminates frenum tension contributing to gum recession
- Allows orthodontic closure of gaps between front teeth
- Quick procedure — typically completed in under 15 minutes
- Minimal discomfort and rapid recovery
- Improves denture stability when frenum interferes with fit
- Can be combined with gum grafting for comprehensive treatment
