There are multiple frenums noted in the mouth. They are soft tissue connections that attach your gum to your cheek, tongue, or other soft tissues in the mouth. The most prominent frenums are the lingual and maxillary labial ones. The maxillary labial frenum connects from the gum tissue in between the maxillary central incisors (upper front middle teeth) to the upper lip. If the attachment descends to the gum line or gingival margin, it can cause separation of the middle front teeth to a diastema. A frenectomy may need to be completed before or after orthodontic therapy if there is a prominent frenum. This tissue is removed and repositioned to a level further away from the gum line. This procedure can be accomplished with a laser or a blade. Your periodontist will discuss the best option for you at your dental consultation appointment.
The labial frenum connects from the underside of the tongue to the floor of the mouth. If this connection is too tight, it can inhibit normal movements of the tongue and cause speech impediments. Infants may require a frenectomy if they are having trouble latching during breastfeeding. Again, you can discuss with your periodontist if a frenectomy is a good treatment option for you.