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A frenum is a naturally occurring muscle attachment, normally seen between the upper or lower front teeth. It connects the inner aspect of the lip with the gingiva (gum tissue). A lack of attached gingiva, in conjunction with a high (closer to the biting surface) frenum attachment, which exaggerates the pull on the gum margin, can result in recession. Additionally, an excessively large frenum can prevent the teeth from coming together resulting in a gap between the front teeth. If pulling is seen or the frenum is too large to allow the teeth to come together, the frenum is surgically released from the gum with a frenectomy.

Crown Lengthening in Minnesota

A frenectomy is a simple and quick surgical procedure to remove the frenum. Our periodontist can typically complete this procedure in one appointment after the initial consultation appointment. Most patients are comfortable with local anesthetic, but we do offer anxiolysis to our patients too. A frenectomy procedure may also be performed with a gum grafting procedure to help with the success of the graft.

Your orthodontist may recommend a frenectomy during your orthodontic treatment. This can improve success and increase stability of the final orthodontic results. Our periodontists will work closely with your orthodontist to ensure an optimal outcome.

Give us a call today if you are interested in learning more about frenectomies and how this procedure may help you.

Before and After


A Maxillary Frenum on a child where the strong frenum is creating a gap between the teeth.  The frenectomy is done to release the extra tissue, and then orthodontics are used to close the gap.  The frenectomy helps ensure the teeth do not easily re-open after the gap is closed. 


2 weeks later. Early healing is excellent, minimal to no scarring. Braces will now close the gap.