A frenum is identified as a fold of tissue that attaches the facial muscles to the jaw bone. To dissipate the force for the facial muscles, a mat of dense fibrous tissue is attached to the jaw bone; that mat of dense fibrous tissue is called gingival or gum tissue. In some people there is an inadequate band of gum for various reasons—aggressive tooth brushing, trauma or periodontal disease, and the muscles of facial expression start pulling the gum tissue up or down, depending on which arch of the mouth the muscle pull occurs. The muscle has to be severed to allow internal scar tissue to form; the scar tissue acts as a stress breaker when a person chews, speaks, kisses, etc., breaking the force of the muscle pull.
At Smiles! Dentistry, by Dr. Joseph Heher, experienced dentist Dr. Heher performs a frenectomy procedure to remove the frenum within the lip in order to break the force of the muscle. With children a frenectomy is performed for different purposes when the frenum muscle is causing a space between the two front teeth, preventing them from touching each other. Contact our office in Salisbury, MD to learn more about a frenectomy and to schedule you or your consultation with Dr. Heher.
"I’ve only had 2 visits to the practice but they wow’d me both times. I had the best dental exam I’ve ever had by Dr. Heher on my first visit and today I had my cleaning and it was also very thorough. I highly recommend this practice."- A.M. / Google / Oct 24, 2018
"You won't find a better dentist in the industry. He lives for it and it shows. He also hires a very competent staff which makes all visits great."- L.R. / Google / Oct 13, 2018
"After having a very bad experience in the Navy, I am terrified of dentists. Dr. Heher has a very calming manner and helps alleviate my fears."- J.G. / Google / Oct 12, 2018
"I absolutely love this place and people.Have a fear of dentists.. that being said the best experience ever.everyone is Sooo friendly and compassionate!! Got me in the office with a desperate need of tooth repair(the same day it happened) ... I can not thank everyone enough!! The experience was Awesome!! Thank you again Dr Heher and staff!! You guys ARE AWESOME!!??"- D.R. / Google / Sep 28, 2018
"Dr. Heher and his staff are amazing. Dr. Heher is knowledgeable and great with my two boys as well as my husband and I. His staff is friendly and always happy to see us. I love knowing my family's dental health is in such good hands. Thanks so much!"- A.B. / Google / Sep 14, 2018
What To Expect
Prior to the surgical procedure, Dr. Heher will examine your condition to determine the severity of your muscle pull. In most cases, the frenectomy is nothing more than a really good paper cut, severing the muscle. A bandage is then applied to prevent the skin of the mouth from closing the wound before the scar tissue has formed (skin grows faster than scar tissue); this is most difficult part of the procedure--keeping a bandage in place while you heal (looks like a wad of bubble gum) due to the moisture in a mouth (think of putting a Band-Aid on a wet finger). There is no change in the flaccidity of the lips, and the only indication you’ve had something done would be if some of the bandage shows. Bleeding usually stops after a short period of time, and over-the-counter analgesics control any discomfort. A follow-up visit is indicated about a week later, and either a second bandage is applied, or the tissue is left uncovered to skin over the incision. Typically, a frenectomy is performed under a local anesthetic and takes about 15 – 30 minutes. In cases of severe recession of the gingival tissue, a graft of gum tissue is needed, but that is another procedure and will be explained at your visit if needed.
After the procedure, tenderness and soreness are common, but over-the-counter pain medication usually alleviates the discomfort. It's also essential to keep the bandage in place until your next visit. The area under the bandage cannot be brushed until it is removed at the follow up appointment. Optimal healing usually takes about 2 – 3 weeks.
Luckily, only a few people need frenectomies. However, Dr. Heher’s skill coupled with modern surgical techniques mean that a frenectomy can be safely and effectively performed to improve the condition. Contact Smiles! Dentistry by Dr. Joseph Heher today to learn how we can help you.