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 gladly drive an hour each way to see Dr. Heher because I have been so pleased with his work. Also he has a warm and friendly staff."- J.B. / Google / Aug 01, 2019
"Dr. Heher went in-depth with me at my first exam. Him and all staff made my day as they were kind and professional. Being to three different dentist in the area, I truly feel Dr. Heher was thorough, easy to talk to and ask questions and gentle. His staff and himself definitely make you their priority."- A.B. / Google / Jan 04, 2019
"I absolutely LOVED my experience with this office! Everyone was so kind and nice and they really made sure I was comfortable with everything! I have terrible anxiety about dentist offices but I was extremely comfortable here! I wish I had known about this office sooner! Hands down my BEST dental experience!- Jantyne Love-Saunders"- R. / Google / May 01, 2019
"This was my first time visiting this dentist office. The staff was very friendly and my wait time was quick! Dr. Heber did an excellent job with my tooth extraction. The extraction was quick and painless. I highly recommend Dr. Heber to everyone!"- A.C. / Facebook / Apr 26, 2019
"My husband started off as a patient and had nothing but great things to say about all of the staff and how comfortable the whole process was. When I had a problem I called and was seen quickly. I have tried a few dentists over the years and I will say this place is where I have felt most at ease. I cant say enough about the staff, they are all friendly, and compassionate. I was also impressed that Dr. Heher calls to check on how you are doing the next day. I have never had a dentist do that. We are glad we found this dentist and will always use them."- L.S. / Google / Mar 21, 2019
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.