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.
"Very pleasant visit. Everyone in the office are nice. I would recommend Dr. Heher if you are looking for a new dentist."- P.B. / Google / Nov 07, 2019
"Very patient and knowledgeable dentist. Staff was super friendly as usual. The best dental office I've been to."- L.B. / Google / May 28, 2020
"AWESOME DENTIST! I drove to his office in Salisbury from Accomack co., Va...because there are barely any good dentists left on the shore. I was surprised and amazed that they put me in a 2 hr slot to start.. to become a new patient...including consult in his office first, the full set exrays,including a “pan”- full head x-ray, then he performed the Exam, checked every tooth’ pockets for recession with a tool, then I got my cleaning by the hygienist, and the lastly I had a filling replaced,(which looks like a virgin tooth-beautiful job! Oh and part of his “exam” includes hands-on manipulation to test you jaw joints and last but not least got a oral cancer scan with a blu-light! To say I was impressed is an understatement! Highly recommend this dentist, I think he has been in business for over 40 yrs...and it shows! Oh, and one other strange but effective procedure he did,and never had this done before, but wow to get several shots of Novacaine and did NOT feel it.. he used a vibrator on my cheek as he injected the medication. Crazy but it worked! 💜Will be back for sure!!!!( not cheap, but you only have one mouth and one set of teeth!)"- C.M. / Google / Feb 14, 2020
"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
"From start to finish my visit was comfortable, relaxed and informing. The team were professionals in customer service. Everyone made sure I knew what was happening and everything was explained clearly. Can't fault anything, great dentist."- T. / Google / Nov 13, 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.