Surgical removal of the frenulum is a tiny tissue fold essential to prevent an organ from moving too far. Genital frenectomies, also known as circumcision and are done in infants. Lingual frenectomy is carried out in persons with tongue-tie and ankyloglossia, limiting the tongue's movement, thereby interfering with breastfeeding and speech development. A maxillary frenectomy is advised in cases with lip adhesion. It can be done by traditional surgical method or through laser therapy.

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Can an upper lip tie cause a gap between the teeth of my child?

Query: Hello doctor,My 1-year-old seems to have an upper lip tie. Some thick skin between the two top middle teeth is sort of stuck to the inside of his upper lip. We only noticed because he just got hurt and a part ripped. We thought some skin was stuck between his teeth and tried to pull it out but it is...  Read Full »

Dr. Geethanjali. S. S

Answer: Hi, Welcome to I have read through your complaint and the relevant details. The upper lip tie in your child is one of the common problems faced. This is called high labial frenum attachment in dental terms. There are two major disadvantages of such frenal attachments. Firstly, it woul...  Read Full »

I have gap between my front teeth. Please help.

Query: Hi doctor, I was looking into veneers and invisalign to fix the gap between my front teeth. I am not sure what would fix them. So, I am looking for some initial advice. I have attached a picture for you to view. Thank you.  Read Full »

Dr. Nupur Prashant Shah

Answer: Hi, Welcome to I have gone through your query and attached photograph (attachment removed to protect patient identity). First of all, let me know you that the space between upper front teeth, which you are having, is called midline diastema. It can occur due to many reasons like...  Read Full »

What is the treatment for midline space between upper front teeth?

Query: Hello doctor, My upper and lower jaw teeth are misaligned. There is 8mm of midline space in the upper front teeth. What will be the probable treatment for this?  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to It would have been better if you had mentioned your age. For an exact diagnosis and treatment plan, attach a more detailed history and an intraoral picture of your mouth. If you have 8mm of midline diastema (space between the teeth), you usually require orthodontic ...  Read Full »

How to manage sagging upper lip after frenectomy?

Query: Hi doctor, I have a gap in between my incisors. When I approached a dentist, he advised to go with frenectomy and then braces treatment. I had upper lip frenectomy three days back. Now, when I smile, I can notice the middle portion of my upper lip is sagging a little, and my incisors are not comple...  Read Full »

Dr. Paras Angrish

Answer: Hi, Welcome to It happens after frenectomy. A little sagging is normal as frenum pulls the lip upwards. The second thing is after minor surgery one has swelling and body reacts towards the trauma that is created by instrument or laser. To get rid of the problem you can put ge...  Read Full »

How long will it take to recover from frenectomy?

Query: Hi doctor, I went for a regular dental cleaning today and the periodontist is strongly recommending local surgery to remove some muscle between my lower lip and gum. He scheduled it as a frenectomy and insists it needs to be done to prevent further gum loss as he says the muscle is above the gum ...  Read Full »

Dr. Beryl F

Answer: Hello, Welcome to I have gone through your query and understand your concern. If you pull down your lower lip, you will see a small stretch of muscle connecting your lip to the gums just below your lower front teeth. This small flap of skin and muscle is called the frenulum. Frene...  Read Full »

I am having class 2 labial frenulum and planning to wear dental braces. Should I do it before or after surgery?

Query: Hello doctor,I am 19 years old. I have done canine impaction surgery just before two weeks. The stitch and the removal after the surgery have caused a cut on my gums, which now separates the point at which the gums above the central incisors meet. The point that I am mentioning is right below the fr...  Read Full »

Dr. Honey Nandwani

Answer: Hello, Welcome to I have evaluated the image, (attachment removed to protect patient identity) and you indeed have a high labial frenulum, and it can cause problems which is not a wrong advise. If you are planning for getting braces done, then it is appropriate for you to get the fren...  Read Full »

I have gap in front teeth. Is frenectomy enough or are braces necessary to close it?

Query: Hello doctor, I am scheduled to receive a frenectomy to close the gap in my two front teeth, but I have done some research and it has all told me I need to get braces following the procedure but my dentist told me it was not necessary although my gap is quite large. I was wondering if you could hel...  Read Full »

Dr. Srinivas Saketh. G

Answer: Hello, Welcome to The frenectomy procedure as such does not close the gap. It involves the removal of fibrous tissue that is present. Then, closure of the gap can be achieved. The minimal movement to close the gap is with the help of removable appliances like retainers. More movement...  Read Full »

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